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AJPH First Look, published online ahead of print May 2, 2006
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June 2006, Vol 96, No. 6 | American Journal of Public Health 1028-1030
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.063263


RESEARCH AND PRACTICE

Prevalence of Childhood Sexual Abuse and Physical Trauma in an HIV-Positive Sample From the Deep South

Kathryn Whetten, PhD, MPH, Jane Leserman, PhD, Kristin Lowe, BS, Dalene Stangl, PhD, Nathan Thielman, MD, MPH, Marvin Swartz, MD, Laura Hanisch, PsyD and Lynn Van Scoyoc, BA

Kathryn Whetten is with the Center for Health Policy, Law, and Management; Department of Public Policy; the Department of Community and Family Medicine; and the Health Inequalities Program, Duke University, Durham, NC. Jane Leserman is with the Department of Psychiatry, University of North Carolina, Chapel Hill. Kristin Lowe is with the Center for Health Policy, Law, and Management; Department of Public Policy; and the Health Inequalities Program, Duke University, Durham. Dalene Stangl is with the Institute of Statistics and Decision Sciences, Duke University, Durham. Nathan Thielman is with the Department of Infectious Diseases, Duke University, Durham. Marvin Swartz is with the Department of Psychiatry and Behavioral Sciences, Duke University, Durham. Laura Hanisch is with the Center for Health Policy, Law, and Management; Department of Public Policy; and the Health Inequalities Program, Duke University, Durham. Lynn Van Scoyoc is with the Center for Health Policy, Law, and Management, Department of Public Policy, Duke University, Durham.

Correspondence: Requests for reprints should be sent to Melissa Moore, Health Inequalities Program, Center for Health Policy, Law, and Management, Duke University, Box 90253, Durham, NC 27708 (e-mail: mmoore{at}hpolicy.duke.edu).

We examined prevalence and predictors of trauma among HIV-infected persons in the Deep South using data from the Coping with HIV/AIDS in the Southeast (CHASE) study. Over 50% of CHASE participants were abused during their lives, with approximately 30% experiencing abuse before age 13, regardless of gender. Caregiver characteristics were associated with childhood abuse. Abuse is related to increases in high–HIV-risk activities. The findings help explain why people engage in such high-risk activities and can provide guidance in designing improved care and prevention messages.




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