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AJPH First Look, published online ahead of print May 2, 2006
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American Journal of Public Health, 10.2105/AJPH.2005.063263

Research and Practice

Prevalence of Childhood Sexual Abuse and Physical Trauma in a Southern HIV-Positive Sample

Kathryn Whetten 1*, Jane Leserman 2, Kristin Lowe Geonnotti 1, Dalene Stangl 1, Nathan Thielman 1, Marvin Swartz 1, Laura Hanisch 1, Lynn Van Scoyoc 1

1 Duke University
2 University of North Carolina at Chapel Hill

* To whom correspondence should be addressed. E-mail: k.whetten{at}duke.edu.


  Abstract

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.

Key Words: Access to Care, HIV/AIDS, Mental Health, African Americans/Blacks, Rural Health, Sexual Health




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