Childhood traumas as a risk factor for HIV-risk behaviours amongst young women and men living in urban informal settlements in South Africa: A cross-sectional study.

Childhood traumas, in the form of physical, sexual, and emotional abuse and neglect, are globally widespread and highly prevalent, and associated with a range of subsequent poor health outcomes. This study sought to understand the relationship between physical, sexual and emotional childhood abuse a...

Full description

Bibliographic Details
Main Authors: Andrew Gibbs, Kristin Dunkle, Laura Washington, Samantha Willan, Nwabisa Shai, Rachel Jewkes
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5889178?pdf=render
_version_ 1818913305148784640
author Andrew Gibbs
Kristin Dunkle
Laura Washington
Samantha Willan
Nwabisa Shai
Rachel Jewkes
author_facet Andrew Gibbs
Kristin Dunkle
Laura Washington
Samantha Willan
Nwabisa Shai
Rachel Jewkes
author_sort Andrew Gibbs
collection DOAJ
description Childhood traumas, in the form of physical, sexual, and emotional abuse and neglect, are globally widespread and highly prevalent, and associated with a range of subsequent poor health outcomes. This study sought to understand the relationship between physical, sexual and emotional childhood abuse and subsequent HIV-risk behaviours amongst young people (18-30) living in urban informal settlements in Durban, South Africa. Data came from self-completed questionnaires amongst 680 women and 677 men comprising the baseline of the Stepping Stones and Creating Futures intervention trial. Men and women were analysed separately. Logistic regression models assessed the relationship between six HIV-risk behaviours and four measures of trauma: the form of trauma, the severity of each trauma, the range of traumas, and overall severity of childhood trauma. Childhood traumas were incredibly prevalent in this population. All childhood traumas were associated with a range of HIV-risk behaviours. This was for the ever/never trauma, as well as the severity of each type of trauma, the range of trauma, and overall severity of childhood trauma. Despite the wider harsh contexts of urban informal settlements, childhood traumas still play a significant role in shaping subsequent HIV-risk behaviours amongst young people. Interventions to reduce childhood traumas for populations in informal settlements need to be developed. In addition, trauma focused therapies need to be considered as part of wider HIV-prevention interventions for young adults.ClinicalTrials.gov NCT03022370.
first_indexed 2024-12-19T23:28:22Z
format Article
id doaj.art-9d5696eb942149d280033786d95d7a76
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-19T23:28:22Z
publishDate 2018-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-9d5696eb942149d280033786d95d7a762022-12-21T20:01:48ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01134e019536910.1371/journal.pone.0195369Childhood traumas as a risk factor for HIV-risk behaviours amongst young women and men living in urban informal settlements in South Africa: A cross-sectional study.Andrew GibbsKristin DunkleLaura WashingtonSamantha WillanNwabisa ShaiRachel JewkesChildhood traumas, in the form of physical, sexual, and emotional abuse and neglect, are globally widespread and highly prevalent, and associated with a range of subsequent poor health outcomes. This study sought to understand the relationship between physical, sexual and emotional childhood abuse and subsequent HIV-risk behaviours amongst young people (18-30) living in urban informal settlements in Durban, South Africa. Data came from self-completed questionnaires amongst 680 women and 677 men comprising the baseline of the Stepping Stones and Creating Futures intervention trial. Men and women were analysed separately. Logistic regression models assessed the relationship between six HIV-risk behaviours and four measures of trauma: the form of trauma, the severity of each trauma, the range of traumas, and overall severity of childhood trauma. Childhood traumas were incredibly prevalent in this population. All childhood traumas were associated with a range of HIV-risk behaviours. This was for the ever/never trauma, as well as the severity of each type of trauma, the range of trauma, and overall severity of childhood trauma. Despite the wider harsh contexts of urban informal settlements, childhood traumas still play a significant role in shaping subsequent HIV-risk behaviours amongst young people. Interventions to reduce childhood traumas for populations in informal settlements need to be developed. In addition, trauma focused therapies need to be considered as part of wider HIV-prevention interventions for young adults.ClinicalTrials.gov NCT03022370.http://europepmc.org/articles/PMC5889178?pdf=render
spellingShingle Andrew Gibbs
Kristin Dunkle
Laura Washington
Samantha Willan
Nwabisa Shai
Rachel Jewkes
Childhood traumas as a risk factor for HIV-risk behaviours amongst young women and men living in urban informal settlements in South Africa: A cross-sectional study.
PLoS ONE
title Childhood traumas as a risk factor for HIV-risk behaviours amongst young women and men living in urban informal settlements in South Africa: A cross-sectional study.
title_full Childhood traumas as a risk factor for HIV-risk behaviours amongst young women and men living in urban informal settlements in South Africa: A cross-sectional study.
title_fullStr Childhood traumas as a risk factor for HIV-risk behaviours amongst young women and men living in urban informal settlements in South Africa: A cross-sectional study.
title_full_unstemmed Childhood traumas as a risk factor for HIV-risk behaviours amongst young women and men living in urban informal settlements in South Africa: A cross-sectional study.
title_short Childhood traumas as a risk factor for HIV-risk behaviours amongst young women and men living in urban informal settlements in South Africa: A cross-sectional study.
title_sort childhood traumas as a risk factor for hiv risk behaviours amongst young women and men living in urban informal settlements in south africa a cross sectional study
url http://europepmc.org/articles/PMC5889178?pdf=render
work_keys_str_mv AT andrewgibbs childhoodtraumasasariskfactorforhivriskbehavioursamongstyoungwomenandmenlivinginurbaninformalsettlementsinsouthafricaacrosssectionalstudy
AT kristindunkle childhoodtraumasasariskfactorforhivriskbehavioursamongstyoungwomenandmenlivinginurbaninformalsettlementsinsouthafricaacrosssectionalstudy
AT laurawashington childhoodtraumasasariskfactorforhivriskbehavioursamongstyoungwomenandmenlivinginurbaninformalsettlementsinsouthafricaacrosssectionalstudy
AT samanthawillan childhoodtraumasasariskfactorforhivriskbehavioursamongstyoungwomenandmenlivinginurbaninformalsettlementsinsouthafricaacrosssectionalstudy
AT nwabisashai childhoodtraumasasariskfactorforhivriskbehavioursamongstyoungwomenandmenlivinginurbaninformalsettlementsinsouthafricaacrosssectionalstudy
AT racheljewkes childhoodtraumasasariskfactorforhivriskbehavioursamongstyoungwomenandmenlivinginurbaninformalsettlementsinsouthafricaacrosssectionalstudy