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

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).

Participants were 1522 Black MSM recruited from 6 US cities between July 2009 and December 2011. Univariate and multivariable logistic regression models were used.

• 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 . Pressured or forced sex was positively associated with any receptive anal sex. 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.

Rates of CSA, IPV, and depression were high, but associations with HIV sexual risk outcomes were modest. 

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By: Williams JK1, Wilton L1, Magnus M1, Wang L1, Wang J1, Dyer TP1, Koblin BA1, Hucks-Ortiz C1, Fields SD1, Shoptaw S1, Stephenson R1, O'Cleirigh C1,Cummings V1; HIV Prevention Trials Network 061 Study Team.

• 1John K. Williams is with the Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles (UCLA). Leo Wilton is with College of Community and Public Affairs, Department of Human Development, Binghamton University, Binghamton, NY. Manya Magnus is with the Milken Institute School of Public Health, Department of Epidemiology and Biostatistics, George Washington University, Washington, DC. Lei Wang and Jing Wang are with the Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA. Typhanye Penniman Dyer is with the Department of Epidemiology and Biostatistics, University of Maryland, College Park. Beryl A. Koblin is with New York Blood Center, Laboratory of Infectious Disease Prevention, New York, NY. Christopher Hucks-Ortiz is with the Department of Family Medicine, UCLA. Sheldon D. Fields is with the Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami. Steve Shoptaw is with the departments of Family Medicine and Psychiatry and Biobehavioral Sciences, UCLA. Rob Stephenson is with the Rollins School of Public Health, Emory University, Atlanta, GA. Conall O'Cleirigh is with Fenway Institute HIV Clinical Research Support (CRS), Fenway Community Health Center, Boston, MA. Vanessa Cummings is with the Department of Pathology, Johns Hopkins School of Medicine, Baltimore, MD.  

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