Kogan Steven M, Cho Junhan, Oshri Assaf
Department of Human Development and Family Science, University of Georgia, 123 Dawson Hall, Athens, GA, 30602, USA.
Center for Family Research, University of Georgia, Athens, GA, 30602-4527, USA.
Ann Behav Med. 2016 Dec;50(6):813-822. doi: 10.1007/s12160-016-9807-7.
Young Black men living in resource-poor rural environments are disproportionately affected by both adverse childhood experiences and HIV/STIs. The influence of childhood adversity on sexual risk behavior remains to be examined among this vulnerable population.
In this study, we investigated the influence of overall adversity as well as three subcomponents, abusive parenting, parental neglect, and witnessing family violence, on men's engagement in sexual risk behavior. We hypothesized that adverse experiences would predict engagement in sexual risk behaviors including multiple sexual partnerships, inconsistent condom use, frequent sexual activity, and concurrent substance abuse and sexual activity. We tested formally the extent to which defensive relational schemas mediated these associations.
Hypotheses were tested with data from 505 rural Black men (M age = 20.29, SD = 1.10) participating in the African American Men's Health Project. Participants were recruited using respondent-driven sampling. Self-report data were gathered from participants via audio computer-assisted self-interviews.
Bi-factor analyses revealed that, in addition to a common adversity factor, neglect independently predicted sexual risk behavior. Men's defensive relational schemas partially mediated the influence of the common adversity factor as well as the neglect subcomponent on sexual risk behavior.
The present research identified a potential risk factor for sexual risk behavior in an understudied and vulnerable population. Adverse childhood experiences in general, and neglect in particular, may place many young Black men at risk for engaging in sexual risk behavior due in part to the influence of these experiences on men's development of relational schemas characterized by defensiveness and mistrust.
生活在资源匮乏的农村环境中的年轻黑人男性，受童年不良经历和艾滋病毒/性传播感染的影响尤为严重。在这一弱势群体中，童年逆境对性风险行为的影响仍有待研究。
在本研究中，我们调查了总体逆境以及三个子成分，即虐待性养育、父母忽视和目睹家庭暴力，对男性性风险行为参与度的影响。我们假设不良经历会预测性风险行为的参与度，包括多个性伴侣、不坚持使用避孕套、频繁的性活动以及同时存在药物滥用和性活动。我们正式测试了防御性关系模式在多大程度上介导了这些关联。
使用参与非裔美国男性健康项目的505名农村黑人男性（年龄中位数 = 20.29，标准差 = 1.10）的数据对假设进行了检验。采用应答驱动抽样招募参与者。通过音频计算机辅助自我访谈从参与者那里收集自我报告数据。
双因素分析显示，除了一个共同的逆境因素外，忽视独立预测性风险行为。男性的防御性关系模式部分介导了共同逆境因素以及忽视子成分对性风险行为的影响。
本研究在一个研究较少的弱势群体中确定了性风险行为的一个潜在风险因素。一般而言，童年不良经历，尤其是忽视，可能使许多年轻黑人男性面临从事性风险行为的风险，部分原因是这些经历对男性以防御和不信任为特征的关系模式发展产生影响。
