Childhood sexual abuse and HIV risk among men who have sex with men : Initial test of a conceptual model

Childhood sexual abuse has been associated with HIV transmission risk behavior in men who have sex with men. This study examined an adapted model that was originally developed to explain the relationship between childhood sexual abuse & HIV risk behavior among women in a sample of men who have s...

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Veröffentlicht in:Journal of family violence 2006-05, Vol.21 (4), p.263-270
Hauptverfasser: GORE-FELTON, Cheryl, KALICHMAN, Seth C, BRONDINO, Michael J, BENOTSCH, Eric G, CAGE, Marjorie, DIFONZO, Kari
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container_end_page 270
container_issue 4
container_start_page 263
container_title Journal of family violence
container_volume 21
creator GORE-FELTON, Cheryl
KALICHMAN, Seth C
BRONDINO, Michael J
BENOTSCH, Eric G
CAGE, Marjorie
DIFONZO, Kari
description Childhood sexual abuse has been associated with HIV transmission risk behavior in men who have sex with men. This study examined an adapted model that was originally developed to explain the relationship between childhood sexual abuse & HIV risk behavior among women in a sample of men who have sex with men. Men attending a large gay pride event (n=647) completed anonymous surveys that assessed demographic characteristics, childhood sexual abuse, symptoms of dissociation, trauma-related anxiety, borderline personality characteristics, hopelessness, substance use, & sexual risk behavior. A latent variable partial least squares analysis was conducted to test the interrelationships between childhood sexual abuse, exchanging sex for money or drugs, emotional disturbances, drug use, substance use in the context of sexual behavior, & sexual risk behavior. The model fit the data well & accounted for 10% of the total variance in sexual risk behavior. History of childhood sexual abuse predicted exchanging sex for money or drugs & this relationship was partly accounted for by active drug use. Substance use proximal to sexual behavior also emerged as a key factor in predicting sexual risk behavior. Findings from this study, therefore, indicate a direct association between history of child sexual abuse & high risk for HIV infection related to engaging in sex trade. Tables, Figures, References. Adapted from the source document.
doi_str_mv 10.1007/s10896-006-9022-6
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This study examined an adapted model that was originally developed to explain the relationship between childhood sexual abuse & HIV risk behavior among women in a sample of men who have sex with men. Men attending a large gay pride event (n=647) completed anonymous surveys that assessed demographic characteristics, childhood sexual abuse, symptoms of dissociation, trauma-related anxiety, borderline personality characteristics, hopelessness, substance use, & sexual risk behavior. A latent variable partial least squares analysis was conducted to test the interrelationships between childhood sexual abuse, exchanging sex for money or drugs, emotional disturbances, drug use, substance use in the context of sexual behavior, & sexual risk behavior. The model fit the data well & accounted for 10% of the total variance in sexual risk behavior. History of childhood sexual abuse predicted exchanging sex for money or drugs & this relationship was partly accounted for by active drug use. Substance use proximal to sexual behavior also emerged as a key factor in predicting sexual risk behavior. Findings from this study, therefore, indicate a direct association between history of child sexual abuse & high risk for HIV infection related to engaging in sex trade. Tables, Figures, References. 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subjects Acquired Immune Deficiency Syndrome
Anxiety
Biological and medical sciences
Child
Child abuse & neglect
Child Sexual Abuse
Childhood
Childhood Factors
Childhood sexual abuse
Gays & lesbians
Health
Health behavior
HIV
Homosexuality
Homosexuals
Human immunodeficiency virus
Human viral diseases
Infectious diseases
Medical sciences
Men
Mental health
Psychology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Risk
Risk behaviour
Risk factors
Safe sexual practices
Sex crimes
Sex industry
Sexual abuse
Sexual Behavior
Sexually transmitted diseases
Trauma
Victimology
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
title Childhood sexual abuse and HIV risk among men who have sex with men : Initial test of a conceptual model
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