Sunday, October 18, 2009

History of Childhood Sexual Abuse and Unsafe Anal Intercourse in a Six-City Study of HIV-Positive Men Who Have Sex with Men

Among a population of HIV-positive men who reported unsafe anal intercourse with other men in the preceding year, the authors assessed rates of childhood sexual abuse and its demographic and mental health correlates. The researchers conducted a cross-sectional analysis of baseline data from 593 HIV-positive men who have sex with men (MSM), who were enrolled in the "Positive Connections" intervention.

Forty-seven percent of participants reported childhood sexual abuse, with 32 percent reporting the frequency of abuse was sometimes or often. The MSM reporting abuse were more likely to be Latino (odds ratio [OR]: 2.6; 95 percent confidence interval [CI]=1.6, 4.2; P<.001) or African American (OR=1.8; 95 percent CI=1.2, 2.7; P=.005) than white. Among MSM reporting abuse, 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 to men who were not abused.

"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," the authors concluded. "Our findings suggest that abuse is associated with a significantly increased risk of sexually transmitted infections."

Adapted from:
American Journal of Public Health 06.01.2009; Vol. 99; No. 6: P. 1079-1086; Seth L. Welles, Sc.D., Ph.D.; A. Cornelius Baker, B.A.; Michael H. Miner, Ph.D.; David J. Brennan, Ph.D.; Scott Jacoby, M.A.; B.R. Simon Rosser, Ph.D., M.P.H. This article was provided by U.S. Centers for Disease Control and Prevention. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.

1 comment:

Dr Justin Varney said...

interesting article, and a definite argument for better federal funding for youth support for LGBT youth.

If we had more sustainable youth support agencies then we could intervene early enough potentially to prevent the risk behavior leading to infection and build positive self esteem amongst young gay men that allows them to make empowered decisions in the bedroom and out of it.

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