College of Social Work, Ohio State University, Columbus, OH 43210, USA.
Us Helping Us, People into Living, Inc., Washington, DC 20010, USA.
Int J Environ Res Public Health. 2022 Oct 26;19(21):13930. doi: 10.3390/ijerph192113930.
Limited studies have examined the associations between child sexual abuse (CSA) and depression among Black sexual minority men (SMM) in the Southeastern United States (US). As, such, the current study examined the critical gap in understanding the impact of CSA on Black SMM's mental health. Specifically, we tested the associations between contextual CSA factors and depression among a large population-based sample of Black SMM living in two cities in the Southern US. Data were obtained from the MARI Study, a sample of Black SMM ages 18-66 years, recruited from the Jackson, MS and Atlanta, GA metropolitan areas ( = 507). Depression was assessed using the 9-item CES-D scale. We conducted multivariable regression analyses to examine the association between depression with history of CSA and other child sexual-related variables (i.e., age of perpetrator and age of sexual abuse), controlling for key confounders. Our results indicated that CSA (β = 0.14, < 0.001) was positively associated with depression. Our results also indicated that Black SMM who reported being sexually abused at the ages of 6 to 10 (β = 0.30, < 0.01) and 16 to 18 (β = 0.25, < 0.05) were positively associated with depression. These findings suggest that there is a need to provide culturally and safe mental health services in the Southeastern US for CSA survivors.
有限的研究调查了美国东南部的黑人性少数群体男性（SMM）中儿童性虐待（CSA）和抑郁之间的关联。因此，本研究探讨了理解 CSA 对黑人 SMM 心理健康影响的重要差距。具体来说，我们测试了在两个美国南部城市生活的大量基于人群的黑人 SMM 中，背景 CSA 因素与抑郁之间的关联。数据来自 MARI 研究，这是一个年龄在 18 至 66 岁之间的黑人 SMM 样本，是从密西西比州杰克逊和佐治亚州亚特兰大大都市区招募的（= 507）。抑郁使用 9 项 CES-D 量表评估。我们进行了多变量回归分析，以检查与 CSA 史和其他与性相关的儿童变量（即施害者年龄和性虐待年龄）与抑郁之间的关联，同时控制了关键混杂因素。我们的结果表明，CSA（β=0.14，<0.001）与抑郁呈正相关。我们的结果还表明，报告在 6 至 10 岁（β=0.30，<0.01）和 16 至 18 岁（β=0.25，<0.05）时遭受性虐待的黑人 SMM 与抑郁呈正相关。这些发现表明，在美国东南部需要为 CSA 幸存者提供文化和安全的心理健康服务。
