Childhood Adversities and Physical and Mental Health Outcomes in Adults Living with HIV: Findings from the Ontario HIV Treatment Network Cohort Study

被引：21

作者：

Bekele, Tsegaye ^{[1
]}

Collins, Evan J. ^{[2
,3
]}

Maunder, Robert G. ^{[3
,4
]}

Gardner, Sandra ^{[5
,6
]}

Rueda, Sergio ^{[3
,7
]}

Globerman, Jason ^{[1
]}

Thao Lan Le ^{[3
,4
]}

Hunter, Jon ^{[3
,4
]}

Benoit, Anita ^{[6
,8
]}

Rourke, Sean B. ^{[3
,9
]}

机构：

[1] Ontario HIV Treatment Network, Toronto, ON, Canada

[2] Toronto Gen Hosp, Immunodeficiency Clin, Toronto, ON, Canada

[3] Univ Toronto, Dept Psychiat, Toronto, ON, Canada

[4] Mt Sinai Hosp, Dept Psychiat, Toronto, ON, Canada

[5] Baycrest Hlth Sci, Toronto, ON, Canada

[6] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[7] Ctr Addict & Mental Hlth, Inst Mental Hlth Policy Res, Toronto, ON, Canada

[8] Womens Coll Hosp, Womens Coll, Res Inst, Toronto, ON, Canada

[9] St Michaels Hosp, Li Ka Shing Knowledge Inst, Ctr Urban Hlth Solut, Toronto, ON, Canada

来源：

AIDS RESEARCH AND TREATMENT | 2018年 / 2018卷

关键词：

D O I：

10.1155/2018/2187232

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

We sought to estimate the prevalence of childhood adversity and examine its relationship with health outcomes among people living with HIV. Study participants included 1409 adults living with HIV and receiving care in Toronto, Canada. Data on childhood adversity, health behaviors, HIV outcome measures, depression, and health-related quality of life (HRQOL) were collected through face-to-face interviews and medical records. Statistical analyses included multivariable linear and logistic regression modeling. The prevalence of any childhood adversity was 71% (individual types ranged from 11% to 44%) and higher prevalence was associated with younger age, Indigenous or African/Caribbean/Black ethnicity, lower socioeconomic status, and higher rates of cigarette smoking and nonmedicinal drug use. Greater number of childhood adversities was associated with greater odds of depression and decreasing mental HRQOL. HIV care providers need to screen for childhood adversities and address childhood trauma within the context of HIV care.

引用

页数：17

共 36 条

[1] Child abuse and mental disorders in Canada [J].