Childhood Sexual Abuse and the Sociocultural Context of Sexual Risk Among Adult Latino Gay and Bisexual Men

Bibliographic Data

ID11020194
AuthorsSonya Arreola (0000-0003-3485-4760, San Francisco AIDS Foundation), Sonya Grant Arreola (Sonya Grant Arreola is with the HIV Research Section, Department of Public Health, San Francisco, CA. Torsten B. Neilands is with the Center for AIDS Prevention Studies, University of California, San Francisco. Rafael Díaz is with the Cesar Chavez Institute, California State University, San Francisco.), Torsten B Neilands (0000-0001-7936-9123, Sonya Grant Arreola is with the HIV Research Section, Department of Public Health, San Francisco, CA. Torsten B. Neilands is with the Center for AIDS Prevention Studies, University of California, San Francisco. Rafael Díaz is with the Cesar Chavez Institute, California State University, San Francisco.), Rafael M Diaz (San Francisco AIDS Foundation), Rafael Díaz (0000-0003-2181-9579, Sonya Grant Arreola is with the HIV Research Section, Department of Public Health, San Francisco, CA. Torsten B. Neilands is with the Center for AIDS Prevention Studies, University of California, San Francisco. Rafael Díaz is with the Cesar Chavez Institute, California State University, San Francisco.)
Year2009
Volume99
IssueS2
PagesS432-S438
Publication date2009-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2008.138925
PMID19372522
PMCIDPMC2865208
OpenAlexW1997888296
LanguageEN
Citations received27
References cited28

Objectives. We sought to examine the relationships among childhood sexual abuse, social discrimination, psychological distress, and HIV-risk among Latino gay and bisexual men in the United States. Methods. Data were from a probability sample of 912 men from Miami, FL; Los Angeles, CA; and New York, NY. We used logistic regression and path analyses to examine direct and indirect effects of childhood sexual abuse on psychological distress and sexual risk behavior. Results. We found a 15.8% (95% confidence interval = 12.3%, 19.2%) prevalence of childhood sexual abuse. Not having sex before age 16 years and having consensual sex before age 16 years did not differ from each other in predicting any of the outcomes of interest. Forced sex was associated with a significantly increased risk for all outcomes. A path analyses yielded direct effects of childhood sexual abuse and exposure to homophobia during childhood and during adulthood on psychological distress and indirect effects on risky sexual behavior. Conclusions. HIV-risk patterns among Latino gay and bisexual men are related to childhood sexual abuse and a social context of discrimination, which combined lead to symptoms of psychological distress and participation in risky sexual situations that increase risky sexual behaviors associated with HIV acquisition

Context (archaeology) · Medical emergency · Poison control · Psychiatry · Sexual abuse · Suicide prevention · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology

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