Understanding childhood sexual abuse as a predictor of sexual risk-taking among men who have sex with men: The Urban Men's Health Study
Understanding childhood sexual abuse as a predictor of sexual risk-taking among men who have sex with men: The Urban Men's Health Study
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DOI：
10.1016/s0145-2134(01)00226-5
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发表时间：
2001-04-01
影响因子：
4.8
通讯作者：
Stall, R
中科院分区：
文献类型：
--
作者：
Paul, JP;Catania, J;Stall, R
目的：探讨男男性接触者(MSM)儿童期性虐待(CSA)的发生率、特点及其与性危险的关系。方法：于1996年11月至1998年2月对2881名城市男男性接触者进行电话抽样调查。访谈涉及了许多健康问题，包括性侵害史。结果：五分之一的人报告了CSA，主要是由非家庭犯罪者造成的。最初的CSA经历的特点是高水平的武力(43%涉及身体力量/武器)和渗透性性行为(78%；46%报告尝试或实际发生肛交)。这类男性比从未被强迫的男性更有可能进行高风险的性行为(与非主要伴侣或与血清不一致的男性进行无保护的肛交)。在多因素分析中，儿童期性胁迫对性风险的影响是通过物质使用、性接触方式和伴侣暴力来调节的，而不是通过成人的性侵害或抑郁来调节的。结论：研究结果是在社会学习理论和过前性风险研究的背景下解释的。男男性接触者中CsA的高风险，可能使这些男性易患HIV性风险模式，因此需要在HIV预防方面采取新的方法。(C)2001爱思唯尔科学有限公司。保留所有权利。
Objective: The prevalence and characteristics of childhood sexual abuse (CSA) among men who have sex with men (MSM), and links with sexual risk are explored. A model linking CSA and sexual risk among MSM is proposed.Method: A telephone probability sample of urban MSM (n = 2881) was recruited and interviewed between November 1996 and February 1998. The interview covered numerous health issues, including history of sexual victimization.Results: One-fifth reported CSA, primarily by non-family perpetrators. Initial CSA experiences are characterized by high levels of force (43% involved physical force/weapons), and penetrative sex (78%; 46% reported attempted or actual anal intercourse). Such men are more likely than never-coerced men to engage in high risk sex (unprotected anal intercourse with a non-primary partner or with a serodiscordant male). In multivariate analyses, the effect of childhood sexual coercion on sexual risk is mediated by substance use, patterns of sexual contacts, and partner violence, but not by adult sexual revictimization or by depression.Conclusions: Findings are interpreted within the context of social learning theory and prior research on sexual risk-taking. The high risk for CSA among MSM, which can predispose such men to patterns of HIV sexual risk, warrants new approacches in HIV prevention. (C) 2001 Elsevier Science Ltd. All rights reserved.