Table 2.
Baseline Adverse Childhood Experiences | Estimated Associations with Follow-up HIV Behavioral Risks | |||||||
---|---|---|---|---|---|---|---|---|
All | Girls | Boys | ||||||
bivariate | adjusted | bivariate | adjusted | bivariate | adjusted | |||
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