Childhood abuse and initial presentation for HIV care
An opportunity for early intervention
Bibliographic Data
| ID | 19443038 |
|---|---|
| Authors | Michael Mugavero (0000-0001-6916-6701, University of Alabama at Birmingham), M J Mugavero (University of Alabama at Birmingham), Brian W Pence (0000-0001-7321-9538, Duke University Health System), Kathryn Whetten (0000-0002-4841-7695, Duke Institute for Health Innovation), Jane Leserman (University of North Carolina at Chapel Hill), M S Swartz (0009-0005-4729-475X, Duke University Hospital), M Swartz (0000-0001-8167-5816, Duke University), Dalene Stangl (Decision Sciences (United States)), Nathan M Thielman (0000-0001-8152-2879, Duke Institute for Health Innovation, corresponding author) |
| Year | 2007 |
| Volume | 19 |
| Issue | 9 |
| Pages | 1083-1087 |
| Publication date | 2007-10-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540120701351896 |
| PMID | 18058391 |
| OpenAlex | W2033772188 |
| Language | EN |
| Citations received | 5 |
| References cited | 26 |
An alarmingly high prevalence of childhood sexual and physical abuse has been observed in HIV-infected men and women, with rates several times higher than observed in the general population. Childhood abuse history has been associated with worse antiretroviral adherence and negative health behaviours in HIV-infected patients. This study evaluates the relationship between childhood abuse and the timing of presentation for HIV care. Participants in a multi-center prospective cohort study, who established initial HIV care after January 1996 and had a CD4 count available within six months of initial presentation, were included in this analysis. Bivariate contingency tables and multivariate logistic regression were used to evaluate the association of childhood abuse with early presentation for HIV care (initial CD4 count > or =200/mm3). Among the 186 subjects included in this analysis, 33% had childhood abuse histories and 58% had an initial CD4 count > or =200/mm3. Participants with a history of childhood abuse were more likely to present early for HIV care (AOR=2.12; p=0.03), perhaps because survivors of abuse tend to have higher utilization of health services. Because HIV-infected patients with childhood abuse histories have worse antiretroviral medication adherence and are more likely to engage in high-risk sexual and injection drug use behaviours, early presentation affords clinicians the opportunity for timely institution of interventions that may improve patient outcomes and prevent secondary HIV infections
Child abuse · Environmental health · Medical emergency · Mental health · Physical abuse · Poison control · Population · Psychiatry · Psychological intervention · Sexual abuse · Substance abuse · Suicide prevention · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues · Pediatrics
Sexual abuse in a national survey of adult men and women
Prevalence and psychological sequelae of self-reported childhood physical and sexual abuse in a general population sample of men and women
Understanding childhood sexual abuse as a predictor of sexual risk-taking among men who have sex with men
Barriers to Antiretroviral Adherence
Sexual Experiences Survey
Childhood sexual abuse and sexual transmission risk behaviour among HIV-positive men who have sex with men
Trauma, coping, and depression among women with HIV/Aids in New York City
Impact of Sexual and Physical Abuse Dimensions on Health Status
Substance Abuse and Medication Adherence Among HIV-Positive Women with Histories of Child Sexual Abuse
The Efficacy of an Integrated Risk Reduction Intervention for HIV-Positive Women With Child Sexual Abuse Histories
The Differential Impact of PTSD and Depression on HIV Disease Markers and Adherence to Haart in People Living with HIV
The Clinical Significance of Change in Trauma-Related Symptoms Following a Pilot Group Intervention for Coping with HIV–Aids and Childhood Sexual Trauma
Outcomes from a Group Intervention for Coping with HIV/Aids and Childhood Sexual Abuse
The Reliability and Validity of a Sexual and Physical Abuse History Questionnaire in Female Patients with Gastrointestinal Disorders
The Disconnected Self
Current Information on the Scope and Nature of Child Sexual Abuse
Medically Eligible Women Who Do Not Use Haart
Prevalence of Childhood Sexual Abuse and Physical Trauma in an HIV-Positive Sample From the Deep South
| Unique citing works | 5 |
|---|---|
| Citations per year | 0.25 |
| Citation span | 2006 - 2025 (20) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 4 |