scholarly journals Barriers to HIV Medication Adherence: Examining Distinct Anxiety and Depression Symptoms among Women Living with HIV Who Experienced Childhood Sexual Abuse

2015 ◽  
Vol 42 (2) ◽  
pp. 120-127 ◽  
Author(s):  
Tiara C. Willie ◽  
Nicole M. Overstreet ◽  
Tami P. Sullivan ◽  
Kathleen J. Sikkema ◽  
Nathan B. Hansen
Keyword(s):  
Sexual Abuse ◽  
Medication Adherence ◽  
Childhood Sexual Abuse ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Women Living With Hiv ◽  
Hiv Medication ◽  
Living With Hiv

The Effects of Childhood Sexual Abuse: The Role of Anxiety and Alcohol Use among Haitian Women Living with HIV

2020 ◽  
Vol 29 (7) ◽  
pp. 788-801
Author(s):  
Karina Villalba ◽  
Jennifer Attonito ◽  
Michele Jean-Gilles ◽  
Rhonda Rosenberg ◽  
Mariana Sanchez ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Alcohol Use ◽  
Haitian Women ◽  
Women Living With Hiv ◽  
Living With Hiv

scholarly journals Women living with HIV/AIDS: sleep impairment, anxiety and depression symptoms

2008 ◽  
Vol 66 (4) ◽  
pp. 817-820 ◽  
Author(s):  
Priscila Junqueira ◽  
Silvia Bellucci ◽  
Sueli Rossini ◽  
Rubens Reimão
Keyword(s):  
Sleep Quality ◽  
Anxiety And Depression ◽  
Control Group ◽  
Depression Symptoms ◽  
Hiv Patients ◽  
Aids Patients ◽  
Sleep Impairment ◽  
Women Living With Hiv ◽  
Living With Hiv ◽  
Hiv Aids

OBJECTIVE: To evaluate sleep impairment, symptoms of anxiety and depression, and associations with sleep characteristics of sleep in female HIV/AIDS patients. METHOD: 30 female patients with HIV/AIDS were evaluated along with 30 female controls with a mean age of 35.4 years in the study group and 33.1 years in the control group, with: a) the Pittsburgh Sleep Quality Index; b) the Beck Anxiety Inventory; c) the Beck Depression Inventory. RESULTS: Sleep quality was more impaired in AIDS patients than in those with HIV+ or in controls. The AIDS patients showed more symptoms of anxiety. There were associations of sleep impairment with anxiety in HIV+ patients; whereas in AIDS patients associations were found between sleep impairment and depression. CONCLUSION: There was sleep quality in the presence of symptoms of anxiety and depression. In HIV+ patients, sleep impairment was associated with anxiety, while in AIDS patients sleep impairment was associated with depression.

scholarly journals 1415. A qualitative study of intersectional stigma among older adults living with HIV who are victims of childhood sexual abuse

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S715-S715
Author(s):  
Chigozie A Nkwonta ◽  
Monique Brown ◽  
Titilayo James ◽  
Amandeep Kaur
Keyword(s):  
Older Adults ◽  
Sexual Abuse ◽  
South Carolina ◽  
Childhood Sexual Abuse ◽  
Hiv Disclosure ◽  
Structured Interviews ◽  
Public Health Programs ◽  
Intersecting Identities ◽  
Living With Hiv ◽  
The Impact

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

Utility and acceptability of text messages for PMTCT: a qualitative assessment of user experiences (Preprint)

2021 ◽  
Author(s):  
Melinda Brown ◽  
May Maloba ◽  
Catherine Wexler ◽  
Natabhona Mabachi ◽  
Sharon Koech ◽  
...  
Keyword(s):  
Medication Adherence ◽  
Pilot Study ◽  
Clinical Care ◽  
Text Messages ◽  
Hiv Care ◽  
Qualitative Assessment ◽  
Women Living With Hiv ◽  
Pregnancy And Postpartum ◽  
Living With Hiv ◽  
The Impact

BACKGROUND Evidence that text messages can support patient adherence to HIV care is growing. We conducted a pilot study of the HIV Infant Tracking System (HITSystem 2.0), an intervention that includes SMS to patients to support maternal medication adherence, appointment attendance, and hospital-based deliveries during the antenatal period. OBJECTIVE The objective of this study was to qualitatively assess women’s experiences receiving SMS to understand message utility and acceptability with the goal of refining and strengthening the intervention. METHODS As part of an intervention development pilot study, we conducted semi-structured interviews with 33 women living with HIV who received SMS through the HITSystem 2.0 throughout their pregnancy and postpartum period. Interview questions assessed women’s feedback of the SMS, the impact of the SMS on their PMTCT care, and suggestions for improvement. RESULTS Participants described how SMS reinforced existing strategies for medication adherence and served as cues to action for antenatal appointments and hospital-based deliveries. SMS also provided encouragement and enhanced their sense of engagement with their clinical care team. Given the neutral content of the messages, most women reported no concerns about message confidentiality. Recommendations to enhance utility included greater customizability (timing and frequency of messages) and a few women suggested more comprehensive counseling regarding the SMS content to anticipate at the time of enrollment. CONCLUSIONS SMS content was deemed useful and acceptable by pregnant and postpartum women living with HIV and engaged in PMTCT services. Participant recommendations to increase message customization options have been adopted to enhance the intervention. CLINICALTRIAL Trial registration: clinicaltrials.gov, NCT02726607. Registered 01 April 2016. Retrospectively registered. https://clinicaltrials.gov/ct2/show/NCT02726607

scholarly journals Childhood sexual abuse and psychosis: data from a cross-sectional national psychiatric survey in England

2011 ◽  
Vol 199 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Paul Bebbington ◽  
Sarah Jonas ◽  
Elizabeth Kuipers ◽  
Michael King ◽  
Claudia Cooper ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Psychiatric Morbidity ◽  
Population Attributable Risk ◽  
Population Sample ◽  
Cannabis Use ◽  
Anxiety And Depression ◽  
Computer Assisted ◽  
Cross Sectional Survey ◽  
Cross Sectional

BackgroundA number of studies in a range of samples attest a link between childhood sexual abuse and psychosis.AimsTo use data from a large representative general population sample (Adult Psychiatric Morbidity Survey 2007) to test hypotheses that childhood sexual abuse is linked to psychosis, and that the relationship is consistent with mediation by revictimisation experiences, heavy cannabis use, anxiety and depression.MethodThe prevalence of psychosis was established operationally in a representative cross-sectional survey of the adult household population of England (n = 7353). Using computer-assisted self-interview, a history of various forms of sexual abuse was established, along with the date of first abuse.ResultsSexual abuse before the age of 16 was strongly associated with psychosis, particularly if it involved non-consensual sexual intercourse (odds ratio (OR) = 10.14, 95% CI 4.8–21.3, population attributable risk fraction 14%). There was evidence of partial mediation by anxiety and depression, but not by heavy cannabis use nor revictimisation in adulthood.ConclusionsThe association between childhood sexual abuse and psychosis was large, and may be causal. These results have important implications for the nature and aetiology of psychosis, for its treatment and for primary prevention.

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