000000661 001__ 661
000000661 005__ 20260113153514.0
000000661 0247_ $$2DOI$$a10.6083/M4FT8J17
000000661 037__ $$aETD
000000661 245__ $$aPatient and provider characteristics associated with comfort discussing substance use in HIV clinics
000000661 260__ $$bOregon Health and Science University
000000661 269__ $$a2011
000000661 336__ $$aThesis
000000661 502__ $$bM.P.H.
000000661 520__ $$aSubstance use among HIV-infected patients can hinder antiretroviral adherence and health outcomes, yet discussions with providers remain limited. In a cross-sectional study of 413 patients and 45 providers, most reported high comfort discussing substance use, but current drug or alcohol users were significantly less comfortable. Higher patient self-efficacy and activation increased comfort, while provider comfort was linked to caring for highly activated patients. These findings suggest that those most in need of intervention feel least comfortable discussing substance use, highlighting patient activation and provider engagement as key targets for improving communication in HIV care.
000000661 540__ $$fCC BY
000000661 542__ $$fIn copyright - single owner
000000661 650__ $$aAlcohol Drinking$$014403
000000661 650__ $$aCommunication$$016935
000000661 650__ $$aPhysician-Patient Relations$$024113
000000661 650__ $$aHIV Infections$$028555
000000661 650__ $$aSubstance-Related Disorders$$032029
000000661 650__ $$aOutcome Assessment, Health Care$$029660
000000661 650__ $$aSelf Efficacy$$032365
000000661 650__ $$aCross-Sectional Studies$$017206
000000661 6531_ $$adrinking of alcoholic beverages
000000661 6531_ $$ainterpersonal communication
000000661 6531_ $$asubstance abuse
000000661 691__ $$aSchool of Medicine$$041369
000000661 692__ $$aDepartment of Public Health and Preventive Medicine$$041444
000000661 7001_ $$aRay, Moira$$uOregon Health and Science University$$041354
000000661 8564_ $$9c516f869-e193-4d96-a3e6-369d94ad8a01$$s611891$$uhttps://digitalcollections.ohsu.edu/record/661/files/662_etd.pdf$$ePublic$$2b15f60453a5b20d66dcf37c47428c1f6$$31
000000661 905__ $$a/rest/prod/cv/43/nw/85/cv43nw85w
000000661 909CO $$ooai:digitalcollections.ohsu.edu:661$$pstudent-work
000000661 980__ $$aTheses and Dissertations