Relation of Childhood Sexual Abuse, Intimate Partner Violence, and Depression to Risk Factors for HIV Among Black Men Who Have Sex With Men in 6 US Cities
Autor: | Conall O'Cleirigh, Vanessa Cummings, Leo Wilton, Jing Wang, Rob Stephenson, Christopher Hucks-Ortiz, Manya Magnus, John K. Williams, Lei Wang, Sheldon D. Fields, Beryl A. Koblin, Typhanye Dyer, Steve Shoptaw |
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Rok vydání: | 2015 |
Předmět: |
Child abuse
Adult Male medicine.medical_specialty Adolescent Urban Population Research and Practice Intimate Partner Violence HIV Infections Men who have sex with men Young Adult Unsafe Sex Risk Factors medicine Humans Homosexuality Male Psychological abuse Psychiatry Child business.industry Depression Adult Survivors of Child Abuse Public Health Environmental and Occupational Health virus diseases Child Abuse Sexual Middle Aged United States Black or African American Physical abuse Sexual abuse Child sexual abuse Domestic violence business Demography |
Zdroj: | American journal of public health. 105(12) |
ISSN: | 1541-0048 |
Popis: | Objectives. We assessed the relation of childhood sexual abuse (CSA), intimate partner violence (IPV), and depression to HIV sexual risk behaviors among Black men who have sex with men (MSM). Methods. Participants were 1522 Black MSM recruited from 6 US cities between July 2009 and December 2011. Univariate and multivariable logistic regression models were used. Results. Participants reported sex before age 12 years with someone at least 5 years older (31.1%), unwanted sex when aged 12 to 16 years (30%), IPV (51.8%), and depression (43.8%). Experiencing CSA when aged 12 to 16 years was inversely associated with any receptive condomless anal sex with a male partner (adjusted odds ratio [AOR] = 0.50; 95% confidence interval [CI] = 0.29, 0.86). Pressured or forced sex was positively associated with any receptive anal sex (AOR = 2.24; 95% CI = 1.57, 3.20). Experiencing CSA when younger than 12 years, physical abuse, emotional abuse, having been stalked, and pressured or forced sex were positively associated with having more than 3 male partners in the past 6 months. Among HIV-positive MSM (n = 337), CSA between ages 12 and 16 years was positively associated with having more than 3 male partners in the past 6 months. Conclusions. Rates of CSA, IPV, and depression were high, but associations with HIV sexual risk outcomes were modest. |
Databáze: | OpenAIRE |
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