Whetten Kathryn, Reif Susan, Toth Matthew, Jain Erica, Leserman Jane, Pence Brian W
Center for Health Policy and Inequalities Research (CHPIR) , Duke Global Health Institute (DGHI), Sanford Institute of Public Policy, Duke University, Durham, NC, USA.
AIDS Care. 2012;24(11):1453-60. doi: 10.1080/09540121.2012.712665. Epub 2012 Aug 22.
The incidence of heterosexual HIV transmission continues to increase in the USA. However, little is known about factors that influence high-risk behavior among men who do not have sex with men (MDSM). This study examines the association of childhood sexual abuse and high-risk behaviors among MDSM. The Coping with HIV/AIDS in the Southeast (CHASE) study included 611 HIV-positive individuals in the Southeastern US Bivariate statistics were used to examine the influence of childhood sexual abuse among MDSM, men who have sex with men (MSM), and women. Study findings indicated that among MDSM with HIV, childhood sexual abuse predicted a higher number of sexual partners, alcohol and drug use problems, depression, post-traumatic stress disorder (PTSD), and less trust in medical providers. Similar statistically significant relationships between childhood sexual abuse and negative outcomes were not found for MSM and women with the exception of childhood sexual abuse predicting PTSD and alcohol use in women. Study findings indicate a need for more in-depth research to examine the role of childhood sexual abuse in shaping adult risk behaviors among MDSM as well as a need to assess for and address childhood sexual abuse in this population.
在美国，异性传播艾滋病毒的发生率持续上升。然而，对于那些不与男性发生性行为的男性（MDSM）中影响高危行为的因素却知之甚少。本研究调查了MDSM中儿童期性虐待与高危行为之间的关联。美国东南部应对艾滋病毒/艾滋病（CHASE）研究纳入了美国东南部611名艾滋病毒呈阳性的个体。采用双变量统计方法来研究儿童期性虐待对MDSM、男男性行为者（MSM）和女性的影响。研究结果表明，在感染艾滋病毒的MDSM中，儿童期性虐待预示着性伴侣数量更多、存在酒精和药物使用问题、抑郁、创伤后应激障碍（PTSD）以及对医疗服务提供者的信任度较低。除了儿童期性虐待预示着女性患创伤后应激障碍和存在酒精使用问题外，在男男性行为者和女性中未发现儿童期性虐待与负面结果之间存在类似的统计学显著关系。研究结果表明，需要进行更深入的研究，以探讨儿童期性虐待在塑造MDSM成人风险行为中的作用，同时也需要对该人群中的儿童期性虐待进行评估和处理。
