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Title
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Poverty and substance use in South African Tuberculosis patients
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Author
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Abstract
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| 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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Language
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English
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Source (journal)
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American journal of health behavior. - -
American journal of health behavior. - [Star City, W.V.]
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Publication
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2014
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ISSN
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1087-3244
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DOI
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10.5993/AJHB.38.4.3
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Volume/pages
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38
:4
(2014)
, p. 501-509
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ISI
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000344036400003
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Pubmed ID
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24636112
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Full text (Publisher's DOI)
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