Severity of child sexual abuse, post-traumatic stress and risky sexual behaviors among HIV-positive women
Severity of child sexual abuse, post-traumatic stress and risky sexual behaviors among HIV-positive women
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DOI：
10.1007/s10461-005-9054-6
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发表时间：
2006-03-01
影响因子：
4.4
通讯作者：
Liu, HH
中科院分区：
文献类型：
--
作者：
Myers, HF;Wyatt, GE;Liu, HH
儿童性虐待（CSA）已被证明会增加感染艾滋病毒和其他不良后果的风险。然而，大多数研究检查CSA的单一事件的影响，而不是在预测这些不良后果的整个生命周期的虐待负担。在这项研究中使用了一个多维度的方法来检查虐待的严重程度作为创伤后应激，抑郁，性症状和危险的性行为在多种族样本的147名艾滋病毒阳性妇女的预测。多变量模型表明，经历家庭内和家庭外CSA，成人性虐待（阿萨）和拉丁裔预测PTSD症状。阿萨还预测了性创伤症状。此外，CSA和成人再次受害独立的风险为创伤后应激障碍和性创伤症状，但不是危险的性行为。研究结果表明，有必要对艾滋病毒抗体阳性妇女采取干预措施，以解决遭受虐待的全部负担及其后遗症。
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.