Exploring the impact of childhood abuse on HIV social and attitudinal factors among adults with and without this history in sub-Saharan Africa: findings from NIMH Project Accept (HPTN 043)
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2015
TITLE AUTHOR(S): L.Richter, T.Makusha, A.Komarek, J.Daniels, T.Coates
KEYWORDS: CHILD ABUSE, HIV/AIDS, PROJECT ACCEPT, RISK BEHAVIOUR, SEXUAL ABUSE, SEXUAL BEHAVIOUR, SOCIAL PROBLEMS, SUB-SAHARAN AFRICA
DEPARTMENT: Public Health, Societies and Belonging (HSC)
Print: HSRC Library: shelf number 8950
HANDLE: 20.500.11910/1675
URI: http://hdl.handle.net/20.500.11910/1675
If you would like to obtain a copy of this Research Output, please contact Hanlie Baudin at researchoutputs@hsrc.ac.za.
Abstract
Using data from four sites in three African countries, this community randomized study examined the association between childhood sexual and/or physical abuse (CSA and/or CPA) and HIV disclosure, HIV-related stigma, stress, and social support among adults with and without a history of abuse. A history of abuse among men was associated with higher levels of adult-reported stress and HIVrelated stigma, and with significantly lower rates of HIV test result disclosure to current partners. Women with a history of CSA and/or CPA had significantly higher perceived stigma, discrimination and stress. Although childhood abuse was significantly associated with adult stress and stigmatization, participants with histories of CSA and/or CPA also reported significantly higher perceived social support compared to people without such experiences. These findings may reflect support received in response to disclosure of CSA or CPA or emotional ambivalence in relationships that have been found to be associated with child abuse. We conclude that it is critical for HIV prevention interventions to advocate for the primary prevention of child abuse, for early identification of adolescents and adults who report experiencing childhood abuse, and to address stigma and stress-related attitudinal, behavioral and relationship difficulties experiences as an aftermath of early abuse that increase their risk of HIV.-
Related Research Outputs:
- Reported physical and sexual abuse in childhood and adult HIV risk behaviour in three African countries: findings from Project Accept (HPTN-043)
- Just between the 2 of us: how communities perceive sexual abuse and the risk of HIV infection
- Integrated strategies for combination HIV prevention: principles and examples for men who have sex with men in the Americas and heterosexual African populations
- The forgotten fifty percent: a review of sexual and reproductive health research and programs focused on boys and young men in Sub-Saharan Africa
- Abstract: Determinants of the use of voluntary counselling and testing services among the sexually active adult population of South Africa
- Intimate partner violence as a factor associated with risky sexual behaviours and alcohol misuse among men
- Methamphetamine use and sexual risks for HIV infection in Cape Town, South Africa
- Sexual assault, sexual risks and gender attitudes in a community sample of South African men
- Disclosure of HIV status to sex partners and sexual risk behaviours amongh HIV-positive men and women, Cape Town, South Africa
- Alcohol use and sexual risks for HIV/AIDS in sub-Saharan Africa: systematic review of empirical findings
- Behaviourial risks and HIV sero-status household survey in the Klerksdorp district of South Africa: a baseline study
- HIV/AIDS risks among South African men who report sexually assaulting women
- Alcohol expectations and risky drinking among men and women at high-risk for HIV infection in Cape Town, South Africa
- Recent multiple sexual partners and HIV transmission risks among people living with HIV/AIDS in Botswana
- Rapid appraisal of substance abuse and HIV awareness messages in poster communication to disadvantaged youth in South Africa
- Youth voices about sex and AIDS: implications for life skills education through the 'Learning Together' project in KwaZulu-Natal, South Africa
- Disclosure decisions and HIV transmission risk behaviour of HIV positive men who have sex with men (MSM) in Cape Town, South Africa
- Development of HIV behavioural risk reduction intervention programmes for people living with HIV/AIDS in support groups
- Behavioural change interventions including positive prevention for reducing the risk of HIV infection in South Africa
- Brief HIV risk reduction intervention for sexually transmitted infection clinic patients who use alcohol in Cape Town