Childhood Sexual and Physical Abuse Histories, PTSD, Depression, and HIV Risk Outcomes in Women Injection Drug Users: A Potential Mediating Pathway | Zendy

Plotzker Rosalyn E. | Zendy; Metzger David S. | Zendy; Holmes William C. | Zendy

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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.

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