Department of Psychology, Ryerson University, Toronto, Ontario, Canada.
Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
PLoS One. 2018 Jul 19;13(7):e0200526. doi: 10.1371/journal.pone.0200526. eCollection 2018.
Women living with HIV experience high levels of trauma exposure before and after diagnosis. One of the most challenging outcomes following trauma exposure is posttraumatic stress disorder. Despite high exposure to traumatic events, the presence and contributors to posttraumatic stress disorder symptoms have not been examined in women living with HIV in Canada.
The current study examines the presence of, contributors to, and geographical regions associated with self-reported posttraumatic stress symptoms (PTSS) among 1405 women enrolled in the Canadian HIV Women's Sexual & Reproductive Health Cohort Study (CHIWOS).
Separate linear regression models were run for the three provinces in the cohort: British Columbia, Ontario and Québec. Scores consistent with posttraumatic stress disorder were reported by 55.9%, 39.1% and 54.1% of the participants in each province, respectively (F(2, 1402) = 13.53, p < .001).
The results demonstrate that women living with HIV have high rates of PTSS, and that rates and variables associated with these symptoms vary by province. These results suggest the need for trauma-informed practices and care for women living with HIV in Canada, which may need to be tailored for the community and identities of the women.
艾滋病毒感染者在诊断前后经历高水平的创伤暴露。创伤暴露后最具挑战性的结果之一是创伤后应激障碍。尽管接触创伤事件的频率很高，但在加拿大艾滋病毒感染者中，尚未对创伤后应激障碍症状的存在及其促成因素进行检查。
本研究调查了加拿大艾滋病毒妇女性健康和生殖健康队列研究（CHIWOS）中招募的 1405 名妇女中自我报告的创伤后应激症状（PTSS）的存在、促成因素和与地理区域的关联。
为队列中的三个省（不列颠哥伦比亚省、安大略省和魁北克省）分别运行了单独的线性回归模型。每个省分别有 55.9%、39.1%和 54.1%的参与者报告的分数与创伤后应激障碍一致（F（2, 1402）= 13.53，p <.001）。
结果表明，艾滋病毒感染者的创伤后应激症状发生率很高，而且这些症状的发生率和相关变量因省份而异。这些结果表明，加拿大需要对艾滋病毒感染者实施以创伤为中心的实践和护理，这些实践和护理可能需要根据社区和妇女的身份进行调整。
