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

J.K. Williams, L. Wilton, M. Magnus, L. Wang, J. Wang, T.P. Dyer, B.A. Koblin, C. Hucks-Ortiz, S.D. Fields, S. Shoptaw, R. Stephenson, C. O'Cleirigh, V. Cummings, C. Del Rio, P. Frew, C. Root, J.L. Wallace, K. Mayer, B. Perkins, K. Powell, B. Vega, A. Greenberg, J. Jordan, I. Kuo, G. Phillips , C. Watson, S. Mannheimer, Loquere, A.,, K. Goodman, H. Van Tieu, S.P. Buchbinder, Maik Arnold, C. Campbell, M. Sanchez, J. Benavente, C. Blades, G. Victorianne, D. Villanueva, S. Griffith, E. Hamilton, L. Jones, G. King, J.P. Lucas, T. Nelson, S. Eshleman, C. Kelly, T.-Y. Liu, J. Bupp and V. Elharrar

American Journal of Public Health, 2015, vol. 105, issue 12, 2473-2481

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). 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.

Keywords: adolescent; adult; African American; child; child abuse survivor; child sexual abuse; complication; depression; HIV Infections; human; male; male homosexuality; middle aged; partner violence; psychology; risk factor; statistics and numerical data; United States; unsafe sex; urban population; young adult, Adolescent; Adult; Adult Survivors of Child Abuse; African Americans; Child; Child Abuse, Sexual; Depression; HIV Infections; Homosexuality, Male; Humans; Intimate Partner Violence; Male; Middle Aged; Risk Factors; United States; Unsafe Sex; Urban Population; Young Adult (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2015.302878_1

DOI: 10.2105/AJPH.2015.302878

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