Intervention program needs for older adults living with HIV who are childhood sexual abuse survivors

Brown, Monique J.; Nkwonta, Chigozie A.; Kaur, Amandeep; James, Titilayo; Haider, Mohammad Rifat; Weissman, Sharon; Hansen, Nathan B.; Heckman, Timothy G.; Li, Xiaoming

doi:10.1080/13607863.2021.1998358

Cited by 6 publications

(8 citation statements)

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“…As national staff makes up more than 80% of the humanitarian fieldwork workforce (Stoddard et al, 2019), they can be expected to bear the brunt of sexual harassment and violence, and efforts should be directed toward investigating the incidence of sexual harassment among national staff specifically. In future studies, it would be advisable to also consider the structural context of violence against women in the specific country (Brown et al, 2021). Similarly, sexual harassment toward clients or patients using medical or other aid services requires research attention.…”

Section: Discussionmentioning

confidence: 99%

Incidence and Severity of Sexual Harassment, and its Impact on Mental Health in a Cohort of International Humanitarian Field-Workers

Martinmäki

Jong

Komproe

et al. 2023

J Interpers Violence

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To date, there have been no cohort studies of sexual harassment incidence and its relation to mental health within humanitarian field-workers. Research among numerous occupations suggests an association between workplace sexual harassment and several health complaints. This study examined the incidence and severity of sexual harassment and its association with changes in mental health in a cohort of international humanitarian aid field-workers (iHAWs). Four hundred and seventy-eight iHAWs filled in questionnaires about sexual harassment, depression, anxiety, and Post-Traumatic Stress Disorder (PTSD) as part of a larger study on health and well-being. Six percent of male and 18% of female iHAWs reported experiencing sexual harassment during their latest field assignment, with most reporting low levels of nonphysical forms of sexual harassment. Sexual harassment was predictive of negative changes in both depression and anxiety symptom severity between before and after an assignment for females; for males, it predicted negative changes in PTSD symptom severity. Sexual harassment did not predict utilization of mental healthcare services within 2 months after the end of assignment. The current findings are the first figures derived from a representative sample of iHAWs on the incidence of sexual harassment during a field assignment and show sexual harassment to be a relatively common and present issue. The findings are mostly in line with the extant literature and underscore the importance of attending to the issue of sexual harassment in the humanitarian sector.

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Section: Discussionmentioning

confidence: 99%

Incidence and Severity of Sexual Harassment, and its Impact on Mental Health in a Cohort of International Humanitarian Field-Workers

Martinmäki

Jong

Komproe

et al. 2023

J Interpers Violence

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“…The four team members independently collapsed the codes into themes and subthemes; met to resolve any discrepancies among identified themes and subthemes; and discussed the relationships between themes and subthemes (Brown et al, 2021a), and how well the themes reflect the participant's perspective of HIV disclosure. Our previous work with these data examined intervention program needs for older adults living with HIV who have a history of CSA (Brown et al, 2021a), explored CSA perspectives among older adults living with HIV (Brown et al, 2021b), and assessed psychosocial challenges among the study population (Hart et al, 2022). The reporting of the current study was guided by the Consolidated Criteria for Reporting Qualitative Research (Tong et al, 2007) and focused on HIV disclosure.…”

Section: Discussionmentioning

confidence: 99%

“…Data analysis commenced with reviewing the transcripts. This review was conducted to ensure accurate representation of participants' statements (Brown et al, 2021a). Two authors (T.J. and A.K.)…”

Section: Discussionmentioning

confidence: 99%

“…More than half ( n = 16) of the participants identified as Black, and a quarter ( n = 6) identified as White. Four percent ( n = 1) of the participants identified as Native Hawaiian/Pacific Islander, and the same proportion (4%) identified as American Indian/Alaskan Native and Latinx/Hispanic (Brown et al, 2021a). The Latinx/Hispanic participant also identified as Black.…”

Section: Methodsmentioning

confidence: 99%

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“Keep It to Yourself”: A Qualitative Study of HIV Disclosure Perspectives Among Older Adults Living With HIV in South Carolina Who Are Childhood Sexual Abuse Survivors

Brown¹,

Nkwonta²,

James³

et al. 2022

J Assoc Nurses AIDS Care

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“…This study forms part of a parent study examining the perspectives of aging with HIV within the context of having a CSA history using a phenomenological qualitative research approach (Brown, Nkwonta, James, et al, 2022; Brown, Nkwonta, Kaur, James, Haider, et al, 2022). From October 2019 to February 2020, we conducted cross-sectional, open-ended interviews with OAH receiving ART at an HIV clinic in South Carolina.…”

Section: Methodsmentioning

confidence: 99%

“I Don't Believe That One”: A Qualitative Study of Undetectable = Untransmittable Views Among Older Adults Living With HIV in South Carolina

Addo,

Brown,

Nkwonta

et al. 2024

J Assoc Nurses AIDS Care

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Undetectable = Untransmittable (U = U) means that people with HIV who achieve and maintain an undetectable viral load have effectively zero risk of sexually transmitting the virus to others. However, research on how U = U is perceived by older adults living with HIV (OAH) is currently lacking. This study explored U = U views among OAH. From October 2019 to February 2020, we conducted open-ended interviews with 24 OAH recruited at an HIV clinic in South Carolina. Interviews were audio-recorded and transcribed. We employed thematic analysis in this study. Three themes emerged from the analysis: (a) Conflicting beliefs in U = U; (b) Use condoms regardless; and (c) Fear of HIV reinfection. Despite strong scientific evidence supporting U = U, some OAH do not believe in U = U. This lack of belief could deprive OAH of the benefits U = U offers. Therefore, it is vital to educate OAH about U = U to enhance their understanding and belief in U = U.

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Intervention program needs for older adults living with HIV who are childhood sexual abuse survivors

Cited by 6 publications

References 50 publications

Incidence and Severity of Sexual Harassment, and its Impact on Mental Health in a Cohort of International Humanitarian Field-Workers

Incidence and Severity of Sexual Harassment, and its Impact on Mental Health in a Cohort of International Humanitarian Field-Workers

“Keep It to Yourself”: A Qualitative Study of HIV Disclosure Perspectives Among Older Adults Living With HIV in South Carolina Who Are Childhood Sexual Abuse Survivors

“I Don't Believe That One”: A Qualitative Study of Undetectable = Untransmittable Views Among Older Adults Living With HIV in South Carolina

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