Pre-Migration Trauma and HIV-Risk Behavior

This study examined the relationship between pre-migration trauma and HIV-risk behavior in refugees from sub-Saharan Africa. The sample comprised 122 persons who had emigrated from sub-Saharan Africa and were currently residing in Sweden. Qualitative methods including individual interviews, focus groups, and interviews with key informants addressed questions regarding trauma experience and HIV-risk behavior. A history of pre-migration trauma was found to be associated with HIV-risk behavior. According to the participants, symptoms associated with post-traumatic stress disorder, depression, adjustment disorder, and substance use mediated the relationship between pre-migration trauma and sexual risk behavior. In contrast, a minority of the participants who reported pre-migration trauma but not psychological sequelae, or experienced post-traumatic growth, reported safer sexual practices. It appears that for some individuals, pre-migration trauma resulted in psychiatric sequelae, which may increase an individual's risk to be infected with HIV. Interventions targeted at individuals at increased risk (i.e. pre-migration trauma with unresolved psychiatric symptomatology) may facilitate the prevention of HIV and other sexually transmitted diseases in this population. Integration of multiple psychosocial and health issues is recommended for comprehensive treatment and prevention programs

Environmental health · Population · Psychiatry · Psychological intervention · Psychosocial · Refugee · Traumatic stress · Adolescent Sexual and Reproductive Health · Child Abuse and Trauma · Clinical Psychology · HIV/AIDS Research and Interventions · Medicine · Migration, Health and Trauma · Psychology

• Intersectional Stigma and Multi-Level Barriers to HIV Testing Among Foreign-Born Black Men From the Caribbean

  Open Access•Tonya N Taylor, Jack DeHovitz et al.•Frontiers in Public Health•2020

  Incluir item

• Social Factors Associated with the Knowledge About HIV of the Immigrants from China, Latin America, the Maghreb and Senegal in the Basque Country (Spain)

  Open Access•Emilio Rodríguez-Álvarez, Nerea Lanborena et al.•Journal of Immigrant and Minority…•2012

  Incluir item

• Trauma Exposure, PTSD, and HIV Sexual Risk Behaviors among Labor Migrants from Tajikistan

  Open Access•Stevan Weine, Mahbat Bahromov et al.•AIDS and Behavior•2012

  Incluir item

• Correlates of Casual Sex Amidst Vulnerability to HIV Among ACB Heterosexual Men in Ottawa and Windsor, Ontario Canada

  Open Access•Francisca Omorodion, Francisca I Omorodion et al.•Journal of Racial and Ethnic…•2022

  Incluir item

• Social Support, Sexual Violence, and Transactional Sex Among Female Transnational Migrants to South Africa

  Margaret Giorgio, Loraine Townsend et al.•American Journal of Public Health•2016

  Incluir item

• Toward a Critical Biosocial Model of Ecohealth in Southern Africa

  Open Access•M Singer•Annals of Anthropological Practice•2011

  Incluir item

• Trauma & Transformation

  Richard Tedeschi, Richard G Tedeschi et al.•Trauma & Transformation•1995

  Incluir item

• The Psychosocial Effects of Torture, Mass Human Rights Violations, and Refugee Trauma

  Derrick Silove•The Journal of Nervous and Mental…•1999

  Incluir item

• Longitudinal Study of Psychiatric Symptoms, Disability, Mortality, and Emigration Among Bosnian Refugees

  Richard Mollica, Richard F Mollica•JAMA•2001

  Incluir item

• Association between history of childhood sexual abuse and adult HIV-risk sexual behavior in puerto rican men who have sex with men

  Open Access•Alex Carballo-Diéguez, Curtis Dolezal•Child Abuse & Neglect•1995

  Incluir item

• Psychiatric disorders and risky sexual behaviour in young adulthood

  Open Access•Sandhya Ramrakha•BMJ•2000

  Incluir item

• Refugees' and Immigrants' Mental Health

  Regina Pernice, Judith S Brook et al.•The Journal of Social Psychology•1996

  Incluir item

• Psychological testing as a diagnostic and therapeutic tool in the treatment of traumatized Latin American and African refugees

  Sara Nieves-Grafals•Cultural Diversity & Mental Health•1995

  Incluir item

• Sex, drugs and escape

  David J Mckirnan, David G Ostrow et al.•AIDS Care•1996

  Incluir item

• Childhood Sexual Abuse in a Sample of South African University Males

  Open Access•Steven Colling, Steven J Collings•South African Journal of Psychology•1991

  Incluir item

• A Study of Childhood Sexual Abuse among South African University Women Students

  Open Access•Ann Levett•South African Journal of Psychology•1989

  Incluir item

• Unwanted sexual experiences and sexual risks in gay and bisexual men

  Seth C Kalichman, Eric G Benotsch et al.•The Journal of Sex Research•2001

  Incluir item

• Migration and Aids

  Open Access•UNAIDS and IOM, UNAIDS and IOM UNAIDS and IOM•International Migration•1998

  Incluir item

• Trauma Stories

  Open Access•Christina Zarowsky•Transcultural Psychiatry•2000

  Incluir item