Childhood Sexual Abuse and HIV Risk Among Men Who Have Sex with Men: Initial Test of a Conceptual Model

2006 ◽  
Vol 21 (4) ◽  
pp. 263-270 ◽  
Author(s):  
Cheryl Gore-Felton ◽  
Seth C. Kalichman ◽  
Michael J. Brondino ◽  
Eric G. Benotsch ◽  
Marjorie Cage ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Conceptual Model ◽  
Hiv Risk ◽  
Initial Test ◽  
Sex With Men

scholarly journals The prevalence and impact of childhood sexual abuse on HIV-risk behaviors among men who have sex with men (MSM) in India

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Cecilia Tomori ◽  
Allison M. McFall ◽  
Aylur K. Srikrishnan ◽  
Shruti H. Mehta ◽  
Nymisha Nimmagadda ◽  
...  
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Risk Behaviors ◽  
Hiv Risk ◽  
Hiv Risk Behaviors ◽  
Sex With Men

scholarly journals Application of the “syndemics” theory to explain unprotected sex and transactional sex: A crosssectional study in men who have sex with men (MSM), transgender women, and non-MSM in Colombia

Biomédica ◽  
2020 ◽  
Vol 40 (2) ◽  
pp. 391-403
Author(s):  
Beatriz Alvarado ◽  
Hector Fabio Mueses ◽  
Jaime Galindo ◽  
Jorge Luis Martínez-Cajas
Keyword(s):  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Alcohol Use ◽  
Hiv Risk ◽  
Illicit Drug ◽  
Transgender Women ◽  
Unprotected Sex ◽  
Transactional Sex ◽  
Psychosocial Conditions ◽  
Sex With Men

Introduction: Men who have sex with men (MSM) and transgender women (TW) in Colombia are highly affected by HIV. To improve understanding of the role of HIV risk behaviors in HIV acquisition, we used the syndemic framework, a useful concept to inform prevention efforts.Objective: To examine the effect of four psychosocial conditions, namely, forced sex, history of childhood sexual abuse, frequent alcohol use, and illicit drug use on unprotected sex and the synergistic effects (“syndemic” effects) of these conditions on HIV risk behavior.Materials and methods: We enrolled a total of 812 males (54.7% men who have sex with men, MSM; 7.3% transgender women, and 38% non-MSM). The participants were recruited from neighborhoods of low socioeconomic status through free HIV-counseling and -testing campaigns. We performed Poisson regression analysis to test the associations and interactions between the four psychosocial conditions and unprotected sex with regular, occasional, and transactional partners. To test the “syndemic” model, we assessed additive and multiplicative interactions.Results: The prevalence of any psychosocial condition was 94.9% in transgender women, 60.1% in MSM, and 72.2% in non-MSM. A higher likelihood of transactional sex was associated in MSM (prevalence ratio (PR)=7.41, p<0.001) and non-MSM (PR=2.18, p< 0.001) with three or all four conditions compared to those with one condition. Additive interactions were present for all combinations of psychosocial problems on transactional sex n MSM. No cumulative effect or additive interaction was observed in transgender women.Conclusions: Our study highlights the need for bundled mental health programs addressing childhood sexual abuse, illicit drug use, and frequent alcohol use with other HIV prevention programs.

scholarly journals Self-Reported Sexual Behavioral Similarities and Differences Among Young Men Who Have Sex With Men With Childhood Sexual Abuse Histories: A Qualitative Exploratory Study

2020 ◽  
Vol 14 (4) ◽  
pp. 155798832094935
Author(s):  
Roberta E. Emetu ◽  
William L. Yarber ◽  
Catherine M. Sherwood-Laughlin ◽  
Alexis S. Brandt
Keyword(s):  
Sexual Abuse ◽  
Sexual Behavior ◽  
Childhood Sexual Abuse ◽  
Sexual Behaviors ◽  
Young Men ◽  
Anal Intercourse ◽  
Casual Sex ◽  
Unprotected Sex ◽  
History Of ◽  
Sex With Men

Young men who have sex with men (YMSM) have the highest burden of sexually transmitted infections (STIs), including HIV. Childhood sexual abuse (CSA) is a risk factor for high-risk sexual behavior and STI acquisition. Studies that have explored sexual behavior based on the type of reported sexual abuse are limited. This study aimed to further understand current sexual behaviors and perceptions among YMSM that have experienced different types of CSA. Sixteen YMSM who were survivors of CSA were interviewed utilizing a phenomenological conceptual framework and methodology. Thematic findings were divided into two parts. Part I gave an overview of the entire sample, and themes were as follows: unprotected oral sex used to evaluate penile abnormalities, trust promoting unprotected sex, and alcohol and other drugs not cited as the reason for casual sex. Part II demonstrated the differences among those with a history of CSA involving non-penile–anal intercourse and those with a history of CSA involving penile–anal intercourse. The major themes in Part II were that victims of CSA involving penile–anal intercourse reported the following: a hypersexual self-definition, an STI diagnosis and noncondom use history, and a third sexual partner during sexual activity. Based on the findings, early life experiences such as CSA should be considered when developing preventative sexual health strategies and individuals who experienced penetrative sexual abuse may have different needs which should be further explored.

History of Childhood Sexual Abuse as a Risk Factor for HIV Risk Behavior

2006 ◽  
Vol 5 (3) ◽  
pp. 13-32 ◽  
Author(s):  
Robert Malow ◽  
Jessy Dévieux ◽  
Barbara A. Lucenko
Keyword(s):  
Sexual Abuse ◽  
Risk Factor ◽  
Childhood Sexual Abuse ◽  
Risk Behavior ◽  
Hiv Risk ◽  
Hiv Risk Behavior ◽  
History Of Childhood ◽  
History Of

scholarly journals Understanding the Impact of Childhood Sexual Abuse on Men�s Risk Behavior: Protocol for a Mixed-Methods Study (Preprint)

2017 ◽  
Author(s):  
Martin J Downing Jr ◽  
Dominique Brown ◽  
Jeffrey Steen ◽  
Ellen Benoit
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
Sexual Abuse ◽  
Childhood Sexual Abuse ◽  
Substance Abuse Treatment ◽  
Service Providers ◽  
Latino Men ◽  
Sex With Men ◽  
Abuse Treatment ◽  
Black And Latino

BACKGROUND Childhood sexual abuse (CSA) remains a critical public health issue among black and Latino men who have sex with men (MSM), as it is associated with multiple negative outcomes including substance misuse, poor mental health, revictimization, and high-risk sexual behavior. Most CSA research with MSM relies on quantitative assessment that often precludes consideration of cultural variations in how formative sexual experiences are understood and is based on inconsistent or overly restrictive definitions of abuse, and therefore may fail to detect certain abusive experiences (eg, those involving female perpetrators), which can have harmful health consequences if they remain unrecognized. OBJECTIVE The objective of this study is to overcome existing limitations in the literature by drawing on perspectives of black and Latino MSM and men who have sex with men and women (MSMW), as well as relevant service providers to better understand the role of, and the need to include, sexual abuse histories (eg, CSA) in treatment and counseling settings, with the long-term goal of improving assessment and health outcomes. METHODS We will conduct mixed-methods interviews, framed by an intersectionality approach, with 80 black and Latino men (40 MSM and 40 MSMW) in New York City (NYC), exploring appraisals of their formative sexual experiences, including those described as consensual but meeting criteria for CSA. We will also interview 30 local service providers representing substance abuse treatment, mental health care, and HIV prevention and outreach. RESULTS The study was launched in May 2017. CONCLUSIONS This formative research will inform testable approaches to assessing and incorporating sexual abuse history into substance abuse treatment and other health and mental health services used by men with such histories.

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