TY - JOUR
T1 - Childhood sexual abuse and HIV-related risks among men who have sex with men in Washington, DC
AU - Phillips, Gregory
AU - Magnus, Manya
AU - Kuo, Irene
AU - Rawls, Anthony
AU - Peterson, James
AU - Montanez, Luz
AU - West-Ojo, Tiffany
AU - Jia, Yujiang
AU - Opoku, Jenevieve
AU - Greenberg, Alan E.
N1 - Funding Information:
Miles of Centers for Disease Control and Prevention; the WORD UP Community Advisory Board Members, and interviewers Matthew Goldshore, Benjamin Takai, Sarah Jackson, Michelle Folkers Cota, Kenny Landgraf, and Mariel Marlow. This study could not have been conducted without the enormous support of our community partners and the venue owners and managers at all the sampled locations. For their participation in and support of NHBS, the study team would like to acknowledge the participants of the study and the citizens of the District of Columbia, without whom this study would not have been possible. This study was funded by the District of Columbia Department of Health (DC DOH), HIV/AIDS, Hepatitis, STD, and TB Administration (HAHSTA), Contract Number DCPO-2011-C-0073, funded in part by Grant Number PS000966-01, from the US Department of Health and Human Services (DHHS)/Centers for Disease Control and Prevention (CDC). All co-authors have reviewed and approved of the final draft of the article, including those from DC DOH/HAHSTA. Under the Partnership contract, DC DOH/HAHSTA had the right to review and approve the article. The content of this publication does not necessarily reflect the views or policies of DHHS/CDC and responsibility for the content rests solely with the authors.
PY - 2014/5
Y1 - 2014/5
N2 - Childhood sexual abuse (CSA) has been reported to be disproportionately higher among men who have sex with men (MSM) than among heterosexual men; it has also been found to be significantly positively associated with HIV status and HIV risk factors, including unprotected anal intercourse. The purpose of this study was to assess the correlates of CSA in a sample of community-recruited MSM, investigate race as a potential effect modifier, and describe the independent association between CSA and HIV infection in Washington, DC. A total of 500 MSM were recruited by venue-based sampling in 2008 as part of the National HIV Behavioral Surveillance. More than one-half of MSM identified as White, while one-third identified as Black. CSA was reported by 17.5 % of the 451 MSM, with the first instance of abuse occurring at a median age of 8.3 (interquartile range = 5.0, 11.0). In multivariable analysis, HIV-positive men were significantly more likely to report a history of CSA compared to HIV-negative men after adjusting for intimate partner violence in the last 12 months, having been arrested in the last 12 months, and depressive symptoms. HIV-positive MSM had more than four times the odds of reporting CSA after controlling for other correlates (aOR = 4.19; 95 % CI 2.26, 7.75). Despite hypothesizing that race modified the effect of CSA on HIV infection we found this was not the case in this sample. More research is needed to investigate the potential pathway between a history of CSA and HIV infection, and how this contributes to driving the HIV epidemic among MSM in Washington, DC.
AB - Childhood sexual abuse (CSA) has been reported to be disproportionately higher among men who have sex with men (MSM) than among heterosexual men; it has also been found to be significantly positively associated with HIV status and HIV risk factors, including unprotected anal intercourse. The purpose of this study was to assess the correlates of CSA in a sample of community-recruited MSM, investigate race as a potential effect modifier, and describe the independent association between CSA and HIV infection in Washington, DC. A total of 500 MSM were recruited by venue-based sampling in 2008 as part of the National HIV Behavioral Surveillance. More than one-half of MSM identified as White, while one-third identified as Black. CSA was reported by 17.5 % of the 451 MSM, with the first instance of abuse occurring at a median age of 8.3 (interquartile range = 5.0, 11.0). In multivariable analysis, HIV-positive men were significantly more likely to report a history of CSA compared to HIV-negative men after adjusting for intimate partner violence in the last 12 months, having been arrested in the last 12 months, and depressive symptoms. HIV-positive MSM had more than four times the odds of reporting CSA after controlling for other correlates (aOR = 4.19; 95 % CI 2.26, 7.75). Despite hypothesizing that race modified the effect of CSA on HIV infection we found this was not the case in this sample. More research is needed to investigate the potential pathway between a history of CSA and HIV infection, and how this contributes to driving the HIV epidemic among MSM in Washington, DC.
KW - Behavioral surveillance
KW - Childhood sexual abuse
KW - HIV
KW - IPV
KW - Men who have sex with men
KW - Sexual orientation
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U2 - 10.1007/s10508-014-0267-5
DO - 10.1007/s10508-014-0267-5
M3 - Article
C2 - 24573398
AN - SCOPUS:84902551005
SN - 0004-0002
VL - 43
SP - 771
EP - 778
JO - Archives of Sexual Behavior
JF - Archives of Sexual Behavior
IS - 4
ER -
