Childhood Sexual Trauma, Substance Use, and Antiretroviral Therapy Adherence Among Older Adults Living With HIV: A Mediational Analysis

被引：0

作者：

Brown, Monique J. ^{[1
]}

Zhang, Josie ^{[1
]}

Addo, Prince Nii Ossah ^{[1
]}

Kaur, Amandeep ^{[1
]}

Amoatika, Daniel ^{[1
]}

Crouch, Elizabeth ^{[1
]}

Cohen, Steven A. ^{[1
,2
]}

机构：

[1] Univ South Carolina, Columbia, SC USA

[2] Univ Rhode Isl, Kingston, RI USA

来源：

JOURNAL OF APPLIED GERONTOLOGY | 2025年 / 44卷 / 02期

基金：

美国国家卫生研究院;

关键词：

abuse and neglect; health behaviors; HIV/AIDS; mediation analysis; substance abuse; ART adherence; childhood sexual abuse; quantitative analysis; ABUSE; HISTORIES; PEOPLE; HEALTH; ASSOCIATION; EXPERIENCES; DISPARITIES; DEPRESSION; IMPACT; WOMEN;

D O I：

10.1177/07334648241271903

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

Childhood sexual abuse (CSA) is linked to substance use and lower antiretroviral therapy (ART) adherence. However, studies examining the mediational role of substance use between CSA and ART adherence are lacking. Therefore, the aim of this study was to determine the potential mediational role of substance use between CSA and ART adherence among older adults living with HIV (OALH) (n = 91). Mediation analyses assessed the direct and indirect relationships between CSA, substance use, and ART adherence. Statistically significant differences existed in substance use by gender (male vs. female: 12.3 vs. 9.97) and ART adherence by race (Black vs. White: 98.2% vs. 99.6%) and employment. CSA was associated with ART adherence (beta = -3.27, p < .001) and substance use (beta = 2.14, p = .035), but substance use was not associated with ART adherence, and did not mediate the pathway between CSA and ART adherence in the adjusted model. Trauma-informed interventions may lower substance use among OALH with CSA.

引用

页码：222 / 230

页数：9

共 42 条

[1] Coping strategies among older adults living with HIV/AIDS with history of childhood sexual abuse [J].