Severity of Child Sexual Abuse, Post- Traumatic Stress and Risky Sexual Behaviors Among HIV-Positive Women
Autor: | Dorothy Chin, Hector F. Myers, Inna Rivkin, Umme S. Warda, Jennifer Vargas Carmona, Douglas Longshore, Hangsheng Liu, Tamra Burns Loeb, Gail E. Wyatt |
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Rok vydání: | 2006 |
Předmět: |
Adult
medicine.medical_specialty Social Psychology Sexual Behavior Psychological intervention Poison control Severity of Illness Index Suicide prevention California Stress Disorders Post-Traumatic Risk-Taking Catchment Area Health Acquired immunodeficiency syndrome (AIDS) HIV Seropositivity Injury prevention Ethnicity medicine Humans Child Psychiatry Public Health Environmental and Occupational Health Traumatic stress Child Abuse Sexual medicine.disease Health psychology Infectious Diseases Child sexual abuse Female Psychology Clinical psychology |
Zdroj: | AIDS and Behavior. 10:191-199 |
ISSN: | 1573-3254 1090-7165 |
DOI: | 10.1007/s10461-005-9054-6 |
Popis: | Child sexual abuse (CSA) has been shown to enhance risk for HIV infection and other adverse outcomes. However, most studies examine the effects of a single incident of CSA rather than the full burden of abuse over the life span in predicting these adverse outcomes. A multi-dimensional approach was used in this study to examine the severity of abuse as a predictor of post-traumatic stress, depression, sexual symptoms, and risky sexual behaviors in a multi-ethnic sample of 147 HIV-positive women. Multivariate models indicated that experiencing both intrafamilial and extrafamilial CSA, adult sexual abuse (ASA) and Latina ethnicity predicted PTSD symptoms. ASA also predicted sexual trauma symptoms. Also, CSA and adult re-victimization contributed independently to risk for PTSD and sexual trauma symptoms, but not for risky sexual behaviors. The results support the need for interventions for HIV-positive women that address the full burden of abuse experienced and its sequelae. |
Databáze: | OpenAIRE |
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