Child abuse in young, HIV-positive women: linkages to risk.

TitleChild abuse in young, HIV-positive women: linkages to risk.
Publication TypePublication
Year of Publication2009
AuthorsClum GA, Andrinopoulos K, Muessig K, Ellen JM
Corporate AuthorsAdolescent Medicine Trials Network for HIV/AIDS Interventions
JournalQual Health Res
Volume19
Issue12
Pagination1755-68
Date Published2009 Dec
ISSN1049-7323
KeywordsAdolescent, Adult, Child Abuse, Sexual, Female, HIV Infections, Humans, Interpersonal Relations, Risk Factors, Risk-Taking, Sexual Behavior, Trust, United States, Young Adult
Abstract

<p>In this article we explore the lives of young women living with HIV who experienced physical and/or sexual abuse in childhood. Using a modified version of the Life Story Interview, 40 women recruited from HIV clinics in three different states participated in a qualitative interview. Interviews covered abuse experiences, cognitive and emotional consequences of abuse, coping strategies, and sexual behavior and relationships. Overall, these young women had complex abuse histories, often experiencing more than one type of abuse in the context of other difficult life events. Avoidance and substance use were frequently utilized as coping strategies for abuse-related distress. Young women reported sexual and relationship concerns, including avoidance of sex, sexual dysfunction, sex as a trigger for abuse memories, and difficulty establishing intimacy and trust. Relationships between abuse-related reactions and sexual risk behavior, as well as recommendations for interventions, are discussed.</p>

DOI10.1177/1049732309353418
Alternate JournalQual Health Res
PubMed ID19949224
PubMed Central IDPMC2840638
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
K01 MH070278 / MH / NIMH NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
5-K01MH070278 / MH / NIMH NIH HHS / United States
U01 HD40533 / HD / NICHD NIH HHS / United States
K01 MH070278-05 / MH / NIMH NIH HHS / United States