Adverse childhood experiences and disengagement from HIV care: a case-cohort study in Tanzania

Adverse childhood experiences and disengagement from HIV care: a case-cohort study in Tanzania

Abstract Adverse childhood experiences (ACEs) can have lasting, detrimental effects throughout the lifespan and may influence engagement in health care. We conducted a case-cohort study in Tanzania to estimate the association between ACEs and disengagement from HIV care 12 months after initiating an...

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Bibliographic Details
Main Authors: Sydney Tucker, Solis Winters, Emmanuel Katabaro, Matilda Mlowe, Patrick Bradshaw, Jennifer Ahern, John Colford, Laura Packel, Susan Hillis, Amon Sabasaba, Prosper Njau, Sandra I. McCoy
Format: Article
Language:English
Published: BMC 2025-06-01
Series:AIDS Research and Therapy
Subjects:
Adverse childhood experiences
HIV
Disengagement from care
Antiretroviral therapy
Tanzania
Online Access:https://doi.org/10.1186/s12981-025-00760-6
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Summary:Abstract Adverse childhood experiences (ACEs) can have lasting, detrimental effects throughout the lifespan and may influence engagement in health care. We conducted a case-cohort study in Tanzania to estimate the association between ACEs and disengagement from HIV care 12 months after initiating antiretroviral therapy (ART) among 217 adults (26 cases and 191 sub-cohort participants). Experiencing one, two, three, and four additional ACEs was significantly associated with 28% (RRa= 1.24; 95% CI: 1.05, 1.44; p-value < 0.01), 64% (RRa=1.64; 95% CI: 1.22, 2.20), 110% (RRa=2.10; 95% CI: 1.35, 3.26), and 168% (RRa=2.68; 95% CI: 1.49, 4.38) increases in the risk of disengagement from HIV care, respectively. These findings call for integrated trauma-informed mental health services within HIV care to end HIV/AIDS as a public health threat.
ISSN:1742-6405

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