School of Nursing, University of Rochester, Rochester, NY, 14642, USA.
Department of Infectious Diseases, School of Medicine and Dentistry, University of Rochester, Rochester, NY, 14642, USA.
AIDS Behav. 2017 Nov;21(11):3247-3259. doi: 10.1007/s10461-017-1854-y.
HIV and childhood sexual abuse (CSA) are intersecting public health problems for women. We pilot tested an integrated sexual risk reduction intervention for women with a history of CSA that addressed both the consequences of CSA [based on the Traumagenic Dynamics (TD) framework] and the antecedents of sexual risk behavior (based on the Information-Motivation-Behavioral Skills [IMB] model). Women with a history of CSA who were attending a public STI clinic (n = 84) were randomly assigned to a five-session integrated TD/IMB (experimental) group intervention or to a time-matched IMB-guided sexual risk reduction (control) group intervention. Preliminary findings indicated that women in the integrated TD/IMB intervention reduced their average number of episodes of unprotected sex with a primary partner, their alcohol use, and their likelihood of being in a violent relationship, relative to women in the IMB-only group. Our findings suggest that sexual risk reduction interventions that address both the consequences of CSA and the antecedents of sexual risk behavior may be efficacious in reducing sexual risk behavior among women who were sexually abused.
艾滋病毒和儿童期性虐待（CSA）是女性交叉的公共卫生问题。我们对有 CSA 病史的女性进行了综合性行为风险降低干预措施的试点测试，该措施针对 CSA 的后果（基于创伤动力学（TD）框架）和性行为风险行为的前因（基于信息-动机-行为技能（IMB）模型）。正在参加公共性传播感染（STI）诊所的有 CSA 病史的女性（n=84）被随机分配到五节综合 TD/IMB（实验组）干预组或与时间匹配的 IMB 指导的性行为风险降低（对照组）干预组。初步研究结果表明，与 IMB 仅组的女性相比，接受综合 TD/IMB 干预的女性减少了与主要伴侣发生无保护性行为的平均次数、饮酒量以及发生暴力关系的可能性。我们的研究结果表明，针对 CSA 的后果和性行为风险行为的前因的性行为风险降低干预措施可能有效降低曾遭受性虐待的女性的性行为风险。
