Domestic violence and childhood sexual abuse in HIV-infected women and women at risk for HIV.
Mardge H. Cohen,Catherine Deamant,Susan E. Barkan,Jean L. Richardson,Mary Young,Susan Holman,Kathryn Anastos,Judith B. Cohen,Sandra Melnick +8 more
TLDR
The data support the hypothesis of a continuum of risk, with early childhood abuse leading to later domestic violence, which may increase the risk of behaviors leading to HIV infection.Abstract:
OBJECTIVES: The purpose of this study was to determine the prevalence and effect of domestic violence and childhood sexual abuse in women with HIV or at risk for HIV infection. METHODS: Participants with HIV or at risk for HIV infection enrolled in the Women's Interagency HIV Study. Childhood sexual abuse; all physical, sexual, and coercive violence by a partner; HIV serostatus; demographic data; and substance use and sexual habits were assessed. RESULTS: The lifetime prevalence of domestic violence was 66% and 67%, respectively, in 1288 women with HIV and 357 uninfected women. One quarter of the women reported recent abuse, and 31% of the HIV-seropositive women and 27% of the HIV-seronegative women reported childhood sexual abuse. Childhood sexual abuse was strongly associated with a lifetime history of domestic violence and high-risk behaviors, including using drugs, having more than 10 male sexual partners and having male partners at risk for HIV infection, and exchanging sex for drugs, money, or shelter. CONCLUSIONS: Our data support the hypothesis of a continuum of risk, with early childhood abuse leading to later domestic violence, which may increase the risk of behaviors leading to HIV infection. Language: enread more
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References
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Clinical Characteristics of Women With a History of Childhood Abuse: Unhealed Wounds
Jeanne McCauley,David E. Kern,Ken Kolodner,Laurie Dill,Arthur F. Schroeder,Hallie K. DeChant,Janice Ryden,Leonard R. Derogatis,Eric B Bass +8 more
TL;DR: Children abused only as children did not differ from women who reported current, but not childhood, abuse in number of physical symptoms, emotional distress, substance abuse, or suicide attempts, and patients who reported both childhood and adult abuse had higher levels of psychological problems and physical symptoms.
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Assessing for abuse during pregnancy. Severity and frequency of injuries and associated entry into prenatal care.
TL;DR: A simple clinical assessment screen completed by the health care provider in a private setting and with the male partner absent is as effective as research instruments in identifying abused women.
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The Women's Interagency HIV Study. WIHS Collaborative Study Group.
Susan Barkan,Sandra Melnick,Susan Preston-Martin,Kathleen M. Weber,Leslie A. Kalish,Paolo G. Miotti,Mary Young,Ruth M. Greenblatt,Henry S. Sacks,Joseph G. Feldman +9 more
TL;DR: The Women's Interagency HIV Study comprises the largest U.S. cohort to date of HIV-seropositive and high-risk seronegative women and represents a rich opportunity for future studies of HIV disease progression and pathogenesis.
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The “Battering Syndrome”: Prevalence and Clinical Characteristics of Domestic Violence in Primary Care Internal Medicine Practices
Jeanne McCauley,David E. Kern,Ken Kolodner,Laurie Dill,Arthur F. Schroeder,Hallie K. DeChant,Janice Ryden,Eric B Bass,Len R. Derogatis +8 more
TL;DR: The prevalence of domestic violence among female patients presenting to four community-based, primary care, adult medicine practices that serve patients of diverse socioeconomic background was determined and demographic and clinical differences between currently abused patients and patients not currently being abused were identified.
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Prevalence of Violence Against Pregnant Women
Julie A. Gazmararian,Suzanne Lazorick,Alison M. Spitz,Terri J. Ballard,Linda E. Saltzman,James S. Marks +5 more
TL;DR: Violence may be a more common problem for pregnant women than some conditions for which they are routinely screened and evaluated and future research that more accurately measures physical violence during pregnancy would contribute to more effective design and implementation of prevention and intervention strategies.