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Sex Disparities in Adverse Childhood Experiences and HIV/STIs: Mediation of Psychopathology and Sexual Behaviors
HIV and other sexually transmitted infections (STIs) are important public health challenges in the US. Adverse childhood experiences (ACEs), including abuse (emotional, physical or sexual), witnessing violence among household members, may have an effect on sexual behaviors, which increase the risk o...
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| Published in: | AIDS and behavior 2017-06, Vol.21 (6), p.1550-1566 |
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| Main Authors: | , , , , , |
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| cites | cdi_FETCH-LOGICAL-c470t-797d74feb07dfd46d260bebb8df44cbb225c995ef4601095c0fd9e6ffb3c3c963 |
| container_end_page | 1566 |
| container_issue | 6 |
| container_start_page | 1550 |
| container_title | AIDS and behavior |
| container_volume | 21 |
| creator | Brown, Monique J. Masho, Saba W. Perera, Robert A. Mezuk, Briana Pugsley, River A. Cohen, Steven A. |
| description | HIV and other sexually transmitted infections (STIs) are important public health challenges in the US. Adverse childhood experiences (ACEs), including abuse (emotional, physical or sexual), witnessing violence among household members, may have an effect on sexual behaviors, which increase the risk of HIV/STIs. The aim of this study was to examine the sex differences in the role of posttraumatic stress disorder (PTSD), major depression (MD), substance use disorders (SUDs), early sexual debut, and intimate partner violence (IPV) perpetration as mediators in the association between ACEs and HIV/STIs. Data were obtained from Wave 2 (2004–2005) of the National Epidemiologic Survey on Alcohol and Related Conditions. Structural equation modeling was used to determine the role of PTSD, MD, SUDs, early sexual debut, and IPV perpetration as mediators in the relationships between ACEs and HIV/STIs. Differences and similarities existed in the mediational roles of psychopathology and sexual behaviors. For example, among men, MD fully mediated physical/psychological abuse (β = 0.0002;
p
= 0.012) and sexual abuse (β = 0.0002;
p
= 0.006), and HIV/STIs while among women, MD fully mediated physical/psychological abuse (β = 0.0005;
p
|
| doi_str_mv | 10.1007/s10461-016-1553-0 |
| format | article |
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p
= 0.012) and sexual abuse (β = 0.0002;
p
= 0.006), and HIV/STIs while among women, MD fully mediated physical/psychological abuse (β = 0.0005;
p
< 0.001) and parental violence (β = −0.0002;
p
= 0.012). Among men, IPV perpetration fully mediated sexual abuse (β = −0.0005;
p
= 0.012) and HIV/STIs while among women, IPV perpetration was not a statistically significant mediator. HIV/STI prevention and intervention programs should use a life course approach by addressing adverse childhood events among men and women and consider the sex differences in the roles of psychopathology and sexual behaviors.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-016-1553-0</identifier><identifier>PMID: 27688144</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject><![CDATA[Abuse ; Acquired immune deficiency syndrome ; Adult ; Adverse childhood experiences ; Aggression ; AIDS ; Alcoholic beverages ; Child ; Child Abuse - psychology ; Child Abuse - statistics & numerical data ; Child Abuse, Sexual - statistics & numerical data ; Child sexual abuse ; Childhood ; Childhood factors ; Children ; Cross-Sectional Studies ; Depressive Disorder, Major ; Disorders ; Domestic violence ; Emotional abuse ; Emotions ; Epidemiology ; Female ; Gender aspects ; Gender differences ; Gender roles ; Health behavior ; Health Psychology ; HIV ; HIV Infections - psychology ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Intimate partner violence ; Intimate Partner Violence - psychology ; Life Change Events ; Male ; Mediation ; Medicine ; Medicine & Public Health ; Men ; Mens health ; Mental depression ; Middle Aged ; Original Paper ; Parents & parenting ; Post traumatic stress disorder ; Psychopathology ; Public Health ; Sex ; Sex crimes ; Sex differences ; Sexual assault ; Sexual behavior ; Sexual Behavior - statistics & numerical data ; Sexually transmitted diseases ; Spouse Abuse - psychology ; Spouse Abuse - statistics & numerical data ; Statistical analysis ; STD ; Stress Disorders, Post-Traumatic - diagnosis ; Stress Disorders, Post-Traumatic - epidemiology ; Stress Disorders, Post-Traumatic - psychology ; Structural equation modeling ; Substance abuse ; Substance use ; Substance use disorder ; Substance-Related Disorders - diagnosis ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - psychology ; United States ; Violence ; Women ; Womens health ; Young Adult]]></subject><ispartof>AIDS and behavior, 2017-06, Vol.21 (6), p.1550-1566</ispartof><rights>Springer Science+Business Media New York 2016</rights><rights>AIDS and Behavior is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-797d74feb07dfd46d260bebb8df44cbb225c995ef4601095c0fd9e6ffb3c3c963</citedby><cites>FETCH-LOGICAL-c470t-797d74feb07dfd46d260bebb8df44cbb225c995ef4601095c0fd9e6ffb3c3c963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1899616011/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1899616011?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,776,780,881,21355,21373,21374,27321,27901,27902,33588,33746,33751,34507,43709,43790,44091,73964,74053,74382</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27688144$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brown, Monique J.</creatorcontrib><creatorcontrib>Masho, Saba W.</creatorcontrib><creatorcontrib>Perera, Robert A.</creatorcontrib><creatorcontrib>Mezuk, Briana</creatorcontrib><creatorcontrib>Pugsley, River A.</creatorcontrib><creatorcontrib>Cohen, Steven A.</creatorcontrib><title>Sex Disparities in Adverse Childhood Experiences and HIV/STIs: Mediation of Psychopathology and Sexual Behaviors</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>HIV and other sexually transmitted infections (STIs) are important public health challenges in the US. Adverse childhood experiences (ACEs), including abuse (emotional, physical or sexual), witnessing violence among household members, may have an effect on sexual behaviors, which increase the risk of HIV/STIs. The aim of this study was to examine the sex differences in the role of posttraumatic stress disorder (PTSD), major depression (MD), substance use disorders (SUDs), early sexual debut, and intimate partner violence (IPV) perpetration as mediators in the association between ACEs and HIV/STIs. Data were obtained from Wave 2 (2004–2005) of the National Epidemiologic Survey on Alcohol and Related Conditions. Structural equation modeling was used to determine the role of PTSD, MD, SUDs, early sexual debut, and IPV perpetration as mediators in the relationships between ACEs and HIV/STIs. Differences and similarities existed in the mediational roles of psychopathology and sexual behaviors. For example, among men, MD fully mediated physical/psychological abuse (β = 0.0002;
p
= 0.012) and sexual abuse (β = 0.0002;
p
= 0.006), and HIV/STIs while among women, MD fully mediated physical/psychological abuse (β = 0.0005;
p
< 0.001) and parental violence (β = −0.0002;
p
= 0.012). Among men, IPV perpetration fully mediated sexual abuse (β = −0.0005;
p
= 0.012) and HIV/STIs while among women, IPV perpetration was not a statistically significant mediator. HIV/STI prevention and intervention programs should use a life course approach by addressing adverse childhood events among men and women and consider the sex differences in the roles of psychopathology and sexual behaviors.</description><subject>Abuse</subject><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>Adverse childhood experiences</subject><subject>Aggression</subject><subject>AIDS</subject><subject>Alcoholic beverages</subject><subject>Child</subject><subject>Child Abuse - psychology</subject><subject>Child Abuse - statistics & numerical data</subject><subject>Child Abuse, Sexual - statistics & numerical data</subject><subject>Child sexual abuse</subject><subject>Childhood</subject><subject>Childhood factors</subject><subject>Children</subject><subject>Cross-Sectional Studies</subject><subject>Depressive Disorder, Major</subject><subject>Disorders</subject><subject>Domestic violence</subject><subject>Emotional abuse</subject><subject>Emotions</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Gender aspects</subject><subject>Gender differences</subject><subject>Gender roles</subject><subject>Health behavior</subject><subject>Health Psychology</subject><subject>HIV</subject><subject>HIV Infections - psychology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Intimate partner violence</subject><subject>Intimate Partner Violence - psychology</subject><subject>Life Change Events</subject><subject>Male</subject><subject>Mediation</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Men</subject><subject>Mens health</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Parents & parenting</subject><subject>Post traumatic stress disorder</subject><subject>Psychopathology</subject><subject>Public Health</subject><subject>Sex</subject><subject>Sex crimes</subject><subject>Sex differences</subject><subject>Sexual assault</subject><subject>Sexual behavior</subject><subject>Sexual Behavior - statistics & numerical data</subject><subject>Sexually transmitted diseases</subject><subject>Spouse Abuse - psychology</subject><subject>Spouse Abuse - statistics & numerical data</subject><subject>Statistical analysis</subject><subject>STD</subject><subject>Stress Disorders, Post-Traumatic - diagnosis</subject><subject>Stress Disorders, Post-Traumatic - epidemiology</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Structural equation modeling</subject><subject>Substance abuse</subject><subject>Substance use</subject><subject>Substance use disorder</subject><subject>Substance-Related Disorders - diagnosis</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Substance-Related Disorders - psychology</subject><subject>United States</subject><subject>Violence</subject><subject>Women</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>BGRYB</sourceid><sourceid>BHHNA</sourceid><sourceid>HEHIP</sourceid><sourceid>M0O</sourceid><sourceid>M2S</sourceid><recordid>eNp1kUtv1DAUhS1ERUvhB7BBlliHXid-xCyQylDoSK1AamFrOX5MXKVxsDOjzr_Hw5SqXXRlS_c759yrg9A7Ah8JgDjJBCgnFRBeEcaaCl6gI8JEUzU1oy_LHyRUgnB2iF7nfAMAkgv5Ch3WgrctofQITVfuDn8NedIpzMFlHEZ8ajcuZYcXfRhsH6PFZ3eTS8GNpgB6tPh8-fvk6nqZP-FLZ4OeQxxx9Phn3po-Tnru4xBX239o8V_rAX9xvd6EmPIbdOD1kN3b-_cY_fp2dr04ry5-fF8uTi8qQwXMlZDCCupdB8J6S7mtOXSu61rrKTVdV9fMSMmcpxzKmcyAt9Jx77vGNEby5hh93vtO6-7WWePGOelBTSnc6rRVUQf1dDKGXq3iRrG2qMnO4MO9QYp_1i7P6iau01h2VqSVkpMSTApF9pRJMefk_EMCAbUrSe1LUqUktStJQdG8f7zag-J_KwWo90Auo3Hl0qPoZ13_AhiQnzE</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Brown, Monique J.</creator><creator>Masho, Saba W.</creator><creator>Perera, Robert 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Disparities in Adverse Childhood Experiences and HIV/STIs: Mediation of Psychopathology and Sexual Behaviors</title><author>Brown, Monique J. ; Masho, Saba W. ; Perera, Robert A. ; Mezuk, Briana ; Pugsley, River A. ; Cohen, Steven A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-797d74feb07dfd46d260bebb8df44cbb225c995ef4601095c0fd9e6ffb3c3c963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Abuse</topic><topic>Acquired immune deficiency syndrome</topic><topic>Adult</topic><topic>Adverse childhood experiences</topic><topic>Aggression</topic><topic>AIDS</topic><topic>Alcoholic beverages</topic><topic>Child</topic><topic>Child Abuse - psychology</topic><topic>Child Abuse - statistics & numerical data</topic><topic>Child Abuse, Sexual - statistics & numerical data</topic><topic>Child sexual abuse</topic><topic>Childhood</topic><topic>Childhood factors</topic><topic>Children</topic><topic>Cross-Sectional Studies</topic><topic>Depressive Disorder, Major</topic><topic>Disorders</topic><topic>Domestic violence</topic><topic>Emotional abuse</topic><topic>Emotions</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Gender aspects</topic><topic>Gender differences</topic><topic>Gender roles</topic><topic>Health behavior</topic><topic>Health Psychology</topic><topic>HIV</topic><topic>HIV Infections - psychology</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infectious Diseases</topic><topic>Intimate partner violence</topic><topic>Intimate Partner Violence - psychology</topic><topic>Life Change Events</topic><topic>Male</topic><topic>Mediation</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Men</topic><topic>Mens health</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Parents & parenting</topic><topic>Post traumatic 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A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sex Disparities in Adverse Childhood Experiences and HIV/STIs: Mediation of Psychopathology and Sexual Behaviors</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>21</volume><issue>6</issue><spage>1550</spage><epage>1566</epage><pages>1550-1566</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>HIV and other sexually transmitted infections (STIs) are important public health challenges in the US. Adverse childhood experiences (ACEs), including abuse (emotional, physical or sexual), witnessing violence among household members, may have an effect on sexual behaviors, which increase the risk of HIV/STIs. The aim of this study was to examine the sex differences in the role of posttraumatic stress disorder (PTSD), major depression (MD), substance use disorders (SUDs), early sexual debut, and intimate partner violence (IPV) perpetration as mediators in the association between ACEs and HIV/STIs. Data were obtained from Wave 2 (2004–2005) of the National Epidemiologic Survey on Alcohol and Related Conditions. Structural equation modeling was used to determine the role of PTSD, MD, SUDs, early sexual debut, and IPV perpetration as mediators in the relationships between ACEs and HIV/STIs. Differences and similarities existed in the mediational roles of psychopathology and sexual behaviors. For example, among men, MD fully mediated physical/psychological abuse (β = 0.0002;
p
= 0.012) and sexual abuse (β = 0.0002;
p
= 0.006), and HIV/STIs while among women, MD fully mediated physical/psychological abuse (β = 0.0005;
p
< 0.001) and parental violence (β = −0.0002;
p
= 0.012). Among men, IPV perpetration fully mediated sexual abuse (β = −0.0005;
p
= 0.012) and HIV/STIs while among women, IPV perpetration was not a statistically significant mediator. HIV/STI prevention and intervention programs should use a life course approach by addressing adverse childhood events among men and women and consider the sex differences in the roles of psychopathology and sexual behaviors.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27688144</pmid><doi>10.1007/s10461-016-1553-0</doi><tpages>17</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1090-7165 |
| ispartof | AIDS and behavior, 2017-06, Vol.21 (6), p.1550-1566 |
| issn | 1090-7165 1573-3254 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5896316 |
| source | Criminology Collection; Social Science Premium Collection; Springer Nature; Sociology Collection; Sociological Abstracts |
| subjects | Abuse Acquired immune deficiency syndrome Adult Adverse childhood experiences Aggression AIDS Alcoholic beverages Child Child Abuse - psychology Child Abuse - statistics & numerical data Child Abuse, Sexual - statistics & numerical data Child sexual abuse Childhood Childhood factors Children Cross-Sectional Studies Depressive Disorder, Major Disorders Domestic violence Emotional abuse Emotions Epidemiology Female Gender aspects Gender differences Gender roles Health behavior Health Psychology HIV HIV Infections - psychology Human immunodeficiency virus Humans Infectious Diseases Intimate partner violence Intimate Partner Violence - psychology Life Change Events Male Mediation Medicine Medicine & Public Health Men Mens health Mental depression Middle Aged Original Paper Parents & parenting Post traumatic stress disorder Psychopathology Public Health Sex Sex crimes Sex differences Sexual assault Sexual behavior Sexual Behavior - statistics & numerical data Sexually transmitted diseases Spouse Abuse - psychology Spouse Abuse - statistics & numerical data Statistical analysis STD Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - epidemiology Stress Disorders, Post-Traumatic - psychology Structural equation modeling Substance abuse Substance use Substance use disorder Substance-Related Disorders - diagnosis Substance-Related Disorders - epidemiology Substance-Related Disorders - psychology United States Violence Women Womens health Young Adult |
| title | Sex Disparities in Adverse Childhood Experiences and HIV/STIs: Mediation of Psychopathology and Sexual Behaviors |
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