LeGrand Sara, Reif Susan, Sullivan Kristen, Murray Kate, Barlow Morgan L, Whetten Kathryn
Center for Health Policy and Inequalities Research, Duke University, 310 Trent Dr., Durham, NC, 27710, USA.
Duke Global Health Institute, Duke University, 310 Trent Dr., Durham, NC, 27710, USA.
Curr HIV/AIDS Rep. 2015 Dec;12(4):397-405. doi: 10.1007/s11904-015-0288-2.
Persons living with HIV (PLWH) report disproportionately high levels of exposure to traumatic events in childhood and adulthood. Traumatic experiences are associated with negative health and behavioral outcomes. Current research in this area seeks to further explicate the myriad health effects of trauma on PLWH and the pathways through which trauma operates. In this paper, we review articles published in English between January 2014 and June 2015 that examine traumatic experiences among PLWH, including intimate partner violence (IPV), domestic abuse, child abuse, and other forms of violence. A selection of studies examining trauma among PLWH and its associations with mental health, antiretroviral medication adherence, clinical outcomes, HIV disclosure, and sexual risk behaviors were included. Studies describing trauma coping strategies and interventions were also included. We conclude with recommendations for care of trauma-exposed PLWH and directions for future research.
感染艾滋病毒者（PLWH）报告称，他们在童年和成年时期遭受创伤性事件的比例过高。创伤经历与负面的健康和行为结果相关。该领域目前的研究旨在进一步阐明创伤对感染艾滋病毒者的众多健康影响以及创伤发挥作用的途径。在本文中，我们回顾了2014年1月至2015年6月期间以英文发表的文章，这些文章研究了感染艾滋病毒者的创伤经历，包括亲密伴侣暴力（IPV）、家庭虐待、儿童虐待以及其他形式的暴力。还纳入了一系列研究，这些研究探讨了感染艾滋病毒者的创伤及其与心理健康、抗逆转录病毒药物依从性、临床结果、艾滋病毒披露和性风险行为之间的关联。描述创伤应对策略和干预措施的研究也被纳入。我们最后提出了针对遭受创伤的感染艾滋病毒者的护理建议以及未来研究的方向。
