Abstract
We explored links between childhood sexual abuse (CSA), childhood physical abuse (CPA), posttraumatic stress disorder (PTSD)/depression, and women injection drug users' (IDUs') risk in 113 women recruited from two syringe exchange sites. More than half (56%) reported CSA, 68% CPA, 23% likely were depressed-only, and 53% likely had PTSD/depression. CSA was associated with sexual (p = 0.003) and drug risk (p = 0.05); CPA was not. CSA was associated with PTSD/depression (p = 0.03); PTSD/depression was associated with sexual (p < 0.01) and drug (p < 0.03) risk. After PTSD/depression adjustment, CSA was no longer associated with sexual or drug risk. These results suggest that women IDUs' CSA-to-risk path is mediated by PTSD/depression.
Publication types
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Comparative Study
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, Non-P.H.S.
MeSH terms
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Adult
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Age Distribution
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Aged
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Child
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Child Abuse / psychology
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Child Abuse / statistics & numerical data*
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Child Abuse, Sexual / psychology
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Child Abuse, Sexual / statistics & numerical data*
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Comorbidity
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Depressive Disorder / epidemiology*
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Depressive Disorder / psychology
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Female
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HIV Infections / epidemiology*
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HIV Infections / prevention & control
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HIV Infections / transmission
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Humans
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Middle Aged
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Models, Statistical
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Needle Sharing / psychology
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Needle Sharing / statistics & numerical data
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Needle-Exchange Programs / statistics & numerical data
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Odds Ratio
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Personality Inventory
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Risk-Taking*
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Sex Factors
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Sexual Behavior / psychology*
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Sexual Behavior / statistics & numerical data
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Stress Disorders, Post-Traumatic / epidemiology*
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Stress Disorders, Post-Traumatic / psychology
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Substance Abuse, Intravenous / epidemiology
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Substance Abuse, Intravenous / psychology*
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Surveys and Questionnaires