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Associations between adverse childhood experiences, viral suppression, and quality of life among persons living with HIV in Washington state

Bibliographic Data

ID19443754
AuthorsRachel Sanders (0000-0002-2142-5417, University of Washington, corresponding author), Julia C Dombrowski (0000-0003-1907-9428, University of Washington), Anjum Hajat (0000-0001-8807-9232, University of Washington), Susan E Buskin (0000-0002-6877-5713, Public Health – Seattle & King County), Susan Buskin (University of Washington), Steven J Erly (0000-0001-5477-9660, Washington State Department of Health), Steven Erly (University of Washington)
Year2024
Volume36
Issue7
Pages937-945
Publication date2024-07-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2023.2299339
PMID38176057
OpenAlexW4390574577
LanguageEN
Citations received3
References cited28

Adverse childhood experiences (ACEs) have been linked to numerous negative health outcomes in adulthood and have been recognized as a hurdle to participating in HIV care. However, few studies have examined the cumulative impact that different types of childhood trauma have on HIV care engagement and HIV outcomes. This study characterized the relationship between ACEs, viral suppression, and health-related quality of life (HRQOL) among persons living with HIV (PLWH). We used HIV surveillance data and self-reported information on ACEs and HRQOL from PLWH in Washington State from 2018-2020. Logistic regression was used to assess the relationship between the quantity and type of ACEs and viral suppression. We used Poisson regression to examine the relationship between ACEs and HRQOL as measured by unhealthy days. The majority of PLWH experienced ≥1 ACE (86.8%). ACEs were not significantly associated with the likelihood of viral suppression (OR ≥4 vs 0 ACEs: 0.49, 95% CI: 0.12-2.09), but ACEs were associated with more unhealthy days experienced in a 30-day period (RR ≥4 vs 0 ACEs: 3.19, 95% CI: 1.59-6.40). These findings provide support that trauma is common among PLWH, and efforts to address the impact of childhood trauma may work to improve quality of life

Adverse Childhood Experiences · Environmental health · Logistic regression · Mental health · Poisson regression · Population · Psychiatry · Child Abuse and Trauma · Demography · Homelessness and Social Issues · Medicine · Migration, Health and Trauma · Gerontology · Immunology · Internal Medicine

  • A mixed methods descriptive study of a diverse cohort of African American/Black and Latine young and emerging adults living with HIV

    Open Access•Marya Gwadz, Leo Wilton et al.•BMC Public Health•2025

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Unique citing works3
Citations per year3
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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