Title
Poverty and substance use in South African Tuberculosis patients Poverty and substance use in South African Tuberculosis patients
Author
Faculty/Department
Faculty of Social Sciences. Sociology
Publication type
article
Publication
Subject
Sociology
Human medicine
Source (journal)
American journal of health behavior. - -
Volume/pages
38(2014) :4 , p. 501-509
ISSN
1945-7359
ISI
000344036400003
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Objectives: To determine whether social support and depressive symptoms mediate the relationship between poverty and substance use in tuberculosis (TB) patients in South Africa. Methods: We performed structural equation modeling with the latent constructs socioeconomic status (SES), social support and "substance use" (tobacco smoking, alcohol problem, illicit drug use) in 1005 male TB patients. Results: Higher SES directly (standardized coefficient= -0.27) and indirectly reduced substance use. Indirectly SES provided increased social support (coefficient=0.37), which was associated with reduced substance use (coefficient=-0.15). Higher SES diminished depressive symptoms. Model fit was acceptable. Separate models for tobacco smoking, illicit drug use or alcohol problem produced similar findings. Conclusions: Poverty alleviation and social support-based interventions may benefit male TB patients with substance use.
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