The Relationship Between Posttraumatic Stress Disorder and Alcohol Misuse and Smoking Among Aging Men Who Have Sex With Men: No Evidence of Exercise or Volunteering Impact.

IF 2.2 3区医学 Q2 GERONTOLOGY Journal of Aging and Health Pub Date : 2024-12-01 Epub Date: 2023-11-17 DOI:10.1177/08982643231215475

Benjamin W Barrett, Steven Meanley, Mark Brennan-Ing, Sabina A Haberlen, Deanna Ware, Roger Detels, M Reuel Friedman, Michael W Plankey

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Abstract

Objectives: To determine if the association between posttraumatic stress disorder (PTSD) and substance use (alcohol misuse or smoking tobacco) is mediated/moderated by exercise or volunteering among aging (≥40 years) men who have sex with men (MSM), and if this mediation/moderation differs by HIV serostatus.

Methods: Multicenter AIDS Cohort Study data were used. Three datasets with PTSD measured during different time periods (10/1/2017-3/31/2018, 898 men; 4/1/2018-9/30/2018, 890 men; 10/1/2018-3/31/2019, 895 men) were analyzed. Longitudinal mediation analyses estimated the mediation effect of exercise and volunteering on the outcomes.

Results: Nine percent of MSM had evidence of PTSD. There was no statistically significant mediation effect of exercise or volunteering regardless of substance use outcome. The odds of smoking at a future visit among MSM with PTSD were approximately double those of MSM without PTSD. Results did not differ by HIV serostatus.

Discussion: There is a particular need for effective smoking cessation interventions for aging MSM with PTSD.

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老年男男性行为者的创伤后应激障碍与酒精滥用和吸烟的关系:没有证据表明运动或志愿活动的影响。

目的:确定在老年(≥40岁)男男性行为者(MSM)中，创伤后应激障碍(PTSD)和物质使用(酒精滥用或吸烟)之间的关联是否通过运动或志愿活动介导/调节，以及这种介导/调节是否因HIV血清状态而异。方法:采用多中心艾滋病队列研究资料。三个数据集在不同时间段测量PTSD(10/1/2017-3/31/2018, 898名男性;2018年4月1日- 2018年9月30日，890名男性;2018年1月10日至2019年3月31日，共895名男性)。纵向中介分析估计运动和志愿活动对结果的中介作用。结果:9%的男男性行为者有PTSD的证据。无论药物使用结果如何，运动或志愿活动都没有统计学上显著的中介作用。患有PTSD的男同性恋者在未来就诊时吸烟的几率大约是没有PTSD的男同性恋者的两倍。结果不受HIV血清状态的影响。讨论:对于患有PTSD的老年男男性行为者，特别需要有效的戒烟干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Aging and Health Multiple-

CiteScore

5.60

自引率

3.60%

发文量

113

期刊介绍： The Journal of Aging and Health is an interdisciplinary forum for the presentation of research findings and scholarly exchange in the area of aging and health. Manuscripts are sought that deal with social and behavioral factors related to health and aging. Disciplines represented include the behavioral and social sciences, public health, epidemiology, demography, health services research, nursing, social work, medicine, and related disciplines. Although preference is given to manuscripts presenting the findings of original research, review and methodological pieces will also be considered.