Résumé :
|
[BDSP. Notice produite par INIST-CNRS R0xpqtr7. Diffusion soumise à autorisation]. Objectives. We assessed rates of childhood sexual abuse and its demographic and mental health correlates among HIV-positive men who reported unsafe anal intercourse with other men in the past year. Methods. We conducted a cross-sectional analysis of baseline data from 593 HIV-positive men who have sex with men enrolled in the Positive Connections intervention. Results. Childhood sexual abuse was reported by 47% of participants ; 32% reported frequency as often or sometimes. Men reporting abuse were more likely to be Latino (odds ratio [OR]=2.6 ; 95% confidence interval [CI]=1.6,4.2 ; P<. 001) or African American (OR=1.8 ; 95% CI=1.2,2.7 ; P=005) than White. Among those who were abused, more frequent abuse was associated with more sexual contacts (for each, rate ratio [RR]=1.3 ; P<. 001) and unsafe anal intercourse (often, RR=1.5 ; sometimes, RR=2.0 ; P<. 001) compared with men who were not abused. Conclusions. History of childhood sexual abuse is highly prevalent among HIV-positive men who engage in risky sexual behavior with other men and appears to be more common among men of color. Our findings suggest that abuse is associated with a significantly increased risk of sexually transmitted infections.
|