TY - JOUR PY - 2015// TI - 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 U.S. cities JO - American journal of public health A1 - Williams, John K. A1 - Wilton, Leo A1 - Magnus, Manya A1 - Wang, Lei A1 - Wang, Jing A1 - Dyer, Typhanye Penniman A1 - Koblin, Beryl A. A1 - Hucks-Ortiz, Christopher A1 - Fields, Sheldon D. A1 - Shoptaw, Steve A1 - Stephenson, Rob A1 - O'Cleirigh, Conall A1 - Cummings, Vanessa SP - 2473 EP - 2481 VL - 105 IS - 12 N2 - 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. (Am J Public Health. Published online ahead of print October 15, 2015: e1-e9. doi:10.2105/AJPH.2015.302878).

Language: en

LA - en SN - 0090-0036 UR - http://dx.doi.org/10.2105/AJPH.2015.302878 ID - ref1 ER -