Premium
Childhood Sexual and Physical Abuse Histories, PTSD, Depression, and HIV Risk Outcomes in Women Injection Drug Users: A Potential Mediating Pathway
Author(s) -
Plotzker Rosalyn E.,
Metzger David S.,
Holmes William C.
Publication year - 2007
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1080/10550490701643161
Subject(s) - depression (economics) , psychiatry , drug , medicine , substance abuse , sexual abuse , clinical psychology , poison control , psychology , suicide prevention , economics , macroeconomics , environmental health
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.