IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i7p4372-d787338.html
   My bibliography  Save this article

Sexual Risk Behavior and Lifetime HIV Testing: The Role of Adverse Childhood Experiences

Author

Listed:
  • Typhanye V. Dyer

    (Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD 20742, USA)

  • Rodman E. Turpin

    (Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD 20742, USA)

  • David J. Hawthorne

    (Behavioral and Community Health, School of Public Health, University of Maryland, College Park, MD 20742, USA)

  • Vardhmaan Jain

    (Cleveland Clinic, Cleveland, OH 44195, USA)

  • Sonica Sayam

    (Epidemiology and Biostatistics, School of Public Health, University of Maryland, College Park, MD 20742, USA)

  • Mona Mittal

    (Department of Family Science, School of Public Health, University of Maryland, College Park, MD 20742, USA)

Abstract

Despite the success of HIV prevention drugs such as PrEP, HIV incident transmission rates remain a significant problem in the United States. A life-course perspective, including experiences of childhood adversity, may be useful in addressing the HIV epidemic. This paper used 2019 BRFSS data to elucidate the role that childhood adversity plays in the relationship between HIV risk and HIV testing. Participants ( n = 58,258) completed self-report measures of HIV risk behaviors, HIV testing, and adverse childhood experiences (ACEs). The median number ACEs in the sample was 1, with verbal abuse (33.9%), and parental separation (31.3%) being the most common ACEs reported. Bivariate findings showed that all ACEs were associated with increased HIV risk and testing. However, increased risk was not correlated with increased HIV testing, with the highest incongruence related to mental health problems of household member (53.48%). While both self-reported HIV risk and ACEs were positively associated with HIV testing, their interaction had a negative association with testing (aPR = 0.51, 95%CI 0.42, 0.62). The results highlight the need for targeted HIV prevention strategies for at-risk individuals with a history of childhood adversity.

Suggested Citation

  • Typhanye V. Dyer & Rodman E. Turpin & David J. Hawthorne & Vardhmaan Jain & Sonica Sayam & Mona Mittal, 2022. "Sexual Risk Behavior and Lifetime HIV Testing: The Role of Adverse Childhood Experiences," IJERPH, MDPI, vol. 19(7), pages 1-14, April.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4372-:d:787338
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/7/4372/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/7/4372/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Yunxiang Huang & Dan Luo & Xi Chen & Dexing Zhang & Zhulin Huang & Shuiyuan Xiao, 2020. "HIV-Related Stress Experienced by Newly Diagnosed People Living with HIV in China: A 1-Year Longitudinal Study," IJERPH, MDPI, vol. 17(8), pages 1-15, April.
    2. Michelle Kelly-Irving & Laurence Mabile & Pascale Grosclaude & Thierry Lang & Cyrille Delpierre, 2013. "The embodiment of adverse childhood experiences and cancer development: potential biological mechanisms and pathways across the life course," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(1), pages 3-11, February.
    3. Anikó Ujhelyi Nagy & Ildikó Kuritár Szabó & Endre Hann & Karolina Kósa, 2019. "Measuring the Prevalence of Adverse Childhood Experiences by Survey Research Methods," IJERPH, MDPI, vol. 16(6), pages 1-17, March.
    4. Liesl A Nydegger & Kasey R Claborn, 2020. "Exploring patterns of substance use among highly vulnerable Black women at-risk for HIV through a syndemics framework: A qualitative study," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-18, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Michelle Kelly-Irving & Silke Tophoven & David Blane, 2015. "Life course research: new opportunities for establishing social and biological plausibility," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(6), pages 629-630, September.
    2. Xuening Chang & Xueyan Jiang & Tamara Mkandarwire & Min Shen, 2019. "Associations between adverse childhood experiences and health outcomes in adults aged 18–59 years," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-11, February.
    3. Hui Zheng & Jonathan Dirlam & Paola Echave, 2021. "Divergent Trends in the Effects of Early Life Factors on Adult Health," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(5), pages 1119-1148, October.
    4. Liesl A. Nydegger & Erin N. Benton & Bree Hemingway & Sarah Fung & Mandy Yuan & Chau Phung & Kasey R. Claborn, 2023. "Housing Insecurity and Other Syndemic Factors Experienced by Black and Latina Cisgender Women in Austin, Texas: A Qualitative Study," IJERPH, MDPI, vol. 20(24), pages 1-20, December.
    5. Jutta Lindert & Ondine Ehrenstein & Rachel Grashow & Gilad Gal & Elmar Braehler & Marc Weisskopf, 2014. "Sexual and physical abuse in childhood is associated with depression and anxiety over the life course: systematic review and meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(2), pages 359-372, April.
    6. Domantas Jasilionis & Giedre Smailyte & Ieva Vincerzevskiene & Vladimir Shkolnikov, 2015. "Educational differentials in cancer mortality and avoidable deaths in Lithuania, 2001–2009: a census-linked study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(8), pages 919-926, December.
    7. Sara Soares & Armine Abrahamyan & Mariana Amorim & Ana Cristina Santos & Sílvia Fraga, 2022. "Prevalence of Adverse Childhood Experiences in the First Decade of Life: A Study in the Portuguese Cohort, Generation XXI," IJERPH, MDPI, vol. 19(14), pages 1-16, July.
    8. Gwenn Menvielle & Julien Dugas & Jeanna-eve Franck & Matthieu Carton & Brigitte Trétarre & Isabelle Stücker & Danièle Luce, 2018. "Occupational prestige trajectory and the risk of lung and head and neck cancer among men and women in France," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(7), pages 833-845, September.
    9. Haiqi Ma & Mengru Bu & Huimin Zhai & Bing Li & Ling Xiong, 2023. "New Insight into HIV-Related Psychological Distress: A Concept Analysis," Clinical Nursing Research, , vol. 32(1), pages 60-72, January.
    10. Katharine H Sharpe & Alex D McMahon & Gillian M Raab & David H Brewster & David I Conway, 2014. "Association between Socioeconomic Factors and Cancer Risk: A Population Cohort Study in Scotland (1991-2006)," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-15, February.
    11. Rui Luo & Vincent M.B. Silenzio & Yunxiang Huang & Xi Chen & Dan Luo, 2020. "The Disparities in Mental Health Between Gay and Bisexual Men Following Positive HIV Diagnosis in China: A One-Year Follow-Up Study," IJERPH, MDPI, vol. 17(10), pages 1-14, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:4372-:d:787338. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.