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. 2019 Sep-Oct;29(5):376-384.
doi: 10.1016/j.whi.2019.06.001. Epub 2019 Jul 11.

The Association of Trauma with the Physical, Behavioral, and Social Health of Women Living with HIV: Pathways to Guide Trauma-informed Health Care Interventions

Yvette P Cuca  1 , Martha Shumway  2 , Edward L Machtinger  3 , Katy Davis  4 , Naina Khanna  5 , Jennifer Cocohoba  6 , Carol Dawson-Rose  7
Affiliations

The Association of Trauma with the Physical, Behavioral, and Social Health of Women Living with HIV: Pathways to Guide Trauma-informed Health Care Interventions

Yvette P Cuca et al. Womens Health Issues. 2019 Sep-Oct.

Abstract

Background: Trauma is increasingly recognized as a near-universal experience among women living with HIV (WLHIV) and a key contributor to HIV acquisition, morbidity, and mortality.

Methods: We present data from the baseline analysis of a planned intervention trial of the impact of trauma-informed health care on physical, behavioral, and social health outcomes of WLHIV in one clinic, with a particular focus on quality of life and viral suppression. Data were collected through interviewer-administered surveys and electronic health record data abstraction.

Results: Among 104 WLHIV, 97.1% of participants reported having experienced lifetime trauma, and participants had experienced on average 4.2 out of 10 Adverse Childhood Experiences. WLHIV with more lifetime trauma were significantly more likely to report post-traumatic stress disorder, depression, and anxiety symptoms; significantly more likely to report potentially harmful alcohol and drug use; and had a significantly poorer quality of life. In addition, women who had experienced more lifetime trauma were significantly less likely to report being on and adhering to HIV medications, although trauma was not significantly associated with having an undetectable HIV viral load.

Conclusions: These data suggest that trauma is associated with much of the morbidity and mortality experienced by WLHIV. The results of this study support the implementation and study of trauma-informed approaches to health care for WLHIV.

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References

    1. Azar MM, Springer SA, Meyer JP, & Altice FL (2010). A systematic review of the impact of alcohol use disorders on HIV treatment outcomes, adherence to antiretroviral therapy and health care utilization. Drug and Alcohol Dependence, 112(3), 178–193. - PMC - PubMed
    1. Bakken S, Holzemer WL, Brown MA, Powell-Cope GM, Turner JG, Inouye J, … Corless IB (2000). Relationships between perception of engagement with health care provider and demographic characteristics, health status, and adherence to therapeutic regimen in persons with HIV/AIDS. AIDS Patient Care and STDS, 14(4), 189–197. - PubMed
    1. Bech P, Moses R, & Gomis R (2003). The effect of prandial glucose regulation with repaglinide on treatment satisfaction, wellbeing and health status in patients with pharmacotherapy-naïve Type 2 diabetes: A placebo-controlled, multicentre study. Quality of Life Research, 12, 413–425. - PubMed
    1. Blevins CA, Weathers FW, Davis MT, Witte TK, & Domino JL (2015). The Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5): Development and initial psychometric evaluation. Journal of Traumatic Stress, 28(6), 489–498. - PubMed
    1. Bradley KA, DeBenedetti AF, Volk RJ, Williams EC, Frank D, & Kivlahan DR (2007). AUDIT-C as a brief screen for alcohol misuse in primary care. Alcoholism Clinical & Experimental Research, 31(7), 1208–1217. - PubMed

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