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. 2015 Dec;105(12):2473-81.
doi: 10.2105/AJPH.2015.302878. Epub 2015 Oct 15.

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

John K Williams  1 , Leo Wilton  1 , Manya Magnus  1 , Lei Wang  1 , Jing Wang  1 , Typhanye Penniman Dyer  1 , Beryl A Koblin  1 , Christopher Hucks-Ortiz  1 , Sheldon D Fields  1 , Steve Shoptaw  1 , Rob Stephenson  1 , Conall O'Cleirigh  1 , Vanessa Cummings  1 ; HIV Prevention Trials Network 061 Study Team
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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

John K Williams et al. Am J Public Health. 2015 Dec.

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.

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References

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