Brennan David J, Hellerstedt Wendy L, Ross Michael W, Welles Seth L
School of Social Work, Boston College, Chestnut Hill, Mass, USA.
Am J Public Health. 2007 Jun;97(6):1107-12. doi: 10.2105/AJPH.2005.071423. Epub 2007 Apr 26.
We examined the prevalence and frequency of childhood sexual abuse and their association with sexual risk among a sample of gay and bisexual men. Methods. Cross-sectional data were collected by survey from randomly selected gay and bisexual men who attended the 1997 and 1998 Minneapolis/St. Paul Gay, Lesbian, Bisexual, and Transgender Pride Festivals. Data included demographics, sexual activity, history of childhood sexual abuse, HIV status, history of sexually transmitted infection, use of sex-related drugs (such as crack, cocaine, Ecstasy, amyl nitrate, crystal methamphetamine, and Special K), and history of exchanging sex for payment. Results. childhood sexual abuse was reported by 15.5% of the survey respondents (n = 134). Those who reported experiencing abuse regularly were more likely to (1) be HIV positive, (2) have exchanged sex for payment, and (3) be a current user of sex-related drugs. Neither unsafe sex nor sexually transmitted infections were associated with childhood sexual abuse.
These findings show that more than 1 in 7 gay and bisexual men in a non-clinical, festival-based setting were victims of childhood sexual abuse and that childhood sexual abuse was associated with alarmingly high rates of men who were HIV infected and antecedent risk behaviors.
我们在一个男同性恋者和双性恋男性样本中，研究了儿童性虐待的患病率和发生频率及其与性风险的关联。方法。通过对随机抽取的参加1997年和1998年明尼阿波利斯/圣保罗同性恋、双性恋、跨性别骄傲节的男同性恋者和双性恋男性进行调查，收集横断面数据。数据包括人口统计学信息、性活动、儿童性虐待史、艾滋病毒感染状况、性传播感染史、使用与性相关的药物（如快克、可卡因、摇头丸、亚硝酸戊酯、冰毒和“Special K”）以及以性换钱史。结果。15.5%的调查受访者（n = 134）报告曾遭受儿童性虐待。那些报告经常遭受虐待的人更有可能：（1）感染艾滋病毒；（2）以性换钱；（3）目前使用与性相关的药物。不安全的性行为和性传播感染均与儿童性虐待无关。
这些研究结果表明，在一个基于节日的非临床环境中，超过七分之一的男同性恋者和双性恋男性是儿童性虐待的受害者，并且儿童性虐待与感染艾滋病毒的男性以及先前的风险行为发生率高得惊人有关。
