The Effects of Childhood Sexual Abuse: The Role of Anxiety and Alcohol Use among Haitian Women Living with HIV.
The Effects of Childhood Sexual Abuse: The Role of Anxiety and Alcohol Use among Haitian Women Living with HIV.
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童年性虐待的影响：焦虑和酗酒对感染艾滋病毒的海地妇女的影响。
DOI：
10.1080/10538712.2020.1801939
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发表时间：
2020
影响因子：
1.9
通讯作者：
Devieux,Jessy
中科院分区：
文献类型：
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作者：
Villalba,Karina;Attonito,Jennifer;Jean-Gilles,Michele;Rosenberg,Rhonda;Sanchez,Mariana;Devieux,Jessy
儿童期虐待与成年后的酗酒问题有关。还有记录表明，艾滋病毒携带者的饮酒率高于普通人群。在海地，共有25%的艾滋病毒携带者妇女经历过儿童期性虐待(CSA)，这使她们面临更大的酗酒风险。CsA也与成年后的焦虑症有关。因此，了解艾滋病毒携带者中CsA、焦虑和酒精使用之间的关系是至关重要的。共有244名艾滋病毒携带者妇女参与了这项研究，其中35%报告了CSA。酒精滥用用审计来衡量，焦虑用状态-特质焦虑问卷测试，性虐待用童年创伤问卷来衡量。与没有经历过儿童期性虐待的参与者相比，儿童期性虐待的参与者报告了更多的酒精使用[(17.0，SD=0.9.1)(11.9，SD=108.6)p=.001]和焦虑[(55.8，SD=19.8)(48.9，SD=18.3)p=.001]。焦虑对CsA和酒精使用之间的联系的间接影响是显著的[(？)=.19p=.05)95%Bootstrap CI.019-.13]因此，报告小时候受到性虐待的女性报告焦虑，这反过来又与酗酒风险增加有关。结果表明，酒精可以作为一种消极的应对机制来缓解CsA引发的焦虑症状。这些发现阐明了进一步研究性创伤对精神健康的影响的必要性。
Childhood abuse has been linked to problematic drinking in adulthood. It is also documented that people living with HIV have higher rates of alcohol use than the general population. In Haiti, a total of 25% of women living with HIV have experienced childhood sexual abuse (CSA), which puts them at an increased risk for alcohol abuse. CSA has also been associated with anxiety disorders in adulthood. Therefore, it is critical to understand the relationship between CSA, anxiety, and alcohol use among women living with HIV. A total of 244 women living with HIV participated in this study, with 35% reporting CSA. Alcohol abuse was measured with the AUDIT, anxiety with the State-Trait Anxiety Inventory test, and sexual abuse with the Childhood Trauma Questionnaire. Compared to participants who did not experience childhood sexual abuse, participants who experienced childhood sexual abuse reported greater levels of alcohol use [(17.0, SD = 9.1) (11.9, SD = 8.6)p=.001] and anxiety [(55.8, SD = 9.8) (48.9 SD = 8.3)p=.001] respectively. The indirect effect of anxiety on the association between CSA and alcohol use was significant [(ß =.19p=.05) 95% bootstrap CI.019 –.13] Thus, women who reported being sexually abused as children reported anxiety, which in turn, was associated with an increased risk for alcohol abuse. Results demonstrate that alcohol may be used as a negative coping mechanism to alleviate anxiety symptoms triggered by CSA. These findings elucidate the need for further research examining the impact that sexual trauma has on mental health.