Carballo-Diéguez A, Dolezal C
New York State Psychiatric Institute, NY 10032, USA.
Child Abuse Negl. 1995 May;19(5):595-605. doi: 10.1016/0145-2134(95)00018-4.
This study explored whether homosexually active men who were sexually abused in childhood were more likely to engage in HIV-risk sexual behavior than men who were not sexually abused. Participants were 182 adult men of Puerto Rican ancestry living in New York City who had had sex with other men or with men and women. Quantitative and qualitative methods of exploration were used. Three groups were determined: (a) Abuse group (AB), formed by men who before age 13, had sex with a partner at least 4 years their senior and who felt hurt by the experience and/or were unwilling to participate in it; (b) Willing/not hurt group (W), consisting of men who had an older sexual partner before age 13 but did not feel hurt by the experience and were willing to participate; and (c) No-older-partner group (NOP). The results showed that men in the AB group were significantly more likely than men in the NOP group to engage in receptive anal sex and to do so without protection. Men in the W group were ranked between the other two groups in terms of their unsafe behavior. Age and education were cofactors both for receptive anal sex and for unprotected receptive anal sex. It is concluded that given the need to improve HIV prevention among Puerto Rican men who have sex with men, sexual abuse in childhood may constitute a marker to identify men at increased risk.
本研究探讨了童年期遭受性虐待的活跃男同性恋者是否比未遭受性虐待的男性更有可能从事具有感染艾滋病毒风险的性行为。研究参与者为182名居住在纽约市的波多黎各裔成年男性，他们曾与其他男性或与男性及女性发生过性行为。研究采用了定量和定性的探索方法。确定了三组：(a) 虐待组（AB），由13岁之前与至少比自己大4岁的伴侣发生过性行为且感觉受到伤害和/或不愿参与其中的男性组成；(b) 自愿/未受伤害组（W），由13岁之前有过年长性伴侣但未因该经历而感到受伤害且自愿参与的男性组成；(c) 无年长伴侣组（NOP）。结果显示，AB组男性进行接受肛交且不采取保护措施的可能性显著高于NOP组男性。W组男性在不安全行为方面介于其他两组之间。年龄和教育程度是接受肛交以及无保护接受肛交的共同影响因素。研究得出结论，鉴于需要改善对与男性发生性行为的波多黎各男性的艾滋病毒预防工作，童年期性虐待可能是识别风险增加男性的一个标志。
