Study of the Day: 1 in 4 Adults With HIV Were Sexually Abused as Kids

New research from Duke University shows that psychological trauma predicts increased vulnerability for HIV/AIDS and faster health decline.

dragon_fang/Shutterstock

PROBLEM: Does child abuse increase the likelihood of HIV infection and subsequent disease mismanagement?

METHODOLOGY: Duke University researchers led by Brian Pence monitored more than 600 HIV-positive patients, aged 20 to 71, in the "Coping with HIV/AIDS in the Southeast" study. They investigated possible links to traumatic experiences, HIV-related behaviors, and health outcomes.

RESULTS: A quarter of the respondents were sexually abused as children. Moreover, half of the patients had faced three or more traumatic experiences in their lifetime, including enduring physical abuse and witnessing domestic violence as a child, living through a parent's suicide attempt or completion, or losing a child.

These painful experiences predicted worse health-related behaviors, such as instances of unprotected sex, missed antiretroviral medications, recent emergency room visits, and hospitalizations. Those who lived through such ordeals were also more likely to die or see their health decline during the two-year study period.

CONCLUSION: Psychological trauma heightens the risk for HIV infection, medication lapses, and disease progression.

IMPLICATION: Addressing the psychosocial barriers to effective disease management and evaluating the mental history of patients receiving HIV care are vital. "Regardless of the reason," said Pence in a statement, "past trauma certainly seems to influence how HIV patients engage in their medical care and how they end up doing clinically."

SOURCE: The full study, "Childhood Trauma and Health Outcomes in HIV-Infected Patients: An Exploration of Causal Pathways," is published in the Journal of Acquired Immune Deficiency Syndromes.

Presented by

Hans Villarica writes for and produces The Atlantic's Health channel. His work has appeared in TIME, People Asia, and Fast Company.

Never Tell People How Old They Look

Age discrimination affects us all. Who cares about youth? James Hamblin turns to his colleague Jeffrey Goldberg for advice.

Join the Discussion

After you comment, click Post. If you’re not already logged in you will be asked to log in or register.

blog comments powered by Disqus

Video

Never Tell People How Old They Look

Age discrimination affects us all. James Hamblin turns to a colleague for advice.

Video

Would You Live in a Treehouse?

A treehouse can be an ideal office space, vacation rental, and way of reconnecting with your youth.

Video

Pittsburgh: 'Better Than You Thought'

How Steel City became a bikeable, walkable paradise

Video

A Four-Dimensional Tour of Boston

In this groundbreaking video, time moves at multiple speeds within a single frame.

Video

Who Made Pop Music So Repetitive? You Did.

If pop music is too homogenous, that's because listeners want it that way.

More in Health

Just In