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AIDS and Behavior

Erschienen in:

01.11.2007 | Original Paper

Physical and Sexual Abuse among Homeless and Unstably Housed Adults Living with HIV: Prevalence and Associated Risks

verfasst von: Kirk D. Henny, Daniel P. Kidder, Ron Stall, Richard J. Wolitski

Erschienen in: AIDS and Behavior | Ausgabe 6/2007

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Abstract

We examined the prevalence and risks associated with interpersonal (physical and sexual) abuse among HIV-seropositive homeless or unstably housed adults. Data were obtained from the Housing and Health Study of participants living in Baltimore, Chicago, and Los Angeles (n = 644). We used logistic regression to identify risks associated with abuse. About 77% of men and 86% of women reported ever experiencing abuse. Women were at greater risk than men for intimate partner physical abuse, childhood sexual abuse (CSA), and adulthood sexual abuse. Men and women experiencing intimate partner physical abuse reported increased risk of unprotected sex. Other risks associated with abuse include sex exchange; lifetime alcohol abuse; and depressive symptoms. Abuse prevalence among sample exceeds those found in other samples of general USA, HIV-seropositive, and homeless populations. Identifying persons at risk of abuse is needed to reduce risk among homeless or unstably housed persons living with HIV.

Aidala, A., Cross, J., Stall, R., Harre, D., & Sumartojo, E. (2005). Housing status and HIV risk behaviors: Implications for prevention and policy. AIDS and Behavior, 9, 251–265.PubMedCrossRef

Allen, D., Lehman, S., & Green, T. (1994). HIV infection among homeless adults and runaway youth, United States 1989–1992. AIDS, 8, 1593–1598.PubMedCrossRef

Andresen, E., Malmgren, J., Carter, W., & Patrick, D. (1994). Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). American Journal of Preventive Medicine, 10, 77–84.PubMed

Bassuk, E., Buckner, J., Weinrab, L., Browne, A., Bassuk, S., Dawson, R., et al. (1997). Homelessness in female-headed families: Childhood and adult risk and protective factors. American Journal of Public Health, 87(2), 241–248.PubMed

Bauer, H., Gibson, P., Hernandez, M., Kent, C., Klausner, J., & Bolan, G. (2001). Intimate partner violence and high-risk sexual behaviors among female patients with sexually transmitted diseases. Sexually Transmitted Diseases, 29(7), 411–416.CrossRef

Bergen, R. K. (1996). Wife rape: Understanding the response of survivors and service providers. Thousand Oaks, CA: Sage.

Brener, N., McMahon, P., Warren, C., & Douglas, K. (1999). Forced sexual intercourse and associated health-risk behaviors among female college students in the United States. Journal of Consulting and Clinical Psychology, 67, 252–259.PubMedCrossRef

Buchsbaum, D., Buchanan, R., Centor, R., et al. (1991). Screening for alcohol abuse using CAGE scores and likelihood ratios. Annals of Internal Medicine, 115, 774–777.PubMed

Burt, M., Aron, L., & Lee, E. (2001). Helping America’s homeless: Emergency shelter or affordable housing? Washington, DC: The Urban Institute Press.

Campbell, J., Jones, A., Dienemann, J., Kub, J., Schollenberger, J., O’Campo, P., et al. (2002). Intimate Partner Violence and Physical Health Consequences. Archives of Internal Medicine, 162, 1157–1163.PubMedCrossRef

Catz, S., Kelly, J., Bogart, L., et al. (2000). Patterns, correlates, and barriers to medication adherence among persons prescribed new treatments for HIV disease. Health Psychology, 19, 124–133.PubMedCrossRef

CDC. (2003). Costs of intimate partner violence against women in the United States. Atlanta, GA: CDC, National Center for Injury Prevention and Control.

CDC. (2004). Youth risk behavior surveillance-United States, 2003. Morbidity and Mortality Weekly Report, 53(SS-02), 1–96.

Chander, G., Lau, B., & Moore, R. (2006). Hazardous alcohol use: A risk factor for non-adherence and lack of suppression in HIV infection. Journal of Acquired Immune Deficiency Syndromes 43(4), 411–417.PubMedCrossRef

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385–396.PubMedCrossRef

Coker, A., Davis, K., Arias, I., Desai, S., Sanderson, M., & Brandt, H. (2002). Physical and mental health effects of intimate partner violence for men and women. American Journal of Preventive Medicine, 23(4), 260–268.PubMedCrossRef

Department of Justice. (2003). Criminal victimization 2002. Washington: Government Printing Office.

El-Bassel, N., Witte, S. S., Wada, T., Gilbert, L., & Wallace, J. (2001). Correlates of partner violence among female street-based sex workers: Substance abuse, history of childhood abuse, and HIV risks. AIDS Patient Care and STDs, 15, 41–51.PubMedCrossRef

English, D. (1998). The extent and consequences of child maltreatment. The Future of Children, Protecting Children from Abuse and Neglect, 8(1).

Ewing, J. (1984). Detecting alcoholism: The CAGE questionnaire. Journal of the American Medical Association, 252, 1905–1907.PubMedCrossRef

Fournier, A., Tyler, R., Iwasko, N., LaLota, M., Shultz, J., & Greer, P. (1996). Human immunodeficiency virus among the homeless in Miami: A new direction for the HIV epidemic. American Journal of Medicine, 100, 582–584.PubMedCrossRef

Heintz, A., & Melendez, R. (2006). Intimate partner violence and HIV/STD risk among lesbian, gay, bisexual, and transgender individuals. Journal of Interpersonal Violence, 21(2), 193–208.PubMedCrossRef

Herek, G. M., & Sims, C. (in press). Sexual orientation and violent victimization: Hate crimes and intimate partner violence. In R. J. Wolitski, R.O. Valdiserri, & R. Stall (Eds.), Unequal opportunity: Health disparities affecting gay and bisexual men in the United States. New York, NY: Oxford University Press.

Jewkes, R., Sen, P., & Garcia-Moreno, C. (2002). Sexual violence. In E. Krug, L. L. Dahlberg, & J. A. Mercy (Eds.), World Report on violence and health (pp. 213–239). Geneva: World Health Organization.

Kidder, D., Wolitski, R., Stall, R., Harre, D., Royal, S., & Aidala, A. (2003). The role of housing on health and HIV/AIDS risk behaviors in people living with HIV. Paper presented at the New Partnerships for Ending Homelessness: Housing, Services, and Employment, Washington, D.C.

Lang, A., Rodgers, C., Laffaye, C., Satz, L., Dresselhaus, T., & Stein, M. (2003). Sexual trauma, posttraumatic stress disorder, and health behavior. Behavioral Medicine, 28(4), 150–158.PubMedCrossRef

Liebschutz, J., Geier, J., Horton, N., Chuang, C., & Samet, J. (2005). Physical and sexual violence and health care utilization in HIV-infected persons with alcohol problems. AIDS Care, 17, 566–578.PubMed

Liebschutz, J., Savetski, J., Saitz, R., Horton, N., Lloyd-Travaglini, C., & Samet, J. (2002). The relationship between sexual and physical abuse and substance abuse consequence. Journal of Substance Abuse Treatment, 22, 121–128.PubMedCrossRef

Magura, S., Nwakeze, P. C., Rosenblum, A., & Joseph, H. (2000). Substance misuse and related infectious diseases in a soup kitchen population. Substance Use and Misuse, 35, 551–583.PubMed

Meyer, I., Cournos, F., & Empfield, M. (1993). HIV seroprevalence and clinical characteristics of severe inpatient mentally ill homeless. Journal of Social Distress and the Homeless, 2(2), 103–116.CrossRef

Newman, P., Rhodes, F., & Weiss, R. (2004). Correlates of sex trading among drug-using men who have sex with men. American Journal of Public Health, 94, 1998–2003.PubMed

O’Leary, A., & Martins, P. (2000). Structural factors affecting women’s HIV risk: A life-course example. AIDS, 14(suppl 1), S68–S72.PubMedCrossRef

O’Leary, A., Purcell, D., Remien, R., & Gomez, C. (2003). Childhood sexual abuse and sexual transmission risk behaviour among HIV-positive men who have sex with men. AIDS Care, 15(1), 17–26.PubMedCrossRef

Ohene, S., Halcon, L., Ireland, M., Carr, P., & McNeely, C. (2005). Sexual abuse history, risk behavior, and sexually transmitted diseases: The impact of age at abuse. Sexually Transmitted Diseases, 32(6), 358–363.PubMedCrossRef

Paris, N., East, R., & Toomey, K. (1996). HIV seroprevalence among Atlanta’s homeless. Journal of Health Care for the Poor and Underserved, 7(2), 83–93.PubMed

Purcell, D. W., Patterson, J. D., & Spikes, P. S. Jr. (in press). Childhood sexual abuse experienced by gay and bisexual men: Understanding the disparities and interventions to help eliminate them. In R. J. Wolitski, R.O. Valdiserri, & R. Stall (Eds.), Unequal opportunity: Health disparities affecting gay and bisexual men in the United States. New York, NY: Oxford University Press.

Radloff, L. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401.CrossRef

Raj, A., Silverman, J., & Amaro, H. (2004). The relationship between sexual abuse and sexual risk among high school students: Findings from the 1997 Massachusetts youth risk behavior survey. Maternal and Child Health Journal, 2, 125–134.

Robertson, M., Clark, R., Charlebois, E., Tulsky, J., Long, H., Bangsberg, D., et al. (2004). HIV seroprevalence among homeless and marginally housed adults in San Francisco. American Journal of Public Health, 94, 1207–1217.PubMed

Schutt, R., & Goldfinger, S. (1996). Housing preferences and perceptions of health and functioning among homeless mentally ill persons. Psychiatric Services, 47, 381–386.PubMed

Senn, T., Carey, M., Vanable, P., Coury-Doniger, P., & Urban, M. (2006). Childhood sexual abuse and sexual risk behavior among men and women attending a sexually transmitted disease clinic. Journal of Consulting and Clinical Psychology, 74(4), 720–731.PubMedCrossRef

Singer, M. (1994). AIDS and the health crisis of the US urban poor: the perspective of critical medical anthropology. Social Science and Medicine, 39, 931–948.PubMedCrossRef

Smereck, G., & Hockman, E. (1998). Prevalence of HIV infection and HIV risk behaviors associated with living place: on-the-street homeless drug users as a special target population for public health intervention. American Journal of Drug and Alcohol Abuse, 24, 299–319.PubMed

Surratt, H., & Inciardi, J. (2004). HIV risk, seropositivity and predictors of infection among homeless and non-homeless women sex workers in Miami, Florida, USA. AIDS Care, 16, 594–604.PubMedCrossRef

Susser, E., Valencia, E., & Conover, S. (1993). Prevalence of HIV infection among psychiatric patients in a New York City men’s shelter. American Journal of Public Health, 83, 568–570.PubMedCrossRef

Tjaden, P., & Thoennes, N. (2000). Full report of the prevalence, incidence, and consequences of violence against women: Findings from the national violence against women survey (No. NCJ183781). Washington, DC: Department of Justice.

Tucker, J., Burnam, M., Sherbourne, C., et al. (2003). Substance use and mental health correlates of nonadherence to antiretroviral medications in a sample of patients with human immunodeficiency virus infection. American Journal of Medicine, 114, 573–580.PubMedCrossRef

Wyatt, G., Carmona, J., Loeb, T., & Williams, J. (2005). HIV-positive black women with histories of childhood sexual abuse: patterns of substance use and barriers to health care. Journal of Health Care for the Poor and Underserved, 16(4 Suppl B), 9–23.PubMedCrossRef

Zierler, S., Cunningham, W., Andersen, R., Shapiro, M., Nakazono, T., Morton, S., et al. (2000). Violence victimization after HIV infection in a US probability sample of adult patients in primary care. American Journal of Public Health, 90, 208–215.PubMed

Zierler, S., Witbeck, B., & Mayer, K. (1996). Sexual violence against women living with or at risk for HIV infection. American Journal of Preventive Medicine, 12, 304–309.PubMed

Zolopa, A., Hahn, J., Gorter, R., Miranda, J., & Wlodarczyk, D. (1994). HIV and tuberculosis infection in San Francisco’s homeless adults. Journal of the American Medical Association, 272(6), 455–461.PubMedCrossRef

Titel: Physical and Sexual Abuse among Homeless and Unstably Housed Adults Living with HIV: Prevalence and Associated Risks
verfasst von: Kirk D. Henny
Daniel P. Kidder
Ron Stall
Richard J. Wolitski
Publikationsdatum: 01.11.2007
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 6/2007
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-007-9251-6

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