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Published in: AIDS and Behavior 8/2011

01-11-2011 | Original Paper

The Effects of Traumatic Stressors and HIV-Related Trauma Symptoms on Health and Health Related Quality of Life

Authors: Vienna R. Nightingale, Tamara G. Sher, Melissa Mattson, Sarah Thilges, Nathan B. Hansen

Published in: AIDS and Behavior | Issue 8/2011

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Abstract

The study identified relations among traumatic stressors, HIV-related trauma symptoms, comorbid medical conditions, and health related quality of life (HRQL) in individuals with HIV. Participants (N = 118) completed a structured clinical interview on HIV as a traumatic stressor and other severe traumatic stressors and completed the Impact of Event Scale to assess HIV-related trauma symptoms and the Medical Outcomes Study 36-item Short Form (SF-36) to assess HRQL. Medical chart reviews determined comorbid conditions. Path analysis findings indicated participants with prior severe traumatic stressors experienced their HIV diagnosis as traumatic and in turn were more likely to have current HIV-related trauma symptoms which were negatively related to HRQL. HIV as a traumatic stressor was related to coronary artery diseases and HRQL. Traumatic stressors and HIV-related trauma symptoms impact health in individuals with HIV and highlight the need for psychological interventions prior to diagnosis and throughout treatment.
Literature
1.
go back to reference Hariri S, McKenna MT. Epidemiology of human immunodeficiency virus in the United States. Clin Microbiol Rev. 2007;20:478–88.PubMedCrossRef Hariri S, McKenna MT. Epidemiology of human immunodeficiency virus in the United States. Clin Microbiol Rev. 2007;20:478–88.PubMedCrossRef
2.
go back to reference Hansen NB, Vaughan EL, Cavanaugh CE, Connell CM, Sikkema KJ. Health-related quality of life in bereaved HIV-positive adults: relationships between HIV symptoms, grief, social support, and Axis II indication. Health Psychol. 2009;13:375–84. Hansen NB, Vaughan EL, Cavanaugh CE, Connell CM, Sikkema KJ. Health-related quality of life in bereaved HIV-positive adults: relationships between HIV symptoms, grief, social support, and Axis II indication. Health Psychol. 2009;13:375–84.
3.
go back to reference Perez IR, Bano JR, Lopez Ruz MA, et al. Health-related quality of life of patients with HIV: impact of sociodemographic, clinical, and psychosocial factors. Qual Life Res. 2005;14:1301–10.CrossRef Perez IR, Bano JR, Lopez Ruz MA, et al. Health-related quality of life of patients with HIV: impact of sociodemographic, clinical, and psychosocial factors. Qual Life Res. 2005;14:1301–10.CrossRef
4.
go back to reference Adeyemi O, Vibhakar S, Max B. Are we meeting the American Diabetes Association goals for HIV-infected patients with diabetes mellitus? Clin Infect Dis. 2009;49(5):799–802.PubMedCrossRef Adeyemi O, Vibhakar S, Max B. Are we meeting the American Diabetes Association goals for HIV-infected patients with diabetes mellitus? Clin Infect Dis. 2009;49(5):799–802.PubMedCrossRef
5.
go back to reference Campbell LJ, Ibrahim F, Fisher M, Holt SG, Hendry BM, Post FA. Spectrum of chronic kidney disease in HIV-infected patients. HIV Med. 2009;10(6):329–36.PubMedCrossRef Campbell LJ, Ibrahim F, Fisher M, Holt SG, Hendry BM, Post FA. Spectrum of chronic kidney disease in HIV-infected patients. HIV Med. 2009;10(6):329–36.PubMedCrossRef
6.
go back to reference John L, Sotirios T, Ignatios I, et al. HIV-positive patients treated with protease inhibitors have vascular changes resembling those observed in atherosclerotic cardiovascular disease. Clin Sci. 2008;115(6):189–96.CrossRef John L, Sotirios T, Ignatios I, et al. HIV-positive patients treated with protease inhibitors have vascular changes resembling those observed in atherosclerotic cardiovascular disease. Clin Sci. 2008;115(6):189–96.CrossRef
7.
go back to reference Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 Health Survey: Manual and Interpretation Guide. Boston: Health Institute; 1993. Ware JE, Snow KK, Kosinski M, Gandek B. SF-36 Health Survey: Manual and Interpretation Guide. Boston: Health Institute; 1993.
8.
go back to reference der Kolk IM, Sprangers MAG, Prins JM, Smit C, de Wolf F, Nieuwkerk PT. Health-related quality of life and survival among HIV-infected patients receiving highly active antiretroviral therapy: a study of patients in the AIDS therapy evaluation in the Netherlands (ATHENA) cohort. Clin Infect Dis. 2010;50(2):255–63.CrossRef der Kolk IM, Sprangers MAG, Prins JM, Smit C, de Wolf F, Nieuwkerk PT. Health-related quality of life and survival among HIV-infected patients receiving highly active antiretroviral therapy: a study of patients in the AIDS therapy evaluation in the Netherlands (ATHENA) cohort. Clin Infect Dis. 2010;50(2):255–63.CrossRef
9.
go back to reference Vidrine DJ, Amick BC, Gritz ER, Arduino RA. Assessing a conceptual framework of health-related quality of life in a HIV/AIDS population. Qual Life Res. 2005;14(4):923–33.PubMedCrossRef Vidrine DJ, Amick BC, Gritz ER, Arduino RA. Assessing a conceptual framework of health-related quality of life in a HIV/AIDS population. Qual Life Res. 2005;14(4):923–33.PubMedCrossRef
10.
go back to reference Hays RD, Cunningham WE, Sherbourne CD, et al. Health related quality of life in patients with human immunodeficiency virus infection in the United States. Results from the HIV cost and service utilization study. Am J Med. 2000;108(9):714–22.PubMedCrossRef Hays RD, Cunningham WE, Sherbourne CD, et al. Health related quality of life in patients with human immunodeficiency virus infection in the United States. Results from the HIV cost and service utilization study. Am J Med. 2000;108(9):714–22.PubMedCrossRef
11.
go back to reference Schnurr PP, Lunney CA, Bovin MJ, Marx BP. Posttraumatic stress disorder and quality of life: extension of findings to veterans of the wars in Iraq and Afghanistan. Clin Psychol Rev. 2009;29(8):727–35.PubMedCrossRef Schnurr PP, Lunney CA, Bovin MJ, Marx BP. Posttraumatic stress disorder and quality of life: extension of findings to veterans of the wars in Iraq and Afghanistan. Clin Psychol Rev. 2009;29(8):727–35.PubMedCrossRef
12.
go back to reference Cavanaugh CE, Hansen NB, Sullivan TP. HIV sexual risk behavior among low-income women experiencing intimate partner violence: the role of posttraumatic stress disorder. AIDS Behav. 2010;14:318–27.PubMedCrossRef Cavanaugh CE, Hansen NB, Sullivan TP. HIV sexual risk behavior among low-income women experiencing intimate partner violence: the role of posttraumatic stress disorder. AIDS Behav. 2010;14:318–27.PubMedCrossRef
13.
go back to reference Pence BW, Reif S, Whetten K, et al. Minorities, the poor, and survivors of abuse: HIV-infected patients in the US deep south. South Med J. 2007;100(11):1114–22.PubMedCrossRef Pence BW, Reif S, Whetten K, et al. Minorities, the poor, and survivors of abuse: HIV-infected patients in the US deep south. South Med J. 2007;100(11):1114–22.PubMedCrossRef
14.
go back to reference Plotzker RE, Metzger DS, Holmes WC. Childhood sexual and physical abuse histories, PTSD, depression, and HIV risk outcomes in women injection drug users: a potential mediating pathway. Am J Addict. 2007;16:431–8.PubMedCrossRef Plotzker RE, Metzger DS, Holmes WC. Childhood sexual and physical abuse histories, PTSD, depression, and HIV risk outcomes in women injection drug users: a potential mediating pathway. Am J Addict. 2007;16:431–8.PubMedCrossRef
15.
go back to reference Whetten K, Leserman J, Lowe K, et al. Prevalence of childhood sexual abuse and physical trauma in an HIV-positive sample from the deep south. Am J Public Health. 2006;96(6):1028–30.PubMedCrossRef Whetten K, Leserman J, Lowe K, et al. Prevalence of childhood sexual abuse and physical trauma in an HIV-positive sample from the deep south. Am J Public Health. 2006;96(6):1028–30.PubMedCrossRef
16.
go back to reference Hawkins T. Understanding and managing the adverse effects of antiretroviral therapy. Antiviral Res. 2010;85(1):201–9.PubMedCrossRef Hawkins T. Understanding and managing the adverse effects of antiretroviral therapy. Antiviral Res. 2010;85(1):201–9.PubMedCrossRef
17.
go back to reference Lesserman J, Whetten K, Lowe K, Stangl D, Swartz M, Thielman N. How trauma, recent stressful events, and PTSD affect functional health status and health utilization in HIV-infected patients in the south. Psychosom Med. 2005;67:500–7.CrossRef Lesserman J, Whetten K, Lowe K, Stangl D, Swartz M, Thielman N. How trauma, recent stressful events, and PTSD affect functional health status and health utilization in HIV-infected patients in the south. Psychosom Med. 2005;67:500–7.CrossRef
18.
go back to reference Cohen BE, Marmar CR, Neylan TC, Schiller NB, Alt S, Whooley MA. Posttraumatic stress disorder and health-related quality of life in patients with coronary heart disease. Findings from the heart and soul study. Arch Gen Psychiatry. 2009;66:1214–20.PubMedCrossRef Cohen BE, Marmar CR, Neylan TC, Schiller NB, Alt S, Whooley MA. Posttraumatic stress disorder and health-related quality of life in patients with coronary heart disease. Findings from the heart and soul study. Arch Gen Psychiatry. 2009;66:1214–20.PubMedCrossRef
19.
go back to reference Fleming CA, Christiansen D, Nunes D, et al. Health-related quality of life of patients with HIV disease: impact of hepatitis C coinfection. Clin Infect Dis. 2004;38(4):572–8.PubMedCrossRef Fleming CA, Christiansen D, Nunes D, et al. Health-related quality of life of patients with HIV disease: impact of hepatitis C coinfection. Clin Infect Dis. 2004;38(4):572–8.PubMedCrossRef
20.
go back to reference Kalichman SC, Gore-Felton C, Benotsch E, Cage M, Rompa D. Trauma symptoms, sexual behaviors, and substance abuse: correlates of childhood sexual abuse and HIV risks among men who have sex with men. J Child Sex Abus. 2004;13(1):1–15.PubMedCrossRef Kalichman SC, Gore-Felton C, Benotsch E, Cage M, Rompa D. Trauma symptoms, sexual behaviors, and substance abuse: correlates of childhood sexual abuse and HIV risks among men who have sex with men. J Child Sex Abus. 2004;13(1):1–15.PubMedCrossRef
21.
go back to reference Boarts JM, Buckley-Fischer BA, Armelie AP, Bogart LM, Delahanty DL. The impact of HIV diagnosis-related vs. non-diagnosis related trauma on PTSD, depression, medication adherence, and HIV disease markers. J Evid Based Soc Work. 2009;6(1):4–16.PubMedCrossRef Boarts JM, Buckley-Fischer BA, Armelie AP, Bogart LM, Delahanty DL. The impact of HIV diagnosis-related vs. non-diagnosis related trauma on PTSD, depression, medication adherence, and HIV disease markers. J Evid Based Soc Work. 2009;6(1):4–16.PubMedCrossRef
22.
go back to reference Kelly B, Raphael B, Judd F, Kernutt G, Burnett PC, Burrows GD. Posttraumatic stress disorder in response to HIV infection. Gen Hosp Psychiatry. 1998;20:345–52.PubMedCrossRef Kelly B, Raphael B, Judd F, Kernutt G, Burnett PC, Burrows GD. Posttraumatic stress disorder in response to HIV infection. Gen Hosp Psychiatry. 1998;20:345–52.PubMedCrossRef
23.
go back to reference Martin L, Kagee A. Lifetime and HIV-related PTSD among persons recently diagnosed with HIV. AIDS Behav. in press. Martin L, Kagee A. Lifetime and HIV-related PTSD among persons recently diagnosed with HIV. AIDS Behav. in press.
24.
go back to reference Olley BO, Zeier MD, Seedat S, Stein DJ. Post-traumatic stress disorder among recently diagnosed patients with HIV/AID in South Africa. AIDS Care. 2005;17(5):550–7.PubMedCrossRef Olley BO, Zeier MD, Seedat S, Stein DJ. Post-traumatic stress disorder among recently diagnosed patients with HIV/AID in South Africa. AIDS Care. 2005;17(5):550–7.PubMedCrossRef
25.
go back to reference Catz SL, Kalichman SC, Benotsch EG, Miller J, Suarez T. Anticipated psychological impact of receiving medical feedback about HIV treatment outcomes. AIDS Care. 2001;13(5):631–5.PubMedCrossRef Catz SL, Kalichman SC, Benotsch EG, Miller J, Suarez T. Anticipated psychological impact of receiving medical feedback about HIV treatment outcomes. AIDS Care. 2001;13(5):631–5.PubMedCrossRef
26.
go back to reference McEwen BS, Seeman T. Protective and damaging effects of mediators of stress. Elaborating and testing the concepts of allostatisis and allostatic load. Ann NY Acad Sci. 1999;893:30–47.CrossRef McEwen BS, Seeman T. Protective and damaging effects of mediators of stress. Elaborating and testing the concepts of allostatisis and allostatic load. Ann NY Acad Sci. 1999;893:30–47.CrossRef
27.
go back to reference Friedman MJC, Dennis S. Neurobiological and clinical consequences of stress: from normal adaptation to posttraumatic stress disorder. In: Friedman MJC, Schnurr PP, editors. The Relationship Between Trauma, Posttraumatic Stress Disorder and Physical Health. Philidelphia: Lippincott Williams & Wilkins; 1995. p. 507–24. Friedman MJC, Dennis S. Neurobiological and clinical consequences of stress: from normal adaptation to posttraumatic stress disorder. In: Friedman MJC, Schnurr PP, editors. The Relationship Between Trauma, Posttraumatic Stress Disorder and Physical Health. Philidelphia: Lippincott Williams & Wilkins; 1995. p. 507–24.
28.
go back to reference Yehunda R. Biology of posttraumatic stress disorder. J Clin Psychiatry. 2000;61(Suppl 7):14–21. Yehunda R. Biology of posttraumatic stress disorder. J Clin Psychiatry. 2000;61(Suppl 7):14–21.
29.
go back to reference Shrestha NM, Sharma B, Vanmmeren M, et al. Impact of torture on refugees displaced within the developing world: symptomatology among Bhutanese refugees in Nepal. JAMA. 1998;280:443–8.PubMedCrossRef Shrestha NM, Sharma B, Vanmmeren M, et al. Impact of torture on refugees displaced within the developing world: symptomatology among Bhutanese refugees in Nepal. JAMA. 1998;280:443–8.PubMedCrossRef
30.
go back to reference Mollica RF, McInnes K, Poole C, Tor S. Dose-effect relationships of trauma to symptoms of depression and post-traumatic stress disorder among Cambodian survivors of mass violence. Br J Psychiatry. 1998;173:482–8.PubMedCrossRef Mollica RF, McInnes K, Poole C, Tor S. Dose-effect relationships of trauma to symptoms of depression and post-traumatic stress disorder among Cambodian survivors of mass violence. Br J Psychiatry. 1998;173:482–8.PubMedCrossRef
31.
go back to reference Dong M, Giles WH, Felititi VJ, Dube SR, Williams JE, Chapman DP, Anda RF. Insights into causal pathways from ischemic heart disease: adverse childhood experiences study. Circulation. 2004;110:1761–6.PubMedCrossRef Dong M, Giles WH, Felititi VJ, Dube SR, Williams JE, Chapman DP, Anda RF. Insights into causal pathways from ischemic heart disease: adverse childhood experiences study. Circulation. 2004;110:1761–6.PubMedCrossRef
32.
go back to reference Lauterbach D, Vora R, Rakow M. The relationship between posttraumatic stress disorder and self-reported health problems. Psychosom Med. 2005;67:939–47.PubMedCrossRef Lauterbach D, Vora R, Rakow M. The relationship between posttraumatic stress disorder and self-reported health problems. Psychosom Med. 2005;67:939–47.PubMedCrossRef
33.
go back to reference Schnurr PP, Green BL. Trauma and Health: Physical Health Consequences of Exposure to Extreme Stress. Washington, DC: American Psychological Association; 2004.CrossRef Schnurr PP, Green BL. Trauma and Health: Physical Health Consequences of Exposure to Extreme Stress. Washington, DC: American Psychological Association; 2004.CrossRef
34.
go back to reference Spitzer C, Barnow S, Volzke H, John U, Freyberger HJ, Grabe HJ. Trauma, posttraumatic stress disorder, and physical illness: findings from the general population. Psychosom Med. 2009;71:1012–7.PubMedCrossRef Spitzer C, Barnow S, Volzke H, John U, Freyberger HJ, Grabe HJ. Trauma, posttraumatic stress disorder, and physical illness: findings from the general population. Psychosom Med. 2009;71:1012–7.PubMedCrossRef
35.
go back to reference Gander MI, von Kanel R. Myocardial infarction and posttraumatic stress disorder: frequency, outcome, and atherosclerotic mechanisms. Eur J Cardiovasc Prev Rehabil. 2006;13:165–72.PubMedCrossRef Gander MI, von Kanel R. Myocardial infarction and posttraumatic stress disorder: frequency, outcome, and atherosclerotic mechanisms. Eur J Cardiovasc Prev Rehabil. 2006;13:165–72.PubMedCrossRef
36.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders, IV. Washington, DC: America Psychiatric Association; 2000. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, IV. Washington, DC: America Psychiatric Association; 2000.
37.
go back to reference Weathers FW, Keane TM. The criterion A problem revisited: controversies and challenges in defining and measuring psychological trauma. J Trauma Stress. 2007;20:107–21.PubMedCrossRef Weathers FW, Keane TM. The criterion A problem revisited: controversies and challenges in defining and measuring psychological trauma. J Trauma Stress. 2007;20:107–21.PubMedCrossRef
38.
go back to reference Horowitz M, Wilner N, Alvarez W. Impact of event scale: a measure of subjective stress. Psychosom Med. 1979;41:209–17.PubMed Horowitz M, Wilner N, Alvarez W. Impact of event scale: a measure of subjective stress. Psychosom Med. 1979;41:209–17.PubMed
39.
go back to reference Gill JM, Szanton S, Taylor TJ, Page GG, Campbell JC. Medical conditions and symptoms associated with posttraumatic stress disorder in low-income urban women. J Womens Health. 2009;18(2):261–7.CrossRef Gill JM, Szanton S, Taylor TJ, Page GG, Campbell JC. Medical conditions and symptoms associated with posttraumatic stress disorder in low-income urban women. J Womens Health. 2009;18(2):261–7.CrossRef
40.
go back to reference Gustavsson-Lilius M, Julkunen J, Heitanen P. Quality of life in cancer patients: the role of optimism, hopelessness, and partner support. Qual Life Res. 2007;16:75–87.PubMedCrossRef Gustavsson-Lilius M, Julkunen J, Heitanen P. Quality of life in cancer patients: the role of optimism, hopelessness, and partner support. Qual Life Res. 2007;16:75–87.PubMedCrossRef
41.
go back to reference SPSS. Statistical package for the social sciences, version 18 (SPSS 18) for Windows. Chicago: SPSS Inc; 2010. SPSS. Statistical package for the social sciences, version 18 (SPSS 18) for Windows. Chicago: SPSS Inc; 2010.
42.
go back to reference AMOS. Analysis of a moment structures, version 17 (AMOS 17) for Windows. Chicago: SPSS Inc; 2009. AMOS. Analysis of a moment structures, version 17 (AMOS 17) for Windows. Chicago: SPSS Inc; 2009.
43.
go back to reference Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6:1–55.CrossRef Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6:1–55.CrossRef
44.
go back to reference Kline RB. Principles and Practice of Structural Equation Modeling. New York: Guilford Press; 1998. Kline RB. Principles and Practice of Structural Equation Modeling. New York: Guilford Press; 1998.
45.
go back to reference Tabachnick BG, Fidell LS. Using Multivariate Statistics. 5th ed. Boston: Allyn and Bacon; 2007. Tabachnick BG, Fidell LS. Using Multivariate Statistics. 5th ed. Boston: Allyn and Bacon; 2007.
46.
go back to reference Lix LM, Kesselman HJ. To trim or not to trim: tests of location equality under heteroscedasticity and nonnormality. Educ Psychol Meas. 1998;58:409–29.CrossRef Lix LM, Kesselman HJ. To trim or not to trim: tests of location equality under heteroscedasticity and nonnormality. Educ Psychol Meas. 1998;58:409–29.CrossRef
47.
go back to reference Glover DA, Stuber M, Poland RE. Allostatic load in women with and without PTSD symptoms. Psychiatr Interpers Biol Process. 2006;69(3):191–203.CrossRef Glover DA, Stuber M, Poland RE. Allostatic load in women with and without PTSD symptoms. Psychiatr Interpers Biol Process. 2006;69(3):191–203.CrossRef
48.
go back to reference Boscarino JA. Posttraumatic stress disorder and physical illness: results from clinical and epidemiologic studies. Ann NY Acad Sci. 2004;1032:141–53.PubMedCrossRef Boscarino JA. Posttraumatic stress disorder and physical illness: results from clinical and epidemiologic studies. Ann NY Acad Sci. 2004;1032:141–53.PubMedCrossRef
49.
go back to reference Morland L, Goebert D, Onove J, et al. Posttraumatic stress disorder and pregnancy health: preliminary update and implications. Psychosomatics. 2007;48(4):304–8.PubMedCrossRef Morland L, Goebert D, Onove J, et al. Posttraumatic stress disorder and pregnancy health: preliminary update and implications. Psychosomatics. 2007;48(4):304–8.PubMedCrossRef
50.
go back to reference Sikkema K. Watt Drabkin Meade Hansen Pence Mental health treatment to reduce HIV transmission risk behavior. AIDS Behav. 2010;14:252–62.PubMedCrossRef Sikkema K. Watt Drabkin Meade Hansen Pence Mental health treatment to reduce HIV transmission risk behavior. AIDS Behav. 2010;14:252–62.PubMedCrossRef
51.
go back to reference Kirk JB, Goetz MB. Human immunodeficiency virus in an aging population, a complication of success. J Am Geriatr Soc. 2009;57(11):2129–38.PubMedCrossRef Kirk JB, Goetz MB. Human immunodeficiency virus in an aging population, a complication of success. J Am Geriatr Soc. 2009;57(11):2129–38.PubMedCrossRef
52.
go back to reference Schnurr PP, Spiro A, Paris AH. Physician-diagnosed medical disorders in Relation to PTSD symptoms in older military veterans. Health Psychol. 2000;19:91–7.PubMedCrossRef Schnurr PP, Spiro A, Paris AH. Physician-diagnosed medical disorders in Relation to PTSD symptoms in older military veterans. Health Psychol. 2000;19:91–7.PubMedCrossRef
53.
go back to reference Safren SA, Gershuny BS, Hendriksen E. Symptoms of posttraumatic stress and death anxiety in persons with HIV and medication adherence difficulties. AIDS Patient Care STDS. 2003;17(12):657–64.PubMedCrossRef Safren SA, Gershuny BS, Hendriksen E. Symptoms of posttraumatic stress and death anxiety in persons with HIV and medication adherence difficulties. AIDS Patient Care STDS. 2003;17(12):657–64.PubMedCrossRef
54.
go back to reference Kagee A. Application of the DSM-IV criteria to the experience of living with AIDS. J Health Psychol. 2008;13(8):1008–11.PubMedCrossRef Kagee A. Application of the DSM-IV criteria to the experience of living with AIDS. J Health Psychol. 2008;13(8):1008–11.PubMedCrossRef
Metadata
Title
The Effects of Traumatic Stressors and HIV-Related Trauma Symptoms on Health and Health Related Quality of Life
Authors
Vienna R. Nightingale
Tamara G. Sher
Melissa Mattson
Sarah Thilges
Nathan B. Hansen
Publication date
01-11-2011
Publisher
Springer US
Published in
AIDS and Behavior / Issue 8/2011
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-9980-4

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