Long-Term Correlates of Childhood Abuse among Adults with Severe Mental Illness: Adult Victimization, Substance Abuse, and HIV Sexual Risk Behavior
Long-Term Correlates of Childhood Abuse among Adults with Severe Mental Illness: Adult Victimization, Substance Abuse, and HIV Sexual Risk Behavior
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DOI：
10.1007/s10461-007-9326-4
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发表时间：
2009-04-01
影响因子：
4.4
通讯作者：
Sikkema, Kathleen J.
中科院分区：
文献类型：
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作者：
Meade, Christina S.;Kershaw, Trace S.;Sikkema, Kathleen J.
患有严重精神疾病（SMI）的人儿童时期遭受性虐待和身体虐待的发生率异常高。患有 SMI 的成年人也有很高的艾滋病毒危险行为。这项研究以 152 名接受社区心理健康服务的患有 SMI 的成年人为样本，研究了儿童期虐待与成人受害、药物滥用和终生 HIV 性风险之间的关联。结构化访谈评估了精神、社会心理和行为风险因素。 70% 的人报告了儿童时期的身体虐待和/或性虐待，32% 的人报告了两种类型的虐待。遭受童年虐待的参与者更有可能报告成人受害和艾滋病毒风险更大。结构方程模型发现，儿童期虐待通过药物滥用和成人受害与艾滋病毒风险直接和间接相关。解决人际暴力和药物滥用问题的综合治疗方法对于降低该人群的艾滋病毒风险可能是必要的。
The prevalence of childhood sexual and physical abuse among persons with severe mental illness (SMI) is disproportionately high. Adults with SMI also engage in high rates of HIV risk behaviors. This study examined the association between childhood abuse and adult victimization, substance abuse, and lifetime HIV sexual risk in a sample of 152 adults with SMI receiving community mental health services. Structured interviews assessed psychiatric, psychosocial, and behavioral risk factors. Seventy percent reported childhood physical and/or sexual abuse, and 32% reported both types of abuse. Participants with childhood abuse were more likely to report adult victimization and greater HIV risk. A structural equation model found that childhood abuse was directly and indirectly associated with HIV risk through drug abuse and adult vicitimization. Integrated treatment approaches that address interpersonal violence and substance abuse may be necessary for HIV risk reduction in this population.