Psychosocial Predictors of Sexual HIV Transmission Risk Behavior among HIV-Positive Adults with a Sexual Abuse History in Childhood

作者: Kathleen J Sikkema , Nathan B Hansen , Christina S Meade , Arlene Kochman , Ashley M Fox

DOI: 10.1007/S10508-007-9238-4

关键词:

摘要: Childhood sexual abuse (CSA) is associated with HIV risk behavior. Although many psychosocial correlates of among HIV-positive persons have been identified, studies predicting continued adults histories CSA are limited. This cross-sectional study identified variables predictive transmission behavior an ethnically diverse sample 256 (women and men who sex men; MSM) histories. Participants were assessed for trauma symptoms, shame related to trauma, substance use, coping style, Logistic regression analyses conducted identify unprotected in the past 4 months. Unprotected was significantly use trauma-related behavioral difficulties women men, less spiritual men. negative or serostatus unknown partners greater difficulties, more HIV-related shame, fewer active strategies. Thus, CSA, models prediction differing by gender partner serostatus. prevention intervention should address enhance skills reduce

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