Emetu Roberta E
a Department of Health Sciences , California State University-Northridge , Northridge , CA , USA.
J Child Sex Abus. 2018 Jul;27(5):554-569. doi: 10.1080/10538712.2018.1484832. Epub 2018 Jun 22.
Childhood sexual abuse (CSA) has been reported to be disproportionately higher among young men who have sex with men (YMSM) than among heterosexual men. Most research and public health programs among YMSM CSA survivors have been mainly infectious disease-based, and research on the physical sexual health among this group is limited. This study sought to further understand components of physical sexual health among YMSM with CSA histories. Sixteen participants were recruited, and through a phenomenological approach, semi-structured interviews were conducted. Four themes were found, participants (1) reported a one-dimensional definition of sexual health; (2) had limitations in health insurance hindering preventative care; (3) described reoccurring anal pain during sexual intercourse; and (4) conveyed a positive perception of sexual satisfaction. These findings indicate a need for healthcare providers, health educators, and researchers to increase awareness about the comprehensive needs of YMSM with CSA histories.
据报道，与男性发生性关系的年轻男性（YMSM）遭受童年性虐待（CSA）的比例高于异性恋男性。YMSM CSA幸存者中的大多数研究和公共卫生项目主要基于传染病，对该群体身体性健康的研究有限。本研究旨在进一步了解有CSA病史的YMSM身体性健康的组成部分。招募了16名参与者，并通过现象学方法进行了半结构化访谈。发现了四个主题，参与者（1）报告了对性健康的一维定义；（2）在医疗保险方面存在限制，阻碍了预防保健；（3）描述了性交过程中反复出现的肛门疼痛；（4）表达了对性满意度的积极看法。这些发现表明，医疗保健提供者、健康教育工作者和研究人员需要提高对有CSA病史的YMSM全面需求的认识。
