TY - JOUR PY - 2006// TI - Severity of child sexual abuse, post- traumatic stress and risky sexual behaviors among HIV-positive women JO - AIDS and behavior A1 - Myers, Hector F. A1 - Wyatt, Gail Elizabeth A1 - Loeb, Tamra Burns A1 - Carmona, Jennifer Vargas A1 - Warda, Umme A1 - Longshore, Douglas A1 - Rivkin, Inna A1 - Chin, Dorothy A1 - Liu, Hangsheng SP - 191 EP - 199 VL - 10 IS - 2 N2 - 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.
Language: en
LA - en SN - 1090-7165 UR - http://dx.doi.org/10.1007/s10461-005-9054-6 ID - ref1 ER -