Post-traumatic Stress Disorder and HIV Risk Behaviors among Rural American Indian/Alaska Native Women

Pearson, Cynthia; Kaysen, Debra; Belcourt, Annie; Stappenbeck, Cynthia A.; Zhou, Chuan; Smartlowit-Briggs, Lucy; Whitefoot, Patricia

doi:10.5820/aian.2203.2015.1

Cited by 17 publications

(15 citation statements)

References 69 publications

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“…Thus, 286 (91.96%) of those who reported an index event did not receive a PTSD diagnosis. These findings are similar to those found among a national American sample where the prevalence of exposure to a traumatic event was 89.7%, while the lifetime, past-12-month, and past 6-month PTSD prevalence rates for PTSD were 8.3%, 4.7%, and 3.8% respectively (27). …”

Section: Discussionsupporting

confidence: 87%

“…Untreated PTSD has a deleterious effect on quality of life and may lead to poor psychosocial functioning, dysfunctional social relationships, problems at work including absenteeism and loss of employment, and poor family functioning, including abusive and inadequate parenting (27; 28; 29). As we have argued, PTSD has been shown to be associated with behaviours that increase HIV risk (2, 3, 4).…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Traumatic Events and Symptoms of PTSD Among South Africans Receiving an HIV Test

2017

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We studied posttraumatic stress disorder (PTSD) among a community sample of 500 persons seeking an HIV test. The majority of participants (62.2%) indicated that they had experienced at least one index event that qualified for PTSD, even though a small proportion (5%) actually met the diagnostic criteria for the disorder. Of those who reported an index event, 25 (8.04%) met the diagnostic criteria for PTSD while 286 (91.96%) did not. On average about one third of participants who did not meet the criteria for PTSD endorsed PTSD symptoms whereas more than three quarters of those who met the full criteria did so. No demographic factors were associated with PTSD caseness, except number of traumatic events. These results are discussed in the context of the need to address traumatic events and PTSD among persons who undergo HIV testing.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Prevalence of Traumatic Events and Symptoms of PTSD Among South Africans Receiving an HIV Test

2017

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“…In AI/ AN women aged 15-35 living on or near a reservation, exposure to trauma was associated with symptoms of PTSD, substance use, and risky sexual behavior. Those with high trauma exposure who met the criteria for PTSD were at greater risk for binge drinking and risky sexual behaviors that increased their risk for HIV (Pearson et al, 2015).…”

Section: Gender Sexual Orientation and Violencementioning

confidence: 99%

The Behavioral Health of American Indian/Alaska Native Populations: Risk and Resiliency

Baldwin

Eaves

Brown

et al. 2019

Foundations of Behavioral Health

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Risk andProtective Factors Project found the prevalence of DSM-IV disorders was 35.7% for women to nearly 50% for men (Beals et al., 2005). The most common disorder for women was post-traumatic stress disorder and for men, alcohol abuse and dependence. Significant levels of comorbidity were found among those with depressive and/or anxiety and substance use disorders (Beals et al., 2005).To fully understand the behavioral health disparities experienced by AI/AN, it is critical to examine the context in which they occur. High prevalence of behavioral disorders in AI/AN communities is believed to be linked to a number of historical and environmental factors, such as historical trauma and contemporary discrimination, as well as current-day unemployment, academic failure, high-risk occupations,

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“…Standard quantitative methodology has been the mainstay for conducting the majority of HIV-related trauma studies, leaving an opportunity for qualitative approaches to further describe how trauma and health intersect for PLWH [11,21,22]. Qualitative research can examine the richness of individual accounts and can be used as a tool to complement…”

Section: Original Articlementioning

confidence: 99%

Gathering Trauma Narratives

Mujumdar¹,

Pierson²,

Briceño³

et al. 2020

North Carolina Medical Journal

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background Trauma-emotional, physical, and psychological-is common and associated with increased risk behaviors, low rates of care engagement and viral suppression, and overall poor health outcomes for people living with HIV (PLWH). This article presents the results of 15 in-depth, semi-structured interviews with PLWH in the Southeastern United States in which participants identified a trauma and described its long-lasting impact on their lives. Participants' trauma narratives described a wide range of traumas, including childhood sexual abuse, the loss of a loved one, and their HIV diagnosis. methods Systematic qualitative analysis was used to delineate beliefs about causes, symptoms, treatments, quality of life, and health implications of trauma. results: Fifteen participants completed semi-structured interviews that lasted on average 32 minutes. Participants described a wide spectrum of personal trauma that occurred both prior and subsequent to their HIV diagnosis. The types of trauma identified included physical, sexual, and psychological abuse inflicted by intimate partners, family members, and/or strangers. limitations A chief limitation of this study is selection bias. Additionally, the participant selection and content of the trauma narratives might have been affected by the surrounding context of the parent study centered on HIV, aging, and psychosocial stress. It is also difficult to interpret the distinction between discrete trauma experiences and the diagnosis of HIV, leading to potential information bias. conclusion This study highlights the importance of social support in coping with trauma and the effect of trauma on health-related behaviors. It also illustrates the need for additional research on the topic of trauma and trauma-informed care for PLWH. Understanding how different types of trauma affect individuals' lives is necessary to inform recommendations to provide better care for PLWH.

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Post-traumatic Stress Disorder and HIV Risk Behaviors among Rural American Indian/Alaska Native Women

Cited by 17 publications

References 69 publications

Prevalence of Traumatic Events and Symptoms of PTSD Among South Africans Receiving an HIV Test

Prevalence of Traumatic Events and Symptoms of PTSD Among South Africans Receiving an HIV Test

The Behavioral Health of American Indian/Alaska Native Populations: Risk and Resiliency

Gathering Trauma Narratives

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