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GENDERED ISSUES
IN ALCOHOL ABUSE AND DEPENDENCE
AMONG HIV-POSITIVE AFRICAN AMERICANS
by
E. Maxwell Davis
____________________________________________________________________
A Dissertation Presented to the
FACULTY OF THE GRADUATE SCHOOL
UNIVERSITY OF SOUTHERN CALIFORNIA
In Partial Fulfillment of the
Requirements for the Degree
DOCTOR OF PHILOSOPHY
(SOCIAL WORK)
December 2007
Copyright 2007 E. Maxwell Davis
Object Description
| Title | Gendered issues in alcohol abuse and dependence among HIV-positive African Americans |
| Author | Davis, E. Maxwell |
| Author email | emdavis@usc.edu |
| Degree | Doctor of Philosophy |
| Document type | Dissertation |
| Degree program | Social Work |
| School | School of Social Work |
| Date defended/completed | 2007-08-21 |
| Date submitted | 2007 |
| Restricted until | Unrestricted |
| Date published | 2007-10-17 |
| Advisor (committee chair) | Land, Helen M. |
| Advisor (committee member) |
Palinkas, Lawrence Lutkehaus, Nancy |
| Abstract | African Americans are disproportionately impacted by HIV/AIDS and by many psychosocial issues that complicate their experiences living with this disease. Of these issues, alcohol abuse and dependence has been linked to accelerated HIV disease progression, reduced efficacy of HIV medications, poor adherence to medical regimens and risky sexual behaviors. This study uses the secondary analysis of quantitative and qualitative data collected from 272 HIV-positive African Americans in Los Angeles County to investigate this phenomenon. Analysis revealed that 13.6% of participants met the criteria for current alcohol abuse or dependence. Logistic regressions testing the influences of gender, religiosity, spirituality, social support and social network composition on current alcohol abuse and dependence revealed that social support was uniquely influential. Content analysis of the narratives of forty consumers with histories of alcohol abuse or dependence examined factors influencing both the exacerbation of and recovery from alcohol problems in the context of HIV/AIDS and the impact of these problems on HIV self care. These findings highlighted the influence of religiosity and spirituality but, again emphasized the centrality of social support. The qualitative findings also provided a unique opportunity to interpret the quantitative findings in relation to consumer perspectives and experiences. Discussion of these findings includes recommendations for using the influence of social support to lessen the impact of alcohol misuse on HIV treatment and prevention efforts in this heavily impacted community. |
| Keyword | HIV/AIDS; African Americans; alcohol abuse; alcohol dependence; social support; gender |
| Geographic subject (county) | Los Angeles |
| Geographic subject (state) | California |
| Geographic subject (country) | USA |
| Language | English |
| Part of collection | University of Southern California dissertations and theses |
| Publisher (of the original version) | University of Southern California |
| Place of publication (of the original version) | Los Angeles, California |
| Publisher (of the digital version) | University of Southern California. Libraries |
| Type | texts |
| Legacy record ID | usctheses-m871 |
| Rights | Davis, E. Maxwell |
| Repository name | Libraries, University of Southern California |
| Repository address | Los Angeles, California |
| Repository email | http://www.usc.edu/isd/libraries/services/ask_a_librarian/email/ |
| Filename | etd-Davis-20071017 |
| Archival file | uscthesesreloadpub_Volume40/etd-Davis-20071017.pdf |
Description
| Title | Page 1 |
| Full text | GENDERED ISSUES IN ALCOHOL ABUSE AND DEPENDENCE AMONG HIV-POSITIVE AFRICAN AMERICANS by E. Maxwell Davis ____________________________________________________________________ A Dissertation Presented to the FACULTY OF THE GRADUATE SCHOOL UNIVERSITY OF SOUTHERN CALIFORNIA In Partial Fulfillment of the Requirements for the Degree DOCTOR OF PHILOSOPHY (SOCIAL WORK) December 2007 Copyright 2007 E. Maxwell Davis |
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