Trauma Exposure, DSM-5 Post-Traumatic Stress Disorder, and Sexual Risk Outcomes.
Adult
Condoms
/ statistics & numerical data
Cross-Sectional Studies
Diagnostic and Statistical Manual of Mental Disorders
Female
Humans
Male
Middle Aged
Risk Reduction Behavior
Self Report
/ statistics & numerical data
Sexually Transmitted Diseases
/ epidemiology
Stress Disorders, Post-Traumatic
/ diagnosis
United States
/ epidemiology
Unsafe Sex
/ prevention & control
Wounds and Injuries
/ complications
Journal
American journal of preventive medicine
ISSN: 1873-2607
Titre abrégé: Am J Prev Med
Pays: Netherlands
ID NLM: 8704773
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
19
03
2018
revised:
20
08
2018
accepted:
21
08
2018
pubmed:
17
12
2018
medline:
31
3
2020
entrez:
17
12
2018
Statut:
ppublish
Résumé
The current study examined associations between DSM-5 post-traumatic stress disorder (PTSD) and three sexual risk outcomes: presence of a sexually transmitted disease/infection, frequency of condom use, and sex with a known user of injection drugs. Data were from the National Epidemiologic Survey on Alcohol and Related Conditions-III (2012-2013, analyzed 2017), a nationally representative survey of non-institutionalized U.S. adults aged ≥18 years. Sexual outcomes and trauma exposure were assessed via self-report, and PTSD was assessed using a validated structured interview. Logistic and multinomial regression analyses examined associations between PTSD, PTSD symptom clusters, trauma type, and each sexual outcome. Lifetime PTSD was associated with increased odds of having a past-year sexually transmitted disease/infection and sex with a known injection drug user (AOR=1.54 and 1.74, respectively); fewer intrusion symptoms were associated with sometimes/fairly often condom use relative to very often. Reporting of adult sexual assault, assaultive violence, and other trauma as one's worst event was associated with increased odds of a past-year sexually transmitted disease/infection (AOR range, 1.69-4.56), whereas child maltreatment was associated with using condoms never/almost never in the past 12 months (AOR=1.40). No other significant findings emerged. The current study demonstrates an association between certain trauma exposures, PTSD symptoms, and an increased likelihood of sexual risk outcomes. Clinicians working with individuals with PTSD symptoms, particularly those who have been exposed to interpersonal trauma, should screen for the presence of these sequelae.
Identifiants
pubmed: 30553694
pii: S0749-3797(18)32269-4
doi: 10.1016/j.amepre.2018.08.025
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
215-223Subventions
Organisme : CIHR
Pays : Canada
Informations de copyright
Copyright © 2018 Elsevier Ltd. All rights reserved.