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. 2013 Oct;18(10):1330-40.
doi: 10.1177/1359105312464674. Epub 2012 Nov 23.

Psychological pathways from childhood sexual and physical abuse to HIV/sexually transmitted infection outcomes among homeless women: the role of posttraumatic stress disorder and borderline personality disorder symptoms

Eric Houston  1 , Theo G M Sandfort, Kalycia T Watson, Carol L M Caton
Affiliations

Psychological pathways from childhood sexual and physical abuse to HIV/sexually transmitted infection outcomes among homeless women: the role of posttraumatic stress disorder and borderline personality disorder symptoms

Eric Houston et al. J Health Psychol. 2013 Oct.

Abstract

This study examines the psychological factors linking childhood abuse and HIV/sexually transmitted infection outcomes among 190 single homeless women in New York City. Participants were assessed for mental health symptoms, sexually transmitted infections, and exposure to childhood sexual and physical abuse. Findings indicate that the relationship between childhood abuse and HIV/sexually transmitted infection diagnoses during adulthood is mediated by a combination of posttraumatic stress disorder and borderline personality disorder symptoms. Screening single homeless women who report childhood abuse histories for symptoms of both disorders may aid in the identification of individuals particularly vulnerable for HIV infection. Implications for clinical interventions are discussed.

Keywords: HIV; homelessness; mental illness; sexual behavior; women’s health.

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Figures

Figure 1
Figure 1
Model depicting relationship between childhood sexual abuse (CSA) and HIV/STI diagnoses with PTSD combined with elevated borderline personality disorder symptoms as mediator. * p < .05, ** p < .01
Figure 2
Figure 2
Model depicting relationship between childhood physical abuse (CPA) and HIV/STI diagnoses with PTSD combined with elevated borderline personality disorder symptoms as mediator. * p < .05, ** p < .01
See this image and copyright information in PMC

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