Psychological Pathways from Childhood Sexual and Physical Abuse to HIV/STI Outcomes among Homeless Women: The Role of PTSD and Borderline Personality Disorder Symptoms

摘要

This study examines the psychological factors linking childhood abuse and HIV/STI outcomes among 190 single homeless women in New York City. Participants were assessed for mental health symptoms, sexually transmitted infections, and exposure to childhood sexual and physical abuse. Findings indicate that the relationship between childhood abuse and HIV/STI diagnoses during adulthood is mediated by a combination of PTSD and BPD symptoms. Screening single homeless women who report childhood abuse histories for symptoms of both disorders may aid in the identification of individuals particularly vulnerable for HIV infection. Implications for clinical interventions are discussed.