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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.
- Source :
-
American journal of public health [Am J Public Health] 2015 Dec; Vol. 105 (12), pp. 2473-81. Date of Electronic Publication: 2015 Oct 15. - Publication Year :
- 2015
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Abstract
- 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).<br />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.<br />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.<br />Conclusions: Rates of CSA, IPV, and depression were high, but associations with HIV sexual risk outcomes were modest.
- Subjects :
- Adolescent
Adult
Black or African American psychology
Child
Depression complications
HIV Infections etiology
Homosexuality, Male psychology
Humans
Male
Middle Aged
Risk Factors
United States epidemiology
Unsafe Sex psychology
Urban Population statistics & numerical data
Young Adult
Adult Survivors of Child Abuse statistics & numerical data
Black or African American statistics & numerical data
Child Abuse, Sexual statistics & numerical data
Depression epidemiology
HIV Infections epidemiology
Homosexuality, Male statistics & numerical data
Intimate Partner Violence statistics & numerical data
Unsafe Sex statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1541-0048
- Volume :
- 105
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- American journal of public health
- Publication Type :
- Academic Journal
- Accession number :
- 26469666
- Full Text :
- https://doi.org/10.2105/AJPH.2015.302878