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)

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dc.date.accessioned 2016-01-25 en
dc.date.accessioned 2022-08-17T16:08:29Z
dc.date.available 2022-08-17T16:08:29Z
dc.date.issued 2016-01-25 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/1675
dc.description.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 HIVrelated 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. en
dc.format.medium Print en
dc.publisher Springer en
dc.subject SUB-SAHARAN AFRICA en
dc.subject CHILD ABUSE en
dc.subject SOCIAL PROBLEMS en
dc.subject PROJECT ACCEPT en
dc.subject SEXUAL ABUSE en
dc.subject SEXUAL BEHAVIOUR en
dc.subject HIV/AIDS en
dc.subject RISK BEHAVIOUR en
dc.title 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) en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 20(4) en
dc.BudgetYear 2015/16 en
dc.ResearchGroup HIV/AIDS, STIs and TB en
dc.ResearchGroup Human and Social Development en
dc.SourceTitle AIDS and Behavior en
dc.PlaceOfPublication New York, USA en
dc.ArchiveNumber 8950 en
dc.PageNumber 737-745 en
dc.outputnumber 7742 en
dc.bibliographictitle Richter, L., Makusha, T., Komarek, A., Daniels, J. & Coates, T. (2015) 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). AIDS and Behavior. 20(4):737-745. http://hdl.handle.net/20.500.11910/1675 en
dc.publicationyear 2015 en
dc.contributor.author1 Richter, L. en
dc.contributor.author2 Makusha, T. en
dc.contributor.author3 Komarek, A. en
dc.contributor.author4 Daniels, J. en
dc.contributor.author5 Coates, T. en


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