Does a history of trauma contribute to HIV risk for women of color? Implications for prevention and policy

Am J Public Health. 2002 Apr;92(4):660-5. doi: 10.2105/ajph.92.4.660.

Abstract

Objectives: We investigated history of abuse and other HIV-related risk factors in a community sample of 490 HIV-positive and HIV-negative African American, European American, and Latina women.

Methods: Baseline interviews were analyzed, and logistic regressions were used to identify predictors of risk for positive HIV serostatus overall and by racial/ethnic group.

Results: Race/ethnicity was not an independent predictor of HIV-related risk, and few racial/ethnic differences in risk factors for HIV were seen. Regardless of race/ethnicity, HIV-positive women had more sexual partners, more sexually transmitted diseases, and more severe histories of abuse than did HIV-negative women. Trauma history was a general risk factor for women, irrespective of race/ethnicity.

Conclusions: Limited material resources, exposure to violence, and high-risk sexual behaviors were the best predictors of HIV risk.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Black or African American / psychology*
  • Black or African American / statistics & numerical data
  • Child Abuse, Sexual / ethnology*
  • Crime Victims / psychology
  • Domestic Violence / ethnology*
  • Female
  • HIV Seropositivity / ethnology*
  • Hispanic or Latino / psychology*
  • Hispanic or Latino / statistics & numerical data
  • Humans
  • Longitudinal Studies
  • Los Angeles / epidemiology
  • Middle Aged
  • Minority Groups / psychology*
  • Minority Groups / statistics & numerical data
  • Rape / statistics & numerical data
  • Risk Factors
  • Risk-Taking*
  • Sexual Behavior / ethnology*
  • Socioeconomic Factors
  • White People / psychology
  • White People / statistics & numerical data
  • Women's Health*