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Psychological Trauma and PTSD in HIV-Positive Women: A Meta-Analysis
Abstract
Women bear an increasing burden of the HIV epidemic and face high rates of morbidity and mortality. Trauma has been increasingly associated with the high prevalence and poor outcomes of HIV in this population. This meta-analysis estimates rates of psychological trauma and posttraumatic stress disorder (PTSD) in HIV-positive women from the United States. We reviewed 9,552 articles, of which 29 met our inclusion criteria, resulting in a sample of 5,930 individuals. The findings demonstrate highly disproportionate rates of trauma exposure and recent PTSD in HIV-positive women compared to the general population of women. For example, the estimated rate of recent PTSD among HIV-positive women is 30.0% (95% CI 18.8-42.7%), which is over five-times the rate of recent PTSD reported in a national sample of women. The estimated rate of intimate partner violence is 55.3% (95% CI 36.1-73.8%), which is more than twice the national rate. Studies of trauma-prevention and trauma-recovery interventions in this population are greatly needed.
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“Women living with HIV are also more likely to be victims of sexual violence and are at higher risk for developing PTSD (Machtinger et al., 2012;Koegler and Kennedy, 2018).”
From Risk and protective factors affecting the symptom trajectory of posttraumatic stress disorder post-rape (2022) · cites this paper as Machtinger et al., 2012
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Metadata
- Authors
- Machtinger, E. L., Wilson, T. C., Haberer, J. E., & Weiss, D. S.
- Affiliations
- University of California, San Francisco (US)
- Massachusetts General Hospital (US)
- Corresponding author
- Machtinger, E. L.
- Venue
- AIDS and Behavior
- Published
- 2012-01-17
- Volume
- 16
- Issue
- 8
- Pages
- 2091-2100
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- OpenAlex
- W2073684472
- Cited by
- 339
- References
- 69
- Citations by year
- 2026: 9 · 2025: 18 · 2024: 15 · 2023: 20 · 2022: 33 · 2021: 36 · 2020: 28 · 2019: 35 · 2018: 23 · 2017: 30 · 2016: 27 · 2015: 29 · 2014: 23 · 2013: 10 · 2012: 3
- FWCI
- 3.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (K24MH087227)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- psychological trauma, post-traumatic stress disorder, women living with HIV, intimate partner violence, trauma exposure
- MeSH terms
- Female, Humans, Interpersonal Relations, Risk Factors, Stress Disorders, Post-Traumatic, United States, Violence, HIV Infections, Prevalence
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