Exploring the Impact of Childhood Abuse on HIV Social and Attitudinal Factors Among Adults With and Without this History in Sub-Saharan Africa: Findings from NIMH Project Accept (HPTN 043).
Identifieur interne : 001063 ( Main/Exploration ); précédent : 001062; suivant : 001064Exploring the Impact of Childhood Abuse on HIV Social and Attitudinal Factors Among Adults With and Without this History in Sub-Saharan Africa: Findings from NIMH Project Accept (HPTN 043).
Auteurs : Linda Richter [Afrique du Sud] ; Tawanda Makusha [Afrique du Sud] ; Arnošt Komárek [République tchèque] ; Joseph Daniels [États-Unis] ; Tom Coates [États-Unis]Source :
- AIDS and behavior [ 1573-3254 ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adultes victimes de maltraitance dans l'enfance (psychologie), Afrique, Afrique subsaharienne, Comportement sexuel (psychologie), Connaissances, attitudes et pratiques en santé, Enfant, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH (), Infections à VIH (diagnostic), Infections à VIH (psychologie), Jeune adulte, Mâle, Partenaire sexuel, Prévalence, Révélation de la vérité, Soutien social, Stigmate social, Troubles de stress post-traumatique (psychologie), Troubles liés à une substance, Violence domestique (), Violence domestique (psychologie), Violence sexuelle chez l'enfant (psychologie).
- MESH :
- diagnostic : Infections à VIH.
- psychologie : Adultes victimes de maltraitance dans l'enfance, Comportement sexuel, Infections à VIH, Troubles de stress post-traumatique, Violence domestique, Violence sexuelle chez l'enfant.
- Adolescent, Adulte, Afrique, Afrique subsaharienne, Connaissances, attitudes et pratiques en santé, Enfant, Enquêtes et questionnaires, Facteurs socioéconomiques, Femelle, Humains, Infections à VIH, Jeune adulte, Mâle, Partenaire sexuel, Prévalence, Révélation de la vérité, Soutien social, Stigmate social, Troubles liés à une substance, Violence domestique.
English descriptors
- KwdEn :
- Adolescent, Adult, Adult Survivors of Child Abuse (psychology), Africa, Africa South of the Sahara, Child, Child Abuse, Sexual (psychology), Domestic Violence (psychology), Domestic Violence (statistics & numerical data), Female, HIV Infections (diagnosis), HIV Infections (prevention & control), HIV Infections (psychology), Health Knowledge, Attitudes, Practice, Humans, Male, Prevalence, Sexual Behavior (psychology), Sexual Partners, Social Stigma, Social Support, Socioeconomic Factors, Stress Disorders, Post-Traumatic (psychology), Substance-Related Disorders, Surveys and Questionnaires, Truth Disclosure, Young Adult.
- MESH :
- diagnosis : HIV Infections.
- prevention & control : HIV Infections.
- psychology : Adult Survivors of Child Abuse, Child Abuse, Sexual, Domestic Violence, HIV Infections, Sexual Behavior, Stress Disorders, Post-Traumatic.
- statistics & numerical data : Domestic Violence.
- Adolescent, Adult, Africa, Africa South of the Sahara, Child, Female, Health Knowledge, Attitudes, Practice, Humans, Male, Prevalence, Sexual Partners, Social Stigma, Social Support, Socioeconomic Factors, Substance-Related Disorders, Surveys and Questionnaires, Truth Disclosure, Young Adult.
Abstract
Using data from four sites in three African countries, this community randomized study examined the association between childhood sexual and/or physical abuse (CSA and/or CPA) and HIV disclosure, HIV-related stigma, stress, and social support among adults with and without a history of abuse. A history of abuse among men was associated with higher levels of adult-reported stress and HIV-related stigma, and with significantly lower rates of HIV test result disclosure to current partners. Women with a history of CSA and/or CPA had significantly higher perceived stigma, discrimination and stress. Although childhood abuse was significantly associated with adult stress and stigmatization, participants with histories of CSA and/or CPA also reported significantly higher perceived social support compared to people without such experiences. These findings may reflect support received in response to disclosure of CSA or CPA or emotional ambivalence in relationships that have been found to be associated with child abuse. We conclude that it is critical for HIV prevention interventions to advocate for the primary prevention of child abuse, for early identification of adolescents and adults who report experiencing childhood abuse, and to address stigma and stress-related attitudinal, behavioral and relationship difficulties experiences as an aftermath of early abuse that increase their risk of HIV.
DOI: 10.1007/s10461-015-1166-z
PubMed: 26271817
Affiliations:
- Afrique du Sud, République tchèque, États-Unis
- Bohême centrale, Californie, Gauteng
- Johannesbourg, Prague
- Université du Witwatersrand
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Le document en format XML
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socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Mâle</term><term>Partenaire sexuel</term><term>Prévalence</term><term>Révélation de la vérité</term><term>Soutien social</term><term>Stigmate social</term><term>Troubles liés à une substance</term><term>Violence domestique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Using data from four sites in three African countries, this community randomized study examined the association between childhood sexual and/or physical abuse (CSA and/or CPA) and HIV disclosure, HIV-related stigma, stress, and social support among adults with and without a history of abuse. A history of abuse among men was associated with higher levels of adult-reported stress and HIV-related stigma, and with significantly lower rates of HIV test result disclosure to current partners. Women with a history of CSA and/or CPA had significantly higher perceived stigma, discrimination and stress. Although childhood abuse was significantly associated with adult stress and stigmatization, participants with histories of CSA and/or CPA also reported significantly higher perceived social support compared to people without such experiences. These findings may reflect support received in response to disclosure of CSA or CPA or emotional ambivalence in relationships that have been found to be associated with child abuse. We conclude that it is critical for HIV prevention interventions to advocate for the primary prevention of child abuse, for early identification of adolescents and adults who report experiencing childhood abuse, and to address stigma and stress-related attitudinal, behavioral and relationship difficulties experiences as an aftermath of early abuse that increase their risk of HIV.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>République tchèque</li><li>États-Unis</li></country><region><li>Bohême centrale</li><li>Californie</li><li>Gauteng</li></region><settlement><li>Johannesbourg</li><li>Prague</li></settlement><orgName><li>Université du Witwatersrand</li></orgName></list><tree><country name="Afrique du Sud"><region name="Gauteng"><name sortKey="Richter, Linda" sort="Richter, Linda" uniqKey="Richter L" first="Linda" last="Richter">Linda Richter</name></region><name sortKey="Makusha, Tawanda" sort="Makusha, Tawanda" uniqKey="Makusha T" first="Tawanda" last="Makusha">Tawanda Makusha</name></country><country name="République tchèque"><region name="Bohême centrale"><name sortKey="Komarek, Arnost" sort="Komarek, Arnost" uniqKey="Komarek A" first="Arnošt" last="Komárek">Arnošt Komárek</name></region></country><country name="États-Unis"><region name="Californie"><name sortKey="Daniels, Joseph" sort="Daniels, Joseph" uniqKey="Daniels J" first="Joseph" last="Daniels">Joseph Daniels</name></region><name sortKey="Coates, Tom" sort="Coates, Tom" uniqKey="Coates T" first="Tom" last="Coates">Tom Coates</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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