Adverse childhood experiences, mental health, substance use, and HIV-related outcomes among persons with HIV.
Adolescent
Adult
Adverse Childhood Experiences
Aged
Anxiety
/ epidemiology
Child
Cross-Sectional Studies
Depression
/ epidemiology
Female
HIV Infections
/ drug therapy
Humans
Longitudinal Studies
Male
Mental Health
Middle Aged
Prevalence
Quality of Life
/ legislation & jurisprudence
San Francisco
/ epidemiology
Substance-Related Disorders
/ complications
Young Adult
Adverse childhood experiences
HIV
alcohol
anxiety
epidemiology
quality of life
trauma
Journal
AIDS care
ISSN: 1360-0451
Titre abrégé: AIDS Care
Pays: England
ID NLM: 8915313
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
pubmed:
20
3
2019
medline:
11
3
2020
entrez:
20
3
2019
Statut:
ppublish
Résumé
While persons with HIV (PWH) have benefited from significant advances in treatment and resulting longevity, mental health problems remain elevated in this population. Adverse childhood experiences (ACEs) are common among PWH and may negatively affect mental health and HIV-related outcomes. We examined the association between ACEs, depression and anxiety symptoms, substance use, antiretroviral therapy (ART) adherence, and HIV-clinical indicators in a sample of 584 PWH at risk for unhealthy alcohol use enrolled in a primary care-based alcohol intervention study. The sample was 96.9% male, 63.0% non-Hispanic white, with an average age of 49.0 years. ACEs were highly prevalent: 82.5% reported ≥1 ACE, including 34.2% reporting 1-2 ACEs, 25.0% reporting 3-4 ACEs, and 23.3% reporting ≥5 ACEs. Adjusting for demographics, having 1-2, 3-4 or ≥5 ACEs was significantly associated with anxiety (ORs (95%CI): 3.41 (1.13-10.33), 4.36 (1.42-3.36), and 3.96 (1.28-12.19), respectively) and poorer mental health quality of life (Betas (SE): -3.21 (1.40), -6.23 (1.51), and -7.09 (1.54), respectively), but not with other outcomes. Trauma-informed interventions to reduce anxiety and improve mental health quality of life in PWH may reduce the negative health sequelae of ACEs.
Identifiants
pubmed: 30887831
doi: 10.1080/09540121.2019.1587372
pmc: PMC6675575
mid: NIHMS1534223
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1241-1249Subventions
Organisme : NIDA NIH HHS
ID : K01 DA043604
Pays : United States
Organisme : NIAAA NIH HHS
ID : K24 AA025703
Pays : United States
Organisme : NIAAA NIH HHS
ID : U01 AA021997
Pays : United States
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