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Long-term correlates of childhood abuse among adults with severe mental illness: adult victimization, substance abuse, and HIV sexual risk behavior.

Publication ,  Journal Article
Meade, CS; Kershaw, TS; Hansen, NB; Sikkema, KJ
Published in: AIDS and behavior
April 2009

The prevalence of childhood sexual and physical abuse among persons with severe mental illness (SMI) is disproportionately high. Adults with SMI also engage in high rates of HIV risk behaviors. This study examined the association between childhood abuse and adult victimization, substance abuse, and lifetime HIV sexual risk in a sample of 152 adults with SMI receiving community mental health services. Structured interviews assessed psychiatric, psychosocial, and behavioral risk factors. Seventy percent reported childhood physical and/or sexual abuse, and 32% reported both types of abuse. Participants with childhood abuse were more likely to report adult victimization and greater HIV risk. A structural equation model found that childhood abuse was directly and indirectly associated with HIV risk through drug abuse and adult vicitimization. Integrated treatment approaches that address interpersonal violence and substance abuse may be necessary for HIV risk reduction in this population.

Duke Scholars

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Published In

AIDS and behavior

DOI

EISSN

1573-3254

ISSN

1090-7165

Publication Date

April 2009

Volume

13

Issue

2

Start / End Page

207 / 216

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Substance-Related Disorders
  • Sexual Behavior
  • Risk-Taking
  • Risk Factors
  • Public Health
  • Models, Theoretical
  • Middle Aged
  • Mental Disorders
 

Citation

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Meade, C. S., Kershaw, T. S., Hansen, N. B., & Sikkema, K. J. (2009). Long-term correlates of childhood abuse among adults with severe mental illness: adult victimization, substance abuse, and HIV sexual risk behavior. AIDS and Behavior, 13(2), 207–216. https://doi.org/10.1007/s10461-007-9326-4
Meade, Christina S., Trace S. Kershaw, Nathan B. Hansen, and Kathleen J. Sikkema. “Long-term correlates of childhood abuse among adults with severe mental illness: adult victimization, substance abuse, and HIV sexual risk behavior.AIDS and Behavior 13, no. 2 (April 2009): 207–16. https://doi.org/10.1007/s10461-007-9326-4.
Meade, Christina S., et al. “Long-term correlates of childhood abuse among adults with severe mental illness: adult victimization, substance abuse, and HIV sexual risk behavior.AIDS and Behavior, vol. 13, no. 2, Apr. 2009, pp. 207–16. Epmc, doi:10.1007/s10461-007-9326-4.
Journal cover image

Published In

AIDS and behavior

DOI

EISSN

1573-3254

ISSN

1090-7165

Publication Date

April 2009

Volume

13

Issue

2

Start / End Page

207 / 216

Related Subject Headings

  • Young Adult
  • Surveys and Questionnaires
  • Substance-Related Disorders
  • Sexual Behavior
  • Risk-Taking
  • Risk Factors
  • Public Health
  • Models, Theoretical
  • Middle Aged
  • Mental Disorders