Prevalence of Psychological Trauma and Association with Current Health and Functioning in a Sample of HIV-infected and HIV-uninfected Tanzanian Adults 英文参考文献.docVIP

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Prevalence of Psychological Trauma and Association with Current Health and Functioning in a Sample of HIV-infected and HIV-uninfected Tanzanian Adults 英文参考文献.doc

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Prevalence of Psychological Trauma and Association with Current Health and Functioning in a Sample of HIV-infected and HIV-uninfected Tanzanian Adults 英文参考文献

PrevalenceofPsychologicalTraumaandAssociation withCurrentHealthandFunctioninginaSampleofHIV- infectedandHIV-uninfectedTanzanianAdults BrianW.Pence1*,KristenShirey2,KathrynWhetten1,BernardAgala1,DafrosaItemba3,JulieAdams2, RachelWhetten1,JiaYao1,JohnShao3 1CenterforHealthPolicyInequalitiesResearch,DukeGlobalHealthInstitute,DepartmentofCommunityandFamilyMedicine,DukeUniversity,Durham,NorthCarolina, UnitedStatesofAmerica,2DukeGlobalHealthInstitute,DepartmentsofPsychiatryandMedicine,DukeUniversity,Durham,NorthCarolina,UnitedStatesofAmerica, 3TanzaniaWomenResearchFoundation,Moshi,Tanzania Abstract Background:Inhighincomenations,traumaticlifeexperiencessuchaschildhoodsexualabusearemuchmorecommonin peoplelivingwithHIV/AIDS(PLWHA)thanthegeneralpopulation,andtraumaisassociatedwithworsecurrenthealthand functioning.VirtuallynodataexistontheprevalenceorconsequencesoftraumaforPLWHAinlowincomenations. Methodology/Principal Findings: We recruited four cohorts of Tanzanian patients in established medical care for HIV infection(n=228),individualsnewlytestingpositiveforHIV(n=267),individualstestingnegativeforHIVatthesamesites (n=182), and a random sample of community-dwelling adults (n=249). We assessed lifetime prevalence of traumatic experiences, recent stressful life events, and current mental health and health-related physical functioning. Those with established HIV infection reported a greater number of childhood and lifetime traumatic experiences (2.1 and 3.0 respectively)thanthecommunitycohort(1.8and2.3).ThosewithestablishedHIVinfectionreportedgreaterpost-traumatic stress disorder (PTSD) symptomatology and worse current health-related physical functioning. Each additional lifetime traumaticexperiencewasassociatedwithincreasedPTSDsymptomatologyandworsefunctioning. Conclusions/Significance:ThisstudyisthefirsttoourknowledgeinanHIVpopulationfromalowincomenationtoreport theprevalenceofarangeofpotentiallytraumaticlifeexperiencescomparedtoamatchedcommunitysampleandtoshow thattrauma