TY - JOUR
T1 - Childhood sexual abuse and health risk behaviors in patients with HIV and a history of injection drug use
AU - Markowitz, Sarah M.
AU - O'Cleirigh, Conall
AU - Hendriksen, Ellen S.
AU - Bullis, Jacqueline R.
AU - Stein, Michael
AU - Safren, Steven A.
N1 - Funding Information:
Acknowledgments This project was funded by Grant number DA018603-03 from the National Institute of Drug Abuse.
PY - 2011/10
Y1 - 2011/10
N2 - Childhood sexual abuse (CSA) is related to poorer health outcomes, associated with increased risk for HIV acquisition, and prevalent among HIV risk groups. Links between CSA and health behavior are an important health concern. We examined the relationship between CSA and transmission risk behavior and medication adherence in 119 HIV-infected individuals with an injection drug use history. 47% reported CSA, with no gender difference. Individuals who experienced CSA were more likely to report sexual HIV transmission risk behavior in the past 6 months, more sexual partners, use of heroin in the past 30 days, and worse adherence to HIV medication than those who did not. These findings confirm that rates of CSA are high in this population, and suggest that a history of CSA may place people managing both HIV and opioid dependence at increased risk for HIV transmission, poor adherence to medication, and vulnerability to substance use relapse.
AB - Childhood sexual abuse (CSA) is related to poorer health outcomes, associated with increased risk for HIV acquisition, and prevalent among HIV risk groups. Links between CSA and health behavior are an important health concern. We examined the relationship between CSA and transmission risk behavior and medication adherence in 119 HIV-infected individuals with an injection drug use history. 47% reported CSA, with no gender difference. Individuals who experienced CSA were more likely to report sexual HIV transmission risk behavior in the past 6 months, more sexual partners, use of heroin in the past 30 days, and worse adherence to HIV medication than those who did not. These findings confirm that rates of CSA are high in this population, and suggest that a history of CSA may place people managing both HIV and opioid dependence at increased risk for HIV transmission, poor adherence to medication, and vulnerability to substance use relapse.
KW - Adherence
KW - Childhood sexual abuse
KW - HIV transmission risk
KW - Injection drug use
UR - http://www.scopus.com/inward/record.url?scp=84855179376&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84855179376&partnerID=8YFLogxK
U2 - 10.1007/s10461-010-9857-y
DO - 10.1007/s10461-010-9857-y
M3 - Article
C2 - 21161362
AN - SCOPUS:84855179376
VL - 15
SP - 1554
EP - 1560
JO - AIDS and Behavior
JF - AIDS and Behavior
SN - 1090-7165
IS - 7
ER -
