“Psychologically and emotionally, it affects me ‘til this day”: exploration of childhood sexual abuse perspectives among older adults living with HIV in South Carolina

2021 ◽  
pp. 1-6
Author(s):  
Monique J. Brown ◽  
Chigozie A. Nkwonta ◽  
Amandeep Kaur ◽  
Titilayo James ◽  
Donaldson F. Conserve ◽  
...  
Keyword(s):  
Older Adults ◽  
Sexual Abuse ◽  
South Carolina ◽  
Childhood Sexual Abuse ◽  
Living With Hiv

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

Intervention program needs for older adults living with HIV who are childhood sexual abuse survivors

2021 ◽  
pp. 1-7
Author(s):  
Monique J. Brown ◽  
Chigozie A. Nkwonta ◽  
Amandeep Kaur ◽  
Titilayo James ◽  
Mohammad Rifat Haider ◽  
...  
Keyword(s):  
Older Adults ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Intervention Program ◽  
Abuse Survivors ◽  
Sexual Abuse Survivors ◽  
Living With Hiv

scholarly journals Views on HIV Disclosure Among Older Adults Living With HIV Who Are Childhood Sexual Abuse Survivors

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 339-339
Author(s):  
Monique Brown ◽  
Titilayo James ◽  
Chigozie Nkwonta ◽  
Amandeep Kaur
Keyword(s):  
Older Adults ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Casual Sex ◽  
Hiv Disclosure ◽  
People Living With Hiv ◽  
Hiv Status ◽  
Structured Interviews ◽  
Related Stigma ◽  
Living With Hiv

Abstract Rates of childhood sexual abuse (CSA) among people living with HIV are twice the CSA estimates among the general population. These statistics suggest that CSA prevalence may range from 16-22% among older adults living HIV (OALH). HIV disclosure continues to be a key consideration among people living with HIV. However, studies examining the views on HIV disclosure among OALH who are CSA survivors are lacking. Therefore, the aim of this study was to explore the views on HIV disclosure among OALH who are CSA survivors using a qualitative approach. Twenty-four adults aged 50-67 years, living with HIV and with a CSA history participated in the study. In-depth semi-structured interviews were conducted, audio-recorded and were analyzed using thematic analysis. The iterative analytic process included discussion of initial thoughts and key concepts, identification and reconciliation of codes, and naming of emergent themes. Three themes emerged: “You don’t have to tell the person if it’s just casual sex”, “Nothing ought to be hidden especially when you get ready to engage in sex”, and “As for me, I don’t disclose”. Views on HIV disclosure among OALH varied. Some participants stated that disclosure of HIV status should be dependent on the type of sexual relationship, while some OALH stated that participants should disclose regardless of type of relationship. Some participants were hesitant to disclose their HIV status due to anticipated HIV-related stigma. Understanding the perspectives on HIV disclosure among OALH with a CSA history may help to inform disclosure intervention programs for this vulnerable population.

scholarly journals Cognitive Function Is Preserved in Older Adults With a Reported History of Childhood Sexual Abuse

2013 ◽  
Vol 26 (6) ◽  
pp. 735-743 ◽  
Author(s):  
Joanne Feeney ◽  
Yumiko Kamiya ◽  
Ian H. Robertson ◽  
Rose Anne Kenny
Keyword(s):  
Older Adults ◽  
Sexual Abuse ◽  
Cognitive Function ◽  
Childhood Sexual Abuse ◽  
History Of Childhood ◽  
History Of

Psychosocial Risk Factors of Quality of Life Outcomes Among Older Adults Living With HIV

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 423-424
Author(s):  
Monique Brown
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Older Adults ◽  
South Carolina ◽  
Psychosocial Risk Factors ◽  
Hiv Disclosure ◽  
Psychosocial Risk ◽  
People Living With Hiv ◽  
Living With Hiv

Abstract Antiretroviral therapy, higher education, and HIV disclosure have been linked to improved quality of life (QoL) among people living with HIV. However, research examining psychosocial risk factors of QoL among older adults living with HIV (OALH) is lacking. Therefore, the main aim of this study was to examine the psychosocial risk factors of QoL among OALH. Data were obtained from 156 adults aged 50 and older living with HIV in South Carolina. Multivariable regression models adjusting for sociodemographic characteristics were used to determine the association between psychosocial risk factors and QoL domains among OALH. Stigma was associated with the physical (β=0.058, p=0.023), social (β=-0.149, p=0.006), and spiritual (β=0.124, p=<0.001) domains. Resilience was associated with the psychological (β=0.206, p=<0.001), independence (β=0.100, p=0.010), social (β=0.166, p=0.004), and environmental (β=0.312 p=<0.001) domains. Depression and experiencing trauma were also associated with varying QoL domains. Findings may inform interventions geared towards improving QoL among OALH.

Unresolved Childhood Sexual Abuse: Are Older Adults Affected?

1992 ◽  
Vol 71 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Christopher T. Allers ◽  
Karen J. Benjack ◽  
Norman T. Allers
Keyword(s):  
Older Adults ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse

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
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