Physical and Sexual Abuse in Women Infected With the Human Immunodeficiency Virus

作者: Jane M. Liebschutz , Gail Feinman , Lisa Sullivan , Michael Stein , Jeffrey Samet

DOI: 10.1001/ARCHINTE.160.11.1659

关键词: Ambulatory careSexual abuseMedicineHealth carePhysical examinationDiseaseMedical recordPsychiatrySexually transmitted diseaseEmergency departmentInternal medicine

摘要: Background A history of physical or sexual abuse is associated with increased health care utilization and possibly an increase in illness based largely on self-reported data. Objective To examine whether victimization experience increases documented medical disease among women infected the human immunodeficiency virus (HIV). Methods We interviewed reviewed record data 50 seeking initial primary for HIV infection at 2 urban hospitals. Women without a were compared. Using multiple regression analysis, periods examined: entire life before study entry subsequent years. The characteristics examined included episodic disease, chronic sexually transmitted pain syndrome, opportunistic infections, obstetrical history, number injuries, surgical procedures, hospitalizations, ambulatory visits, emergency department visits. Results Evidence was found 34 (68%) women, whom 16 (32%) did not disclose during interview that they abused. At entry, rates greater those histories abuse. years, hospitalizations all more likely abused women. Conclusion Physical are common HIV-infected

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