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

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  • 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
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    References listed on IDEAS

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    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.
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