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. 2021 Sep;33(9):1201-1208.
doi: 10.1080/09540121.2021.1874270. Epub 2021 Jan 23.

Physical symptoms and sleep disturbances activate coping strategies among HIV-infected Asian Americans: a pathway analysis

Feifei Huang  1   2 , Wei-Ti Chen  2 , Cheng-Shi Shiu  2   3 , Wenxiu Sun  2   4 , Abigail Radaza  5 , Lance Toma  6 , Binh Vinh Luu  7 , Judy Ah-Yune  7
Affiliations

Physical symptoms and sleep disturbances activate coping strategies among HIV-infected Asian Americans: a pathway analysis

Feifei Huang et al. AIDS Care. 2021 Sep.

Abstract

How to activate adaptive coping strategies has an important and practical meaning for the quality of life of people living with HIV (PLHIV); however, few studies have focused on the effects of sleep disturbances and HIV-related physical symptoms on coping strategies. The specific relationships among coping strategies, sleep disturbances and HIV-related physical symptoms were unknown. We performed a path analysis to examine the proposed model of relationships among sleep disturbances, physical symptoms, and coping strategies. A convenience sample of 69 HIV-positive Asian Americans in San Francisco, Los Angeles, and New York City were recruited and data were collected on demographics, sleep disturbances, HIV-related physical symptoms, and coping strategies. Sleep disturbances directly affect maladaptive coping (β = 0.34), and physical symptoms directly affect adaptive coping (β = 0.30) and maladaptive coping (β = 0.24). Interventions designed to decrease sleep disturbances and physical symptoms should be developed to enhance adaptive coping and reduce maladaptive coping among Asian Americans with HIV.

Keywords: Asian Americans; HIV; coping strategies; sleep disturbance; symptoms.

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Figures

Figure 1.
Figure 1.
The hypothesized pathway.
Figure 2.
Figure 2.
The final pathway. Note: χ2/df = 3.824, p = 0.05; CFI = 0.94; TLI = 0.85; RMSEA = 0.07.
See this image and copyright information in PMC

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