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dc.contributor.authorBoroughs, Michael S.en_US
dc.contributor.authorValentine, Sarah E.en_US
dc.contributor.authorIronson, Gail H.en_US
dc.contributor.authorShipherd, Jillian C.en_US
dc.contributor.authorSafren, Steven A.en_US
dc.contributor.authorTaylor, S. Wadeen_US
dc.contributor.authorDale, Sannisha K.en_US
dc.contributor.authorBaker, Joshua S.en_US
dc.contributor.authorWilner, Julianne G.en_US
dc.contributor.authorO'Cleirigh, Conallen_US
dc.date.accessioned2020-04-24T17:25:33Z
dc.date.available2020-04-24T17:25:33Z
dc.date.issued2015-10-01
dc.identifierhttp://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000360667900022&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=6e74115fe3da270499c3d65c9b17d654
dc.identifier.citationMichael S Boroughs, Sarah E Valentine, Gail H Ironson, Jillian C Shipherd, Steven A Safren, S Wade Taylor, Sannisha K Dale, Joshua S Baker, Julianne G Wilner, Conall O'Cleirigh. 2015. "Complexity of Childhood Sexual Abuse: Predictors of Current Post-Traumatic Stress Disorder, Mood Disorders, Substance Use, and Sexual Risk Behavior Among Adult Men Who Have Sex with Men." ARCHIVES OF SEXUAL BEHAVIOR, Volume 44, Issue 7, pp. 1891 - 1902 (12). https://doi.org/10.1007/s10508-015-0546-9
dc.identifier.issn0004-0002
dc.identifier.issn1573-2800
dc.identifier.urihttps://hdl.handle.net/2144/40343
dc.description.abstractMen who have sex with men (MSM) are the group most at risk for HIV and represent the majority of new infections in the United States. Rates of childhood sexual abuse (CSA) among MSM have been estimated as high as 46 %. CSA is associated with increased risk of HIV and greater likelihood of HIV sexual risk behavior. The purpose of this study was to identify the relationships between CSA complexity indicators and mental health, substance use, sexually transmitted infections, and HIV sexual risk among MSM. MSM with CSA histories (n = 162) who were screened for an HIV prevention efficacy trial completed comprehensive psychosocial assessments. Five indicators of complex CSA experiences were created: CSA by family member, CSA with penetration, CSA with physical injury, CSA with intense fear, and first CSA in adolescence. Adjusted regression models were used to identify relationships between CSA complexity and outcomes. Participants reporting CSA by family member were at 2.6 odds of current alcohol use disorder (OR 2.64: CI 1.24–5.63), two times higher odds of substance use disorder (OR 2.1: CI 1.02–2.36), and 2.7 times higher odds of reporting an STI in the past year (OR 2.7: CI 1.04–7.1). CSA with penetration was associated with increased likelihood of current PTSD (OR 3.17: CI 1.56–6.43), recent HIV sexual risk behavior (OR 2.7: CI 1.16–6.36), and a greater number of casual sexual partners (p = 0.02). Both CSA with Physical Injury (OR 4.05: CI 1.9–8.7) and CSA with Intense Fear (OR 5.16: CI 2.5–10.7) were related to increased odds for current PTSD. First CSA in adolescence was related to increased odds of major depressive disorder. These findings suggest that CSA, with one or more complexities, creates patterns of vulnerabilities for MSM, including post-traumatic stress disorder, substance use, and sexual risk taking, and suggests the need for detailed assessment of CSA and the development of integrated HIV prevention programs that address mental health and substance use comorbidities.en_US
dc.description.sponsorshipThis study was supported by a Grant from the NIMH (R01 MH095624) PI: O'Cleirigh; Author time (Safren) was supported, in part, by Grant 5K24MH094214. (R01 MH095624 - NIMH; 5K24MH094214)en_US
dc.format.extentp. 1891 - 1902en_US
dc.languageEnglish
dc.language.isoen_US
dc.publisherSPRINGER/PLENUM PUBLISHERSen_US
dc.relation.ispartofARCHIVES OF SEXUAL BEHAVIOR
dc.subjectSocial sciencesen_US
dc.subjectPsychology, clinicalen_US
dc.subjectSocial sciences, interdisciplinaryen_US
dc.subjectPsychologyen_US
dc.subjectMen who have sex with men (MSM)en_US
dc.subjectChildhood sexual abuse (CSA)en_US
dc.subjectPTSDen_US
dc.subjectHIVen_US
dc.subjectSexual orientationen_US
dc.subjectPsychosocial health-problemsen_US
dc.subjectHIV-risken_US
dc.subjectPhysical abuseen_US
dc.subjectBisexual menen_US
dc.subjectUrban menen_US
dc.subjectYoung menen_US
dc.subjectGay menen_US
dc.subjectRevictimizationen_US
dc.subjectSeverityen_US
dc.subjectImpacten_US
dc.subjectAdulten_US
dc.subjectChilden_US
dc.subjectChild abuse, sexualen_US
dc.subjectHomosexuality, maleen_US
dc.subjectHumansen_US
dc.subjectMaleen_US
dc.subjectMood disordersen_US
dc.subjectSexually transmitted diseasesen_US
dc.subjectStress disorders, post-traumaticen_US
dc.subjectSubstance-related disordersen_US
dc.subjectUnsafe sexen_US
dc.subjectOther studies in human societyen_US
dc.subjectPsychologyen_US
dc.subjectPublic health and health servicesen_US
dc.subjectClinical psychologyen_US
dc.titleComplexity of childhood sexual abuse: predictors of current post-traumatic stress disorder, mood disorders, substance use, and sexual risk behavior among adult men who have sex with menen_US
dc.typeArticleen_US
dc.description.versionAccepted manuscripten_US
dc.identifier.doi10.1007/s10508-015-0546-9
pubs.elements-sourceweb-of-scienceen_US
pubs.notesEmbargo: Not knownen_US
pubs.organisational-groupBoston Universityen_US
pubs.organisational-groupBoston University, School of Medicineen_US
pubs.organisational-groupBoston University, School of Social Worken_US
pubs.publication-statusPublisheden_US
dc.identifier.mycv60134


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