ASSOCIATION BETWEEN HISTORY OF CHILDHOOD SEXUAL ABUSE AND ADULT HIV-RISK SEXUAL-BEHAVIOR IN PUERTO-RICAN MEN WHO HAVE SEX WITH MEN
ASSOCIATION BETWEEN HISTORY OF CHILDHOOD SEXUAL ABUSE AND ADULT HIV-RISK SEXUAL-BEHAVIOR IN PUERTO-RICAN MEN WHO HAVE SEX WITH MEN
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DOI：
10.1016/0145-2134(95)00018-4
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发表时间：
1995-05-01
影响因子：
4.8
通讯作者：
DOLEZAL, C
中科院分区：
文献类型：
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作者：
CARBALLODIEGUEZ, A;DOLEZAL, C
这项研究探讨了在童年时期受到性虐待的同性恋活跃男性是否比没有受到性虐待的男性更有可能从事艾滋病毒风险的性行为。参与者是182名居住在纽约市的波多黎各血统的成年男子，他们与其他男子或男女发生过性关系。使用了定量和定性的探索方法。确定了三组：（a）虐待组（AB），由13岁以前与比自己大至少4岁的伴侣发生性关系、并因这种经历而感到受伤和/或不愿参与的男子组成;（B）愿意/不受伤害组（W），由13岁以前有比自己大的性伴侣、但不因这种经历而感到受伤并愿意参与的男子组成;（c）无老年伴侣组。结果表明，AB组的男性比NOP组的男性更容易进行接受性肛交，并且在没有保护的情况下进行肛交。W组的男性在不安全行为方面介于其他两组之间。年龄和受教育程度是接受肛交和无保护接受肛交的辅助因素。它的结论是，鉴于需要改善艾滋病毒的预防与男性发生性关系的波多黎各男子，在童年的性虐待可能构成一个标志，以确定男性的风险增加。
This study explored whether homosexually active men who were sexually abused in childhood were more likely to engage in HIV-risk sexual behavior than men who were not sexually abused. Participants were 182 adult men of Puerto Rican ancestry living in New York City who had had sex with other men or with men and women. Quantitative and qualitative methods of exploration were used. Three groups were determined: (a) Abuse group (AB), formed by men who before age 13, had sex with a partner at least 4 years their senior and who felt hurt by the experience and/or were unwilling to participate in it; (b) Willing/not hurt group (W), consisting of men who had an older sexual partner before age 13 but did not feel hurt by the experience and were willing to participate; and (c) No-older-partner group (NOP). The results showed that men in the AB group were significantly more likely than men in the NOP group to engage in receptive anal sex and to do so without protection. Men in the W group were ranked between the other two groups in terms of their unsafe behavior. Age and education were cofactors both for receptive anal sex and for unprotected receptive anal sex. It is concluded that given the need to improve HIV prevention among Puerto Rican men who have sex with men, sexual abuse in childhood may constitute a marker to identify men at increased risk.