Journal
JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE
Volume 33, Issue 6, Pages 593-604Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JNC.0000000000000355
Keywords
adverse childhood events; HIV; lifetime trauma; recent stressful life events; retention in care; women with HIV
Categories
Funding
- National Center for Complementary and Integrative Health (NCCIH) of the National Institutes of Health [KL2TR1419]
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Research on HIV-positive Black women suggests that recent stressful events are associated with missed visits, emphasizing the importance of addressing individual mental health in HIV outcomes.
Lifetime traumatic events are prevalent among people with HIV and consistently associated with deleterious HIV outcomes. Yet, little is known about the impact of recent stressful events on health outcomes among Black women with HIV (WWH). This cross-sectional study assessed the prevalence of recent stressful events and lifetime traumatic events and their association with HIV outcomes in Black WWH (n = 200) in the Southeastern United States. We evaluated the association between stressful events and HIV outcomes using chi-square tests and unadjusted and adjusted logistic regression analyses. In the unadjusted analyses, missed visits were associated with higher odds of recent stressful events (odds ratio [OR] 1.10, 95% confidence interval [CI] 1.04-1.16) and lifetime traumatic events (OR 1.15, 95% CI 1.05-1.26). In the adjusted analysis, exposure to recent stressful events was independently associated with missed visits (adjusted OR 1.08, 95% CI 1.01-1.15). Interventions addressing recent stressful events are warranted.
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