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. Author manuscript; available in PMC: 2023 Dec 1.
Published in final edited form as: AIDS. 2022 Sep 14;36(15):2181–2189. doi: 10.1097/QAD.0000000000003377

Table 2.

Prevalence and association (coefficient and 95% confidence interval) with Follow-up HIV-related behavioral risks by reported baseline lifetime adverse childhood experience among Malawian adolescents (N=1, 878)

Baseline Adverse Childhood Experiences Estimated Associations with Follow-up HIV Behavioral Risks
All Girls Boys
bivariate adjusted bivariate adjusted bivariate adjusted
mean SD
Cumulative ACEs (0–13) 5.08 2.18 0.05*** 0.01 0.06*** 0.04** 0.03 0
[0.03, 0.07] [−0.00, 0.03] [0.04, 0.09] [0.01, 0.06] [−0.00, 0.06] [−0.02, 0.03]
ACE Tertiles n Prop.
 1st Tertile (0–4 ACEs) 804 0.43 - - - - - -
- - - - - -
 2nd Tertile (5–6 ACEs) 563 0.3 0.06 −0.04 0.09 0.01 0 −0.08
[−0.05, 0.17] [−0.14, 0.05] [−0.05, 0.24] [−0.11, 0.14] [−0.16, 0.17] [−0.22, 0.07]
 3rd Tertile (7–13 ACEs) 508 0.27 0.20*** 0.06 0.32*** 0.21** 0.07 −0.02
[0.08, 0.32] [−0.04, 0.16] [0.16, 0.47] [0.07, 0.34] [−0.09, 0.24] [−0.17, 0.13]
Individual ACEs n Prop.
Abuse & Neglect
 Emotional neglect 1,606 0.86 0.22*** 0.05 0.20* 0.05 0.21* 0.08
[0.09, 0.34] [−0.06, 0.15] [0.05, 0.36] [−0.07, 0.17] [0.02, 0.39] [−0.09, 0.24]
 Emotional abuse 991 0.53 0.23*** 0.02 0.26*** 0.15* 0.18* −0.06
[0.13, 0.32] [−0.07, 0.11] [0.14, 0.38] [0.03, 0.26] [0.04, 0.32] [−0.19, 0.08]
 Physical neglect 612 0.33 0.02 0.09* 0.03 0.07 0 0.11
[−0.08, 0.11] [0.00, 0.17] [−0.11, 0.16] [−0.04, 0.18] [−0.14, 0.14] [−0.02, 0.24]
 Physical abuse 997 0.53 −0.02 −0.01 −0.05 0.04 −0.01 −0.05
[−0.12, 0.07] [−0.10, 0.07] [−0.18, 0.07] [−0.06, 0.15] [−0.15, 0.13] [−0.18, 0.07]
 Sexual abuse 121 0.06 0.30** 0.11 0.40** 0.17 0.2 0.09
[0.09, 0.51] [−0.07, 0.29] [0.14, 0.66] [−0.05, 0.39] [−0.14, 0.53] [−0.19, 0.38]
Family Dysfunction
 Substance abuser in household 414 0.22 0.1 0.03 0.06 −0.01 0.12 0.08
[−0.01, 0.21] [−0.07, 0.13] [−0.09, 0.22] [−0.13, 0.11] [−0.04, 0.29] [−0.07, 0.23]
 Someone with mental health issues 114 0.06 0.11 0.08 0.33** 0.21 −0.14 −0.08
[−0.08, 0.30] [−0.09, 0.24] [0.08, 0.57] [−0.00, 0.42] [−0.43, 0.15] [−0.32, 0.16]
 Incarcerated household member 233 0.12 0.19** 0.09 0.39*** 0.25** 0 −0.03
[0.05, 0.34] [−0.03, 0.22] [0.19, 0.60] [0.07, 0.43] [−0.20, 0.20] [−0.21, 0.15]
 Domestic violence 1,096 0.59 0.05 0 0.1 0.04 0.02 −0.02
[−0.04, 0.14] [−0.08, 0.08] [−0.03, 0.23] [−0.06, 0.14] [−0.12, 0.15] [−0.15, 0.10]
 Parents dead or divorced 931 0.5 0.14** 0.03 0.28*** 0.1 0.02 −0.02
[0.05, 0.24] [−0.05, 0.11] [0.15, 0.40] [−0.00, 0.20] [−0.12, 0.15] [−0.14, 0.10]
Peer
 Bullied 588 0.31 0.11* 0.05 0.22** 0.20*** −0.01 −0.03
[0.01, 0.21] [−0.03, 0.14] [0.07, 0.37] [0.08, 0.32] [−0.15, 0.13] [−0.16, 0.10]
Community
 Community violence 1,654 0.88 0.25*** −0.05 0.12 −0.09 0.39*** 0
[0.12, 0.39] [−0.17, 0.06] [−0.05, 0.29] [−0.22, 0.05] [0.19, 0.59] [−0.18, 0.18]
 Collective violence 165 0.09 0.20* 0.06 0.16 0.02 0.25 0.12
[0.03, 0.37] [−0.08, 0.21] [−0.06, 0.38] [−0.16, 0.20] [−0.00, 0.50] [−0.10, 0.35]
*

p<0.05,

**

p<0.01,

***

p<0.001

Control variables in the adjusted models are age, gender, follow-up SES, follow-up marital status, and region