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首页> 外文期刊>AIDS and Behavior >Long-Term Correlates of Childhood Abuse among Adults with Severe Mental Illness: Adult Victimization, Substance Abuse, and HIV Sexual Risk Behavior
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Long-Term Correlates of Childhood Abuse among Adults with Severe Mental Illness: Adult Victimization, Substance Abuse, and HIV Sexual Risk Behavior

机译：患有严重精神疾病的成年人中儿童虐待的长期相关性：成年受害，药物滥用和艾滋病毒的性风险行为

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摘要

The prevalence of childhood sexual and physical abuse among persons with severe mental illness (SMI) is disproportionately high. Adults with SMI also engage in high rates of HIV risk behaviors. This study examined the association between childhood abuse and adult victimization, substance abuse, and lifetime HIV sexual risk in a sample of 152 adults with SMI receiving community mental health services. Structured interviews assessed psychiatric, psychosocial, and behavioral risk factors. Seventy percent reported childhood physical and/or sexual abuse, and 32% reported both types of abuse. Participants with childhood abuse were more likely to report adult victimization and greater HIV risk. A structural equation model found that childhood abuse was directly and indirectly associated with HIV risk through drug abuse and adult vicitimization. Integrated treatment approaches that address interpersonal violence and substance abuse may be necessary for HIV risk reduction in this population.
机译：患有严重精神疾病（SMI）的儿童中，儿童性虐待和身体虐待的比例过高。患有SMI的成年人也有很高的HIV风险行为。这项研究在接受社区心理健康服务的152名SMI成年人中，研究了儿童虐待与成人受害，滥用毒品和一生中HIV性风险之间的关系。结构化的访谈评估了精神病学，社会心理病学和行为危险因素。 70％的人报告了儿童期的身体和/或性虐待，而32％的人报告了这两种类型的虐待。有儿童虐待行为的参与者更有可能报告成年受害情况和更大的艾滋病毒感染风险。一个结构方程模型发现，儿童期虐待是通过药物滥用和成年动员而直接和间接与艾滋病毒风险相关的。解决人际暴力和药物滥用的综合治疗方法可能对于减少该人群的艾滋病毒风险很有必要。

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