Childhood Adversities and Physical and Mental Health Outcomes in Adults Living with HIV: Findings from the Ontario HIV Treatment Network Cohort Study
We sought to estimate the prevalence of childhood adversity and examine its relationship with health outcomes among people living with HIV. Study participants included 1409 adults living with HIV and receiving care in Toronto, Canada. Data on childhood adversity, health behaviors, HIV outcome measur...
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| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | AIDS Research and Treatment |
| Online Access: | http://dx.doi.org/10.1155/2018/2187232 |
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| _version_ | 1850216525181485056 |
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| author | Tsegaye Bekele Evan J. Collins Robert G. Maunder Sandra Gardner Sergio Rueda Jason Globerman Thao Lan Le Jon Hunter Anita Benoit Sean B. Rourke The OHTN Cohort Study Team |
| author_facet | Tsegaye Bekele Evan J. Collins Robert G. Maunder Sandra Gardner Sergio Rueda Jason Globerman Thao Lan Le Jon Hunter Anita Benoit Sean B. Rourke The OHTN Cohort Study Team |
| author_sort | Tsegaye Bekele |
| collection | DOAJ |
| description | We sought to estimate the prevalence of childhood adversity and examine its relationship with health outcomes among people living with HIV. Study participants included 1409 adults living with HIV and receiving care in Toronto, Canada. Data on childhood adversity, health behaviors, HIV outcome measures, depression, and health-related quality of life (HRQOL) were collected through face-to-face interviews and medical records. Statistical analyses included multivariable linear and logistic regression modeling. The prevalence of any childhood adversity was 71% (individual types ranged from 11% to 44%) and higher prevalence was associated with younger age, Indigenous or African/Caribbean/Black ethnicity, lower socioeconomic status, and higher rates of cigarette smoking and nonmedicinal drug use. Greater number of childhood adversities was associated with greater odds of depression and decreasing mental HRQOL. HIV care providers need to screen for childhood adversities and address childhood trauma within the context of HIV care. |
| format | Article |
| id | doaj-art-3bd3ba7db6aa4ce8bf7c1b83c68b8fd7 |
| institution | OA Journals |
| issn | 2090-1240 2090-1259 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | AIDS Research and Treatment |
| spelling | doaj-art-3bd3ba7db6aa4ce8bf7c1b83c68b8fd72025-08-20T02:08:16ZengWileyAIDS Research and Treatment2090-12402090-12592018-01-01201810.1155/2018/21872322187232Childhood Adversities and Physical and Mental Health Outcomes in Adults Living with HIV: Findings from the Ontario HIV Treatment Network Cohort StudyTsegaye Bekele0Evan J. Collins1Robert G. Maunder2Sandra Gardner3Sergio Rueda4Jason Globerman5Thao Lan Le6Jon Hunter7Anita Benoit8Sean B. Rourke9The OHTN Cohort Study Team10The Ontario HIV Treatment Network, Toronto, ON, CanadaImmunodeficiency Clinic, Toronto General Hospital, Toronto, ON, CanadaDepartment of Psychiatry, University of Toronto, ON, CanadaBaycrest Health Sciences, Toronto, ON, CanadaDepartment of Psychiatry, University of Toronto, ON, CanadaThe Ontario HIV Treatment Network, Toronto, ON, CanadaDepartment of Psychiatry, University of Toronto, ON, CanadaDepartment of Psychiatry, University of Toronto, ON, CanadaDalla Lana School of Public Health, University of Toronto, ON, CanadaDepartment of Psychiatry, University of Toronto, ON, CanadaOntario HIV Treatment Network, Toronto, ON, CanadaWe sought to estimate the prevalence of childhood adversity and examine its relationship with health outcomes among people living with HIV. Study participants included 1409 adults living with HIV and receiving care in Toronto, Canada. Data on childhood adversity, health behaviors, HIV outcome measures, depression, and health-related quality of life (HRQOL) were collected through face-to-face interviews and medical records. Statistical analyses included multivariable linear and logistic regression modeling. The prevalence of any childhood adversity was 71% (individual types ranged from 11% to 44%) and higher prevalence was associated with younger age, Indigenous or African/Caribbean/Black ethnicity, lower socioeconomic status, and higher rates of cigarette smoking and nonmedicinal drug use. Greater number of childhood adversities was associated with greater odds of depression and decreasing mental HRQOL. HIV care providers need to screen for childhood adversities and address childhood trauma within the context of HIV care.http://dx.doi.org/10.1155/2018/2187232 |
| spellingShingle | Tsegaye Bekele Evan J. Collins Robert G. Maunder Sandra Gardner Sergio Rueda Jason Globerman Thao Lan Le Jon Hunter Anita Benoit Sean B. Rourke The OHTN Cohort Study Team Childhood Adversities and Physical and Mental Health Outcomes in Adults Living with HIV: Findings from the Ontario HIV Treatment Network Cohort Study AIDS Research and Treatment |
| title | Childhood Adversities and Physical and Mental Health Outcomes in Adults Living with HIV: Findings from the Ontario HIV Treatment Network Cohort Study |
| title_full | Childhood Adversities and Physical and Mental Health Outcomes in Adults Living with HIV: Findings from the Ontario HIV Treatment Network Cohort Study |
| title_fullStr | Childhood Adversities and Physical and Mental Health Outcomes in Adults Living with HIV: Findings from the Ontario HIV Treatment Network Cohort Study |
| title_full_unstemmed | Childhood Adversities and Physical and Mental Health Outcomes in Adults Living with HIV: Findings from the Ontario HIV Treatment Network Cohort Study |
| title_short | Childhood Adversities and Physical and Mental Health Outcomes in Adults Living with HIV: Findings from the Ontario HIV Treatment Network Cohort Study |
| title_sort | childhood adversities and physical and mental health outcomes in adults living with hiv findings from the ontario hiv treatment network cohort study |
| url | http://dx.doi.org/10.1155/2018/2187232 |
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