Childhood sexual abuse in black men who have sex with men: Results from three qualitative studies.

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.

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

BMC Public Health ◽

10.1186/s12889-016-3446-6 ◽

2016 ◽

Vol 16 (1) ◽

Cited By ~ 12

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

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

Journal of Family Violence ◽

10.1007/s10896-006-9022-6 ◽

2006 ◽

Vol 21 (4) ◽

pp. 263-270 ◽

Cited By ~ 26

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

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

10.2196/preprints.9071 ◽

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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