The adverse impact of exposure to war-related traumatic events on mental health is well documented. Few studies, however, have focused on the impact of exposure to war-related traumatic events on HIV sexual risk behavior in post-conflict countries such as Liberia. We investigated whether exposure to war-related traumatic events was linked to HIV sexual risk behavior, and identified potential mediators of this relationship, including stressful life events, problematic alcohol use, and intimate partner violence (IPV) among women and men in Liberia. Data were collected from a sample of 395 participants in Monrovia, Liberia. Results from the serial multiple mediator model did not support direct or indirect effects between war-related traumatic events and HIV sexual risk behavior among women. For men, we found both direct and indirect effects between war-related traumatic events and HIV sexual risk behavior. Findings from this research highlight the need for trauma-informed HIV prevention strategies in Liberia.

接触战争相关创伤事件对心理健康的不利影响是有据可查的。然而，很少有研究关注利比里亚等冲突后国家暴露于战争相关创伤事件对艾滋病毒性危险行为的影响。我们调查了暴露于战争相关创伤事件是否与艾滋病毒性风险行为有关，并确定了这种关系的潜在调节因素，包括利比里亚女性和男性的压力生活事件、酗酒问题和亲密伴侣暴力 (IPV)。数据收集自利比里亚蒙罗维亚的 395 名参与者样本。串行多重中介模型的结果不支持战争相关创伤事件与女性艾滋病毒性危险行为之间的直接或间接影响。对于男性来说，我们发现战争相关创伤事件与艾滋病毒性危险行为之间存在直接和间接影响。这项研究的结果强调了利比里亚需要制定基于创伤的艾滋病毒预防策略。