Citation

Callands TA, Gilliam SM, Sileo KM, Taylor EN, Hunter-Jones JJ, Hansen NB. AIDS Behav. 2020; ePub(ePub): ePub.

Copyright

(Copyright © 2020, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s10461-020-03088-6

PMID

33180254

Abstract

The adverse impact of exposure to war-related traumatic events on mental health is well documented. Few studies, however, have focused on the impact of exposure to war-related traumatic events on HIV sexual risk behavior in post-conflict countries such as Liberia. We investigated whether exposure to war-related traumatic events was linked to HIV sexual risk behavior, and identified potential mediators of this relationship, including stressful life events, problematic alcohol use, and intimate partner violence (IPV) among women and men in Liberia. Data were collected from a sample of 395 participants in Monrovia, Liberia.

RESULTS from the serial multiple mediator model did not support direct or indirect effects between war-related traumatic events and HIV sexual risk behavior among women. For men, we found both direct and indirect effects between war-related traumatic events and HIV sexual risk behavior.

FINDINGS from this research highlight the need for trauma-informed HIV prevention strategies in Liberia.

Language: en

Keywords

Alcohol; Intimate partner violence; HIV/AIDS; Sub-saharan africa; War exposure