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*, Leo Wilton, Manya Magnus, Lei Wang, Jing Wang, Typhanye Penniman Dyer, Beryl A. Koblin, Christopher Hucks-Ortiz, Sheldon D. Fields, Steve Shoptaw, Rob Stephenson, Conall O'Cleirigh, Vanessa Cummings, Carlos Del Rio, Paula Frew, Christin Root, Jermel L. Wallace, Kenneth Mayer, Benjamin Perkins, Kelvin PowellBenny Vega, Alan Greenberg, Jeanne Jordan, Irene Kuo, Gregory Phillips, Christopher Watson, Sharon Mannheimer, Avelino Loquere, Krista Goodman, Hong Van Tieu, Susan P. Buchbinder, Michael Arnold, Chadwick Campbell, Mathew Sanchez, Jackie Benavente, Christopher Blades, Gregory Victorianne, Demetria Villanueva, Sam Griffith, Erica Hamilton, Lashawn Jones, Georgette King, Jonathan Paul Lucas, Teresa Nelson, Sue Eshleman, Corey Kelly, Ting Yuan Liu, Jane Bupp, Vanessa Elharrar, HIV Prevention Trials Network 061 Study Team

*Corresponding author for this work

Research output: Contribution to journalArticle

27 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)2473-2481
Number of pages9
JournalAmerican journal of public health
Volume105
Issue number12
DOIs
StatePublished - Dec 2015

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ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Williams, J. K., Wilton, L., Magnus, M., Wang, L., Wang, J., Dyer, T. P., Koblin, B. A., Hucks-Ortiz, C., Fields, S. D., Shoptaw, S., Stephenson, R., O'Cleirigh, C., Cummings, V., Del Rio, C., Frew, P., Root, C., Wallace, J. L., Mayer, K., Perkins, B., ... HIV Prevention Trials Network 061 Study Team (2015). 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. American journal of public health, 105(12), 2473-2481. https://doi.org/10.2105/AJPH.2015.302878