Violence Exposure, Drug Use and HIV/AIDS Risk Taking Behaviors: The Role of Gender
Autor: | Jennifer Bronson, Craig T. Dearfield, Celia J. Maxwell, Deanna Crouse, Roderick Harrison, Marjorie Douglas, Forough Saadatmand |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Male Adolescent media_common.quotation_subject Sexual Behavior Poison control HIV Infections Suicide prevention Occupational safety and health Article 03 medical and health sciences Young Adult 0302 clinical medicine Risk-Taking Injury prevention Humans 030212 general & internal medicine Young adult Child media_common Exposure to Violence 030505 public health Human factors and ergonomics General Medicine Disadvantaged Feeling Pharmaceutical Preparations Female 0305 other medical science Psychology Clinical psychology |
Zdroj: | J Natl Med Assoc |
Popis: | Objective To examine gender differences among African American young adults in their exposure to violence (ETV) before age 18 and community violence as an adult, and the relationship of these exposures to drug use and HIV risk taking behaviors (HIVRTB). Method We detail these experiences in 440 self-identified African Americans, ages 18 to 25, from socio-economically disadvantaged wards in Washington, DC. Factor analysis was used to identify the types of violence experienced before age 18 and as adults. Regression was used to identify which types of violence had the greatest impact on subsequent drug use and HIVRTB. Results We found gender differences in the types of violence experienced and their effects on drug use and HIVRTB. For women, the strongest ETV factors were direct personal violence, and exposure to drug sales or physical violence as adults. For men, the strongest factors were feeling unsafe in different situations as adults and exposure to violence among adults before age 18. Conclusions We identified the specific kinds of violence that are most likely to impact drug use and risky sexual behaviors that can leave one vulnerable to HIV and how these differ between women and men exposed to both childhood violence and community violence as an adult. Our findings point toward the need for trauma-informed programs that are tailored to gender. |
Databáze: | OpenAIRE |
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