Severity of child sexual abuse, post- traumatic stress and risky sexual behaviors among HIV-positive women.
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.
Department of Psychology, University of California-Los Angeles, Los Angeles, CA 90095, USA. myers@psych.ucla.edu
Hector F
HF
Myers
Gail E
GE
Wyatt
Tamra Burns
TB
Loeb
Jennifer Vargas
JV
Carmona
Umme
U
Warda
Douglas
D
Longshore
Inna
I
Rivkin
Dorothy
D
Chin
Honghu
H
Liu
D000328:Adult; D002140:California / Q000453:epidemiology; D002391:Catchment Area, Health; D002648:Child; D002650:Child Abuse, Sexual / Q000706:statistics & numerical data*; D005006:Ethnicity; D005260:Female; D006679:HIV Seropositivity / Q000453:epidemiology*; D006801:Humans; D012309:Risk-Taking; D012720:Severity of Illness Index; D012725:Sexual Behavior / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis* / Q000453:epidemiology*