Journal article
History of Childhood Sexual Abuse and Unsafe Anal Intercourse in a 6-City Study of HIV-Positive Men Who Have Sex With Men
American journal of public health (1971), v 99(6), pp 1079-1086
Jun 2009
PMID: 19372529
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives.
We assessed rates of childhood sexual abuse and its demographic and mental health correlates among HIV-positive men who reported unsafe anal intercourse with other men in the past year.
Methods
. We conducted a cross-sectional analysis of baseline data from 593 HIV-positive men who have sex with men enrolled in the Positive Connections intervention.
Results
. Childhood sexual abuse was reported by 47% of participants; 32% reported frequency as often or sometimes. Men reporting abuse were more likely to be Latino (odds ratio [OR] = 2.6; 95% confidence interval [CI] = 1.6, 4.2;
P
< .001) or African American (OR = 1.8; 95% CI = 1.2, 2.7;
P
= .005) than White. Among those who were abused, more frequent abuse was associated with more sexual contacts (for each, rate ratio [RR] = 1.3;
P
< .001) and unsafe anal intercourse (often, RR = 1.5; sometimes, RR = 2.0;
P
< .001) compared with men who were not abused.
Conclusions
. History of childhood sexual abuse is highly prevalent among HIV-positive men who engage in risky sexual behavior with other men and appears to be more common among men of color. Our findings suggest that abuse is associated with a significantly increased risk of sexually transmitted infections.
Metrics
Details
- Title
- History of Childhood Sexual Abuse and Unsafe Anal Intercourse in a 6-City Study of HIV-Positive Men Who Have Sex With Men
- Creators
- Seth L WellesA. Cornelius BakerMichael H MinerDavid J BrennanScott JacobyB. R. Simon Rosser
- Publication Details
- American journal of public health (1971), v 99(6), pp 1079-1086
- Publisher
- American Public Health Association
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics
- Web of Science ID
- WOS:000266289300025
- Scopus ID
- 2-s2.0-67049159740
- Other Identifier
- 991014877760904721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health