Psychology, Wells College, Aurora, NY, USA.
AIDS Behav. 2011 Oct;15(7):1554-60. doi: 10.1007/s10461-010-9857-y.
Childhood sexual abuse (CSA) is related to poorer health outcomes, associated with increased risk for HIV acquisition, and prevalent among HIV risk groups. Links between CSA and health behavior are an important health concern. We examined the relationship between CSA and transmission risk behavior and medication adherence in 119 HIV-infected individuals with an injection drug use history. 47% reported CSA, with no gender difference. Individuals who experienced CSA were more likely to report sexual HIV transmission risk behavior in the past 6 months, more sexual partners, use of heroin in the past 30 days, and worse adherence to HIV medication than those who did not. These findings confirm that rates of CSA are high in this population, and suggest that a history of CSA may place people managing both HIV and opioid dependence at increased risk for HIV transmission, poor adherence to medication, and vulnerability to substance use relapse.
儿童期性虐待（CSA）与较差的健康结果有关，与 HIV 感染风险增加相关，并且在 HIV 风险群体中普遍存在。CSA 与健康行为之间的联系是一个重要的健康关注点。我们研究了 CSA 与注射吸毒史的 119 名 HIV 感染者的传播风险行为和药物依从性之间的关系。47%的人报告了 CSA，且无性别差异。经历过 CSA 的人比没有经历过 CSA 的人更有可能报告过去 6 个月内存在性传播 HIV 的风险行为、更多的性伴侣、过去 30 天内使用海洛因，以及 HIV 药物治疗的依从性更差。这些发现证实了该人群中 CSA 的发生率很高，并表明 CSA 史可能使同时管理 HIV 和阿片类药物依赖的人面临更高的 HIV 传播风险、药物治疗依从性差以及物质使用复发的脆弱性。
