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 US cities

HIV Prevention Trials Network 061 Study Team

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)2473-2481
Number of pages9
JournalAmerican Journal of Public Health
Volume105
Issue number12
DOIs
StatePublished - Dec 1 2015
Externally publishedYes

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Sex Offenses
HIV
Depression
Sexual Behavior
Logistic Models
Odds Ratio
Confidence Intervals
Risk-Taking
Intimate Partner Violence

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

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 US cities. / HIV Prevention Trials Network 061 Study Team.

In: American Journal of Public Health, Vol. 105, No. 12, 01.12.2015, p. 2473-2481.

Research output: Contribution to journalArticle

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abstract = "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.",
author = "{HIV Prevention Trials Network 061 Study Team} and Williams, {John K.} and Leo Wilton and Manya Magnus and Lei Wang and Jing Wang and Dyer, {Typhanye Penniman} and Koblin, {Beryl A.} and Christopher Hucks-Ortiz and Fields, {Sheldon D.} and Steve Shoptaw and Rob Stephenson and Conall O'Cleirigh and Vanessa Cummings and {Del Rio}, Carlos and Paula Frew and Christin Root and Wallace, {Jermel L.} and Kenneth Mayer and Benjamin Perkins and Kelvin Powell and Benny Vega and Alan Greenberg and Jeanne Jordan and Irene Kuo and Gregory Phillips and Christopher Watson and Sharon Mannheimer and Avelino Loquere and Krista Goodman and {Van Tieu}, Hong and Buchbinder, {Susan P.} and Michael Arnold and Chadwick Campbell and Mathew Sanchez and Jackie Benavente and Christopher Blades and Gregory Victorianne and Demetria Villanueva and Sam Griffith and Erica Hamilton and Lashawn Jones and Georgette King and Lucas, {Jonathan Paul} and Teresa Nelson and Susan Eshleman and Corey Kelly and Liu, {Ting Yuan} and Jane Bupp and Vanessa Elharrar",
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AU - Magnus, Manya

AU - Wang, Lei

AU - Wang, Jing

AU - Dyer, Typhanye Penniman

AU - Koblin, Beryl A.

AU - Hucks-Ortiz, Christopher

AU - Fields, Sheldon D.

AU - Shoptaw, Steve

AU - Stephenson, Rob

AU - O'Cleirigh, Conall

AU - Cummings, Vanessa

AU - Del Rio, Carlos

AU - Frew, Paula

AU - Root, Christin

AU - Wallace, Jermel L.

AU - Mayer, Kenneth

AU - Perkins, Benjamin

AU - Powell, Kelvin

AU - Vega, Benny

AU - Greenberg, Alan

AU - Jordan, Jeanne

AU - Kuo, Irene

AU - Phillips, Gregory

AU - Watson, Christopher

AU - Mannheimer, Sharon

AU - Loquere, Avelino

AU - Goodman, Krista

AU - Van Tieu, Hong

AU - Buchbinder, Susan P.

AU - Arnold, Michael

AU - Campbell, Chadwick

AU - Sanchez, Mathew

AU - Benavente, Jackie

AU - Blades, Christopher

AU - Victorianne, Gregory

AU - Villanueva, Demetria

AU - Griffith, Sam

AU - Hamilton, Erica

AU - Jones, Lashawn

AU - King, Georgette

AU - Lucas, Jonathan Paul

AU - Nelson, Teresa

AU - Eshleman, Susan

AU - Kelly, Corey

AU - Liu, Ting Yuan

AU - Bupp, Jane

AU - Elharrar, Vanessa

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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.

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