TY  - JOUR
PY  - 2023//
TI  - Exploring the long-term sequelae of childhood sexual abuse on risky sexual behavior among Chinese transgender women
JO  - Frontiers in psychology
A1  - Chen, Yingjie
A1  - Chang, Ruijie
A1  - Hu, Fan
A1  - Xu, Chen
A1  - Yu, Xiaoyue
A1  - Liu, Shangbin
A1  - Xia, Danni
A1  - Chen, Hui
A1  - Wang, Rongxi
A1  - Liu, Yujie
A1  - Ge, Xin
A1  - Ma, Tiecheng
A1  - Wang, Ying
A1  - Cai, Yong
SP  - e1057225
EP  - e1057225
VL  - 14
IS  - 
N2  - INTRODUCTION: Childhood sexual abuse (CSA) is a hidden but serious public health issue that can lead to a series of behavioral consequences and health problems in adulthood. It has been well documented that transgender women (TGW) have a high prevalence of CSA victimization. Moreover, risky sexual behaviors are also widespread among TGW; nevertheless, research investigating the associations between CSA victimization and risky sexual behaviors in TGW represents a gap in the literature. <br><br>METHODS: Our research was carried out mainly in Shenyang of China from November 2018 to January 2019. Sociodemographic characteristics, as well as information on participants' HIV awareness and sexual behaviors, were collected through face-to-face interviews. The impact of CSA was examined through hierarchical logistic regression, adjusted for sociodemographic factors and HIV awareness. <br><br>RESULTS: In the sample of 247 adult TGW, 14.2% of them had a CSA history. In the previous 6 months, 30.8% of the participants reported condomless anal intercourse (CAI) and 38.5% of them had multiple sexual partners (MSP). The findings demonstrated that TGW with CSA history were more likely to take part in CAI (p = 0.001, OR = 4.252) or have MSP (p = 0.004, OR = 3.260) in adulthood. Furthermore, HIV knowledge was not a predictor of CAI or MSP, but higher HIV risk perception was associated with a greater probability of CAI. <br><br>CONCLUSION: Transgender women with a history of CSA were more prone to engage in CAI and have MSP in China.<p />  <p>Language: en</p>
LA  - en
SN  - 1664-1078
UR  - http://dx.doi.org/10.3389/fpsyg.2023.1057225
ID  - ref1
ER  -