儿童性虐待(CSA)与成年期的物质使用和物质使用障碍有关。然而,在HIV感染者(OALH)的老年人中,关于CSA与阿片类药物使用之间关系的研究有限.因此,本研究的目的是确定OALH中CSA与阿片类药物使用之间的关联(n=91).数据是使用纸笔从南卡罗来纳州的HIV诊所人群中获得的,和在线问卷调查。CSA使用早期创伤清单自我报告表中的六个问题进行了操作(是与No).阿片类药物使用是阿片类药物使用的自我报告,包括:海洛因,芬太尼,奥施康定,维柯丁,可待因,吗啡(使用vs.从未使用过)。使用嵌套的粗和多变量逻辑回归模型来调整社会人口统计学混杂因素,以确定CSA和阿片类药物使用之间的关联。在适应比赛后,性别,年龄,和教育,与未暴露于CSA的OALH相比,CSA幸存者OALH目前使用阿片类药物的可能性高21倍(调整后OR:21.1;95%CI:1.78-250.0)。CSA病史与阿片类药物使用之间的关联可能是由于OALH中未解决的创伤。针对CSA的创伤知情干预措施可能有助于减少OALH中的阿片类药物使用。
Childhood sexual abuse (CSA) has been linked to substance use and substance use disorders in adulthood. However, there have been limited studies examining the relationship between CSA and opioid use among older adults living with HIV (OALH). Therefore, the aim of this study was to determine the association between CSA and opioid use among OALH (n = 91). Data were obtained from an HIV clinic population in South Carolina using paper-and-pen, and online questionnaires. CSA was operationalized using six questions from the Early Trauma Inventory-Self Report Form (Yes vs. No). Opioid use was self-report of the use of opioids including: heroin, fentanyl, Oxycontin, Vicodin, codeine, morphine (used vs. never used). Nested crude and multivariable logistic regression models adjusting for sociodemographic confounders were used to determine the association between CSA and opioid use. After adjusting for race, gender, age, and education, OALH who were CSA survivors were 21 times more likely to currently use opioids compared to OALH who were not exposed to CSA (adjusted OR: 21.1; 95% CI: 1.78-250.0). The association seen between CSA history and opioid use may be due to unresolved trauma among OALH. Trauma-informed interventions addressing CSA may help to reduce opioid use among OALH.