Trauma, Mental Health, & Haiti Final Project - Katie Guidera April 2014

6 Table 1. Lead Author; Year Article title Population, Sample Size Key mental health-‐related findings Déviexu, J. G.; 2013 Post-‐traumatic stress disorder symptomatology and alcohol use among HIV-‐seropositive adults in Haiti Adult PLWHA in Haiti (n=104) Malow, R.; 2013 Depression, Substance Adult PLWHA Abuse, and other in Haiti Contextual Predictors of (n=194) Adherence to Antiretroviral Therapy among Haitians -‐ Women, younger participants, those who lost all belongings, & those with greater overall alcohol impact were more likely to report PTSD symptoms -‐ Those more likely to meet PTSD criteria were those who reported feeling a need to cut down on drinking and those who used behavioral disengagement as a coping mechanism -‐ Depression and negative attitudes about ART directly predict poor adherence -‐Partner conflict, maladaptive coping, and alcohol problems predict depression Glémaud, Abuse and mental health M.; 2014 concerns among HIV-‐ infected Haitian women living in the United States Haitian Women LWHA in the United States (n=96) -‐ Women who reported a history of abuse were more likely to report anxiety, depression, and PTSD related to HIV symptoms than those without a history of abuse Ghose, T.; Surviving the Aftershock: 2012 Post-‐earthquake Access and Adherence to HIV Treatment Among Haiti’s Tent Residents Adult PLWHA in Haiti (n=33), Patients at HIV community clinic in IDP camp Malow, R.; 2010 Literature review/Comm entary -‐ Poor living conditions in encampments after the earthquake exacerbated stigma of being HIV positive (thru lack of privacy in camps) and undermined mental health (created life stressors that led to feelings of helplessness, worthlessness, and depression) in a way that negatively affected access and adherence to HAART -‐ There is a need to explore lessons learned from natural disasters and HIV risk, continuity of care, ART maintenance, and existential issues. Trauma-‐ inducing events like rape, domestic violence, and victimization of women are common after natural disasters, as are traumatic effects of homelessness -‐ They expect to find a synergetic relationship between earthquake sequelae and stigma on HIV care delivery, given historical stigma-‐induced barriers to HIV care globally The Impact of Disaster on HIV in Haiti and Priority Areas Related to the Haitian Crisis

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