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ArtikelPre-migration Trauma and HIV-risk Behavior  
Oleh: Steel, Jennifer ; Herlitz, Claes ; Matthews, Jesse ; Snyder, Wendy ; Mazzaferro, Kathryn ; Baum, Andy ; Theorell, Tores
Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Transcultural Psychiatry vol. 40 no. 1 (Mar. 2003), page 91–108.
Topik: HIV-risk behavior; immigrants; post-traumatic growth; refugees; trauma
Fulltext: 91TP401.pdf (94.46KB)
Isi artikelThis study examined the relationship between pre-migration trauma and HIV-risk behavior in refugees from sub-Saharan Africa. The sample comprised 122 persons who had emigrated from sub-Saharan Africa and were currently residing in Sweden. Qualitative methods including individual interviews, focus groups, and interviews with key informants addressed questions regarding trauma experience and HIV-risk behavior. A history of pre-migration trauma was found to be associated with HIV-risk behavior. According to the participants, symptoms associated with posttraumatic stress disorder, depression, adjustment disorder, and substance use mediated the relationship between pre-migration trauma and sexual risk behavior. In contrast, a minority of the participants who reported pre-migration trauma but not psychological sequelae, or experienced posttraumatic growth, reported safer sexual practices. It appears that for some individuals, pre-migration trauma resulted in psychiatric sequelae, which may increase an individual's risk to be infected with HIV. Interventions targeted at individuals at increased risk (i.e. pre-migration trauma with unresolved psychiatric symptomatology) may facilitate the prevention of HIV and other sexually transmitted diseases in this population. Integration of multiple psychosocial and health issues is recommended for comprehensive treatment and prevention programs.
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