Gender differences in the association between childhood sexual abuse and risk behaviors among people living with HIV in Haiti.
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| Title: | Gender differences in the association between childhood sexual abuse and risk behaviors among people living with HIV in Haiti. |
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| Authors: | Villalba, Karina, Attonito, Jennifer, Jean-Gilles, Michele, Rosenberg, Rhonda, Dévieux, Jessy G. |
| Source: | AIDS Care. Nov2020, Vol. 32 Issue 11, p1438-1444. 7p. 2 Charts. |
| Subjects: | HIV infection transmission, Child sexual abuse, Confidence intervals, Psychology of HIV-positive persons, Longitudinal method, Psychological tests, Questionnaires, Risk-taking behavior, Sex distribution, Substance abuse, Unsafe sex, Descriptive statistics, Odds ratio |
| Geographic Terms: | Haiti |
| Abstract: | Research shows that in the Caribbean one-third of people living with HIV continue to engage in unprotected sexual practices. Childhood sexual abuse (CSA) and HIV-related risk behaviors have been found to play a contributory role in HIV transmission. We aimed to analyze gender differences in the association between CSA and substance use and sexual risk behaviors among Haitians living with HIV. A total of 276 HIV-positive individuals participated in this study with 56% experiencing sexual abuse during childhood. Results showed that participants who experienced CSA had increased odds of hazardous drinking compared to those who did not experience CSA; men (OR 2.9, 95% CI 1.2–7.3) and women (OR 2.5, 95% CI 1.2–5.6). While, marijuana use was only significantly associated in women (OR 5.2, 95% CI 2.1–13.5). For sexual risk behaviors, unprotected sex was significantly associated in both men (OR 3.0, 95% CI 1.3–7.1) and women (OR 2.0, 95% CI 1.5–7.7) who experienced CSA. Results of this study underscore the need for further research to better understand the role of gender in the relationship between CSA and risky behaviors among PLWH. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Research shows that in the Caribbean one-third of people living with HIV continue to engage in unprotected sexual practices. Childhood sexual abuse (CSA) and HIV-related risk behaviors have been found to play a contributory role in HIV transmission. We aimed to analyze gender differences in the association between CSA and substance use and sexual risk behaviors among Haitians living with HIV. A total of 276 HIV-positive individuals participated in this study with 56% experiencing sexual abuse during childhood. Results showed that participants who experienced CSA had increased odds of hazardous drinking compared to those who did not experience CSA; men (OR 2.9, 95% CI 1.2–7.3) and women (OR 2.5, 95% CI 1.2–5.6). While, marijuana use was only significantly associated in women (OR 5.2, 95% CI 2.1–13.5). For sexual risk behaviors, unprotected sex was significantly associated in both men (OR 3.0, 95% CI 1.3–7.1) and women (OR 2.0, 95% CI 1.5–7.7) who experienced CSA. Results of this study underscore the need for further research to better understand the role of gender in the relationship between CSA and risky behaviors among PLWH. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 09540121 |
| DOI: | 10.1080/09540121.2020.1757022 |
