Childhood sexual abuse and HIV risk among men who have sex with men: Initial test of a conceptual model
Childhood sexual abuse and HIV risk among men who have sex with men: Initial test of a conceptual model
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DOI：
10.1007/s10896-006-9022-6
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发表时间：
2006-05-01
影响因子：
3.8
通讯作者：
DiFonzo, Kari
中科院分区：
文献类型：
--
作者：
Gore-Felton, Cheryl;Kalichman, Seth C.;DiFonzo, Kari
儿童期性虐待与男男性行为中的艾滋病毒传播风险行为有关。这项研究检验了一个经过调整的模型，该模型最初是为了解释在男男性行为的女性样本中儿童期性虐待与艾滋病毒风险行为之间的关系而开发的。参加大型同性恋骄傲活动的男性（n=647）完成了匿名调查，评估了人口统计学特征、童年性虐待、分离症状、创伤相关焦虑、边缘性人格特征、绝望、物质使用和性风险行为。通过潜变量偏最小二乘分析，检验儿童性虐待、性交易、情感障碍、药物使用、性行为背景下的物质使用和性风险行为之间的相互关系。该模型很好地拟合了数据，占性危险行为总方差的10%。儿童期性虐待的历史预示着性交易的金钱或毒品，这种关系部分是由活跃的毒品使用造成的。临近性行为的物质使用也成为预测性危险行为的关键因素。因此，这项研究的结果表明，儿童性虐待史与从事性交易相关的艾滋病毒感染高风险之间存在直接联系。
Childhood sexual abuse has been associated with HIV transmission risk behavior in men who have sex with men. This study examined an adapted model that was originally developed to explain the relationship between childhood sexual abuse and HIV risk behavior among women in a sample of men who have sex with men. Men attending a large gay pride event (n=647) completed anonymous surveys that assessed demographic characteristics, childhood sexual abuse, symptoms of dissociation, trauma-related anxiety, borderline personality characteristics, hopelessness, substance use, and sexual risk behavior. A latent variable partial least squares analysis was conducted to test the interrelationships between childhood sexual abuse, exchanging sex for money or drugs, emotional disturbances, drug use, substance use in the context of sexual behavior, and sexual risk behavior. The model fit the data well and accounted for 10% of the total variance in sexual risk behavior. History of childhood sexual abuse predicted exchanging sex for money or drugs and this relationship was partly accounted for by active drug use. Substance use proximal to sexual behavior also emerged as a key factor in predicting sexual risk behavior. Findings from this study, therefore, indicate a direct association between history of child sexual abuse and high risk for HIV infection related to engaging in sex trade.