scholarly journals Childhood sexual abuse history amplifies the link between disease burden and inflammation among older adults with HIV

Author(s):  
Heather M. Derry ◽  
Carrie D. Johnston ◽  
Mark Brennan-Ing ◽  
Stephen Karpiak ◽  
Chelsie O. Burchett ◽  
...  
2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S715-S715
Author(s):  
Chigozie A Nkwonta ◽  
Monique Brown ◽  
Titilayo James ◽  
Amandeep Kaur

Abstract Background Intersectional stigma is based upon co-occurring and intersecting identities or conditions and occurs at multiple levels of influence. Intersectional stigma has been repeatedly associated with poor health behaviors and outcomes. The effect of intersectional stigma among older adults are particularly challenging due to issues related to ageism, loss of social support, and comorbidities. We examined the impact of multiple stigmas on older adults living with HIV who are victims of childhood sexual abuse. Methods Semi-structured interviews were conducted with a purposefully selected heterogeneous sample of 24 adults living with HIV who are 50 years and older in South Carolina. Interviews were audio-recorded, transcribed verbatim, and coded using thematic analysis. Results Participants shared experiences and perceptions of stigma and discrimination most commonly related to their HIV status and sexuality at the interpersonal/familial and community levels. Four themes emerged to explain the impact of intersectional stigma: depression, lack of HIV disclosure, limited support, and reduced intimacy. Conclusion The complexity of multiple stigmas profoundly shapes life experiences, opportunities, and mental health of older adults living with HIV. This study highlights that public health programs need to consider the impact of intersectional stigma in order to promote the wellbeing of and improve quality of life for older adults living with HIV. Disclosures All Authors: No reported disclosures


Author(s):  
Ferol E. Mennen ◽  
Lynn Pearlmutter

The authors seek to heighten therapists' awareness of the possibility of childhood sexual abuse as a contributing but often unrecognized factor in couple dysfunction. Guidelines are given for detecting an abuse history in one or both members of a couple when it is not disclosed by the partners. The authors also present techniques for introducing and integrating the issue of sexual abuse into ongoing therapy.


2000 ◽  
Vol 24 (6) ◽  
pp. 829-838 ◽  
Author(s):  
Pamela C Alexander ◽  
Laureen Teti ◽  
Catherine L Anderson

2013 ◽  
Vol 26 (6) ◽  
pp. 735-743 ◽  
Author(s):  
Joanne Feeney ◽  
Yumiko Kamiya ◽  
Ian H. Robertson ◽  
Rose Anne Kenny

1992 ◽  
Vol 71 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Christopher T. Allers ◽  
Karen J. Benjack ◽  
Norman T. Allers

1996 ◽  
Vol 24 (2) ◽  
pp. 189-206 ◽  
Author(s):  
Catherine M. Roe ◽  
Mark F. Schwartz

The present study is a first attempt to describe what people remember when they initially recall childhood sexual abuse after a period of self-reported amnesia for that abuse. Subjects were 52 white women who had previously been hospitalized for treatment of sexual trauma. Participants completed a questionnaire that inquired about their first suspicions of having been sexually abused, their first memories of sexual abuse, other memories of abuse, and details of their abuse history. Participants were more likely to recall part of an abuse episode, as opposed to an entire abuse episode, following a period of no memory of the abuse. Additionally, first memories tended to be described as vivid rather than vague. Descriptive statistics are used to present and summarize additional findings.


2021 ◽  
pp. 147332502110276
Author(s):  
David Camacho ◽  
César V Rodriguez ◽  
Kiara L Moore ◽  
Ellen P Lukens

Childhood Sexual Abuse (CSA) and maltreatment have long-term negative impacts on survivors, including older adults. Yet, limited qualitative examinations of how these experiences impact the lives of older adults exists and even fewer among older Latino gay men. We drew data from life-history narratives the first author conducted with five Spanish speaking older Latino gay men in New York City. Our analyses were guided by an Ecological Model, a Suffering lens, and our clinical social work experience with older adults, sexual minorities and people of color. All participants reported sexual experiences prior to the age of 15 and possible emotional and physical maltreatment. Yet, not all participants perceived these experiences as abuse. Our findings indicate how cultural, linguistic and contextual factors may affect disclosure and coping. Despite the fact that CSA and maltreatment occurred decades ago, these early experiences affected long-term psychosocial functioning. Our findings support a need for future research and clinical practice that considers the subjective perceptions of childhood sexual experiences and maltreatment and how these relate to psychosocial functioning in Latino gay men during older adulthood.


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