Evidence map›Paper›PMID 31303419›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

The Association of Trauma with the Physical, Behavioral, and Social Health of Women Living with HIV: Pathways to Guide Trauma-informed Health Care Interventions.

Yvette P Cuca, Martha Shumway, Edward L Machtinger, Katy Davis, Naina Khanna, Jennifer Cocohoba, Carol Dawson-Rose

Open access · greenAbstract read
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 58 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Yvette P CucaDepartment of Community Health Systems, UCSF School of Nursing, San Francisco, California. Electronic address: yvette.cuca@ucsf.edu.
Martha ShumwayUCSF School of Medicine, Department of Psychiatry, San Francisco, California.
Edward L MachtingerUCSF Women's HIV Program, San Francisco, California; UCSF Center to Advance Trauma-informed Health Care, UCSF Department of Medicine, San Francisco, California.
Katy DavisUCSF Women's HIV Program, San Francisco, California.
Naina KhannaPositive Women's Network-USA, Oakland, California.
Jennifer CocohobaUCSF Women's HIV Program, San Francisco, California; UCSF School of Pharmacy, San Francisco, California.
Carol Dawson-RoseDepartment of Community Health Systems, UCSF School of Nursing, San Francisco, California.
Unity Health System · USPositive Action · USUniversity of California, San Francisco · US

Funding

HIV/AIDS NURSING CARE AND PREVENTIONT32NR007081 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DAWSON-ROSE, CAROL, VLAHOV, DAVID · 1995 to 2016
$3.8M
NINR NIH HHS T32 NR007081
6 · The paper itself

Abstract

backgroundTrauma is increasingly recognized as a near-universal experience among women living with HIV (WLHIV) and a key contributor to HIV acquisition, morbidity, and mortality.

methodsWe present data from the baseline analysis of a planned intervention trial of the impact of trauma-informed health care on physical, behavioral, and social health outcomes of WLHIV in one clinic, with a particular focus on quality of life and viral suppression. Data were collected through interviewer-administered surveys and electronic health record data abstraction.

resultsAmong 104 WLHIV, 97.1% of participants reported having experienced lifetime trauma, and participants had experienced on average 4.2 out of 10 Adverse Childhood Experiences. WLHIV with more lifetime trauma were significantly more likely to report post-traumatic stress disorder, depression, and anxiety symptoms; significantly more likely to report potentially harmful alcohol and drug use; and had a significantly poorer quality of life. In addition, women who had experienced more lifetime trauma were significantly less likely to report being on and adhering to HIV medications, although trauma was not significantly associated with having an undetectable HIV viral load.

conclusionsThese data suggest that trauma is associated with much of the morbidity and mortality experienced by WLHIV. The results of this study support the implementation and study of trauma-informed approaches to health care for WLHIV.

Indexed as

Adverse Childhood ExperiencesAdultAgedAmbulatory Care FacilitiesAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveAnxietyChildComorbidityDelivery of Health CareDepressionFemaleHIV InfectionsHumansMiddle AgedPhysical ExaminationAnti-HIV Agents

Identifiers

PMID31303419
PMCPMC6755036
OpenAlexW2957004968

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.