Substance Abuse and Medication Adherence Among HIV-Positive Women with Histories of Child Sexual Abuse
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Substance abuse increases the risks for infections and impairs medication adherence among HIV/AIDS patients. However, little is known about the characteristics of substance abuse and its impact on medication adherence among HIV-positive women with a history of child sexual abuse (CSA). In the present study, 148 HIV-positive women with a history of CSA completed a structured interview assessing CSA severity, psychological status, substance abuse, medication adherence, and sexual decision-making. Severity of CSA was significantly associated with substance use but not with adherence. Participants who had used hard drugs and who had lower self-esteem and adherence self-efficacy reported significantly lower levels of adherence. Additional research on how CSA experiences impact health behaviors is needed to help develop culturally congruent interventions to reduce risk behaviors and facilitate better medication adherence for this vulnerable population.
KEY WORDSsubstance abuse medication adherence depression anxiety HIV/AIDS child sexual abuse.
- Blumenthal, S. (1998). Women and substance abuse: A new national focus. In C. L. Wetherington, and A. B. Roman (Eds.), Drug Addiction Research and the Health of Women (pp 13–32). Diane Publishing Co. ISBN #0788180541.Google Scholar
- Center for Disease Control and Prevention (2003). HIV/AIDS Among US Women: Minority and Young Women at Continuing Risk. National Center for HIV, STD, and TB Prevention. Retrieved, 2004: http://www.cdc.gov/hiv/pubs/ facts/women.html.
- Chin, D., Wyatt, G. E., Carmona, J. V., and Loeb, T. (2004). Child sexual abuse and HIV: An integrative risk-reduction approach. In L. J. Koenig, and L. S. Doll (Eds.), From Child Sexual Abuse to Adult Sexual Risk: Trauma, Revictimization, and Intervention (pp 233–250). Washington, DC: American Psychological Association.Google Scholar
- Cottler, L. B., Leukefeld, C., Hoffman, J., Desmond, D., Wechsberg, W., Inciardi, J. A., Compton, W. M., Abdallah, A. B., Cunningham-Williams, R., and Woodson, S. (1998). Effectiveness of HIV risk reduction initiatives among out-of-treatment non-injection drug users. Journal of Psychoactive Drugs, 30, 279–290.PubMedGoogle Scholar
- Liu, H. H., Golin, C. G., Miller, L., Hays, R. D., Beck, C. K., Sanandaji, S., Christian, J., Maldonado, T., Duran, D., Kaplan, A. H., and Wenger, N. S. (2001). A comparison study of multiple measures of adherence to HIV protease inhibitors. Annals of Internal Medicine, 134, 968–977.PubMedGoogle Scholar
- Liu, H. H., Miller, L., Hays, R., Golin, C. E., Wu, T., Wenger, N. S., and Kaplan, A. H. (2004). Repeated measures longitudinal analyses of HIV response as a function of percent adherence, dose-timing, genotypic sensitivity and other factors. JAIDS, in press.Google Scholar
- Longshore, D., and Anglin, M. D. (1995). Number of sex partners and crack cocaine use: Is crack an independent marker for HIV risk behavior? Journal of Drug Issues, 25, 1–10.Google Scholar
- Mellins, C. A., Havens, J. F., McCaskill, E. O., Leu, C. S., Brudney, K., and Chesney, M. A. (2002). Mental health, substance use and disclosure are significantly associated with the medical treatment adherence of HIV-infected mothers. Psychology, Health and Medicine, 7, 451–460.CrossRefGoogle Scholar
- Myers, H., Wyatt, G. E., and Loeb, T. B. et al. (2004). The Severity of Child Sexual Abuse: Associations with HIV Positive Women's Post-Traumatic Stress, Trauma Symptoms, and Sexual Risks. AIDS and Behavior, in press.Google Scholar
- Rosenberg, M., and Simmons, R. G. (1971). Black and White Self-Esteem: See Urban School Child. Washington, DC: American Psychological Association.Google Scholar
- Samet, J. H., Libman, H., Steger, K. A., Dhawan, R. K., Chen, J., Shevitz, A. H., Dewees-Dunk, R., Levenson, S., Kufe, D., and Craven, D. E. (1992). Compliance with zidovudine therapy in patients with human immunodeficiency virus, type 1: A cross-sectional study in a municipal hospital clinic. American Journal of Medicine, 92, 495–502.PubMedCrossRefGoogle Scholar
- Wyatt, G. E., Newcomb, M. D., and Riederle, M. H. (1993). Sexual Abuse and Consensual Sex: Women's Developmental Patterns and Outcomes. Thousand Oaks.Google Scholar
- Wyatt, G. E., Longshore, D., Chin, D., Carmona, J. V., Loeb, T. B., Myers, H. F., Warda, N., Liu, H., and Rivkin, I. (2004). The efficacy of an integrated risk reduction intervention for HIV-positive women with child sexual abuse histories. AIDS and Behavior, in press.Google Scholar