A meta-analysis of the relationship of child sexual abuse to HIV risk behavior among women

Arriola, Kimberly R. Jacob; Louden, Tracy; Doldren, Michelle; Fortenberry, Ranita M.

doi:10.1016/j.chiabu.2004.10.014

Cited by 161 publications

(130 citation statements)

References 51 publications

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“…Among adults with SMI, childhood abuse is associated with greater psychiatric symptoms, including depression, psychosis, dissociation, and posttraumatic stress (Craine et al, 1988;Malow et al, in press). In non-SMI samples, childhood abuse is related to HIV risk behaviors, including earlier sexual debut, multiple sex partners, unprotected intercourse, sex trading, and sexually transmitted infections (e.g., Arriola et al, 2005;Cohen et al, 2000;Parillo et al, 2001). As discussed above, emerging evidence suggests that this may also be the case among adults with SMI.…”

Section: Theoretical Models Linking Childhood Abuse To Hiv Riskmentioning

confidence: 99%

“…Individuals who are abused in childhood are more likely to be sexually and physically abused again in adulthood, often repeatedly (Arriola et al, 2005;Cloitre et al, 1996;Goodman et al, 2001), and SMI is a risk factor for revictimization (Classen et al, 2005). In a recent review, childhood physical and sexual abuse each predicted sexual revictimization in adulthood, which in turn predicted greater substance abuse and HIV risk behavior, including more sex partners, sex trading, and sexually transmitted infections (Classen et al, 2005).…”

Section: Theoretical Models Linking Childhood Abuse To Hiv Riskmentioning

confidence: 99%

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Long-Term Correlates of Childhood Abuse among Adults with Severe Mental Illness: Adult Victimization, Substance Abuse, and HIV Sexual Risk Behavior

et al. 2007

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The prevalence of childhood sexual and physical abuse among persons with severe mental illness (SMI) is disproportionately high. Adults with SMI also engage in high rates of HIV risk behaviors. This study examined the association between childhood abuse and adult victimization, substance abuse, and lifetime HIV sexual risk in a sample of 152 adults with SMI receiving community mental health services. Structured interviews assessed psychiatric, psychosocial, and behavioral risk factors. Seventy percent reported childhood physical and/or sexual abuse, and 32% reported both types of abuse. Participants with childhood abuse were more likely to report adult victimization and greater HIV risk. A structural equation model found that childhood abuse was directly and indirectly associated with HIV risk through drug abuse and adult vicitimization. Integrated treatment approaches that address interpersonal violence and substance abuse may be necessary for HIV risk reduction in this population.

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Section: Theoretical Models Linking Childhood Abuse To Hiv Riskmentioning

confidence: 99%

Section: Theoretical Models Linking Childhood Abuse To Hiv Riskmentioning

confidence: 99%

Long-Term Correlates of Childhood Abuse among Adults with Severe Mental Illness: Adult Victimization, Substance Abuse, and HIV Sexual Risk Behavior

et al. 2007

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“…Individuals who were sexually abused as children also are more likely to have engaged in commercial sex work (e.g., Kalichman, Gore-Felton, Benotsch, Cage, & Rompa, 2004). A recent meta-analysis concluded that, among women, CSA was associated with unprotected sex, multiple partners, sex trading, and adult sexual revictimization (Arriola, Louden, Doldren, & Fortenberry, 2005). Individuals who were sexually abused as children are more likely to have an incident STD (e.g., Wingood & DiClemente, 1997), to have a greater number of lifetime STDs (e.g., Greenberg et al, 1999), and to be infected with HIV (e.g., Kalichman et al, 2004).…”

mentioning

confidence: 99%

Childhood sexual abuse and sexual risk behavior among men and women attending a sexually transmitted disease clinic.

Senn¹,

Carey²,

Vanable³

et al. 2006

Journal of Consulting and Clinical Psychology

125

118

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Childhood sexual abuse (CSA) is associated with a wide range of negative outcomes. This study investigated the relation between CSA and sexual risk behavior in 827 patients recruited from an STD clinic. Overall, CSA was reported by 53% of women and 49% of men, and was associated with greater sexual risk behavior, including more sexual partners, unprotected sex, and sex trading. Alcohol use for men, and drug use for women, mediated the relation between CSA and the number of partners in the past three months; intimate partner violence mediated the relation between CSA and the number of episodes of unprotected sex in the past three months for women. These results document the prevalence of CSA among patients seeking care for an STD, and can be used to tailor sexual risk-reduction programs for individuals who were sexually abused.

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“…Childhood sexual abuse is consistently associated with a myriad of negative outcomes in adulthood 9 including psychological sequelae such as low self-esteem, depression, and anxiety, 10 sexual risk behaviours and revictimisation. [11][12][13] Homelessness is associated with health inequities 14 and compromises sexual health fundamentally. Homeless individuals have no access to safe or private spaces to engage in pleasurable sexual activities.…”

Section: Resultsmentioning

confidence: 99%

Sexual health, vulnerabilities and risk behaviours among homeless adults

et al. 2014

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Sexual health variablesTotal sample Women % (n) Men % (n) P-value % (n) 95% CI Abstract. It is well known that homeless individuals are at risk for a variety of health problems, including sexually transmissible infections. Optimisation of health services for the homeless requires knowledge of their sexual health. The sexual health and sexual vulnerability factors of 500 homeless adults (196 women) were assessed in a cross-sectional survey in three Canadian cities. Our data indicate that a significant proportion of individuals and more women than men reported multiple experiences that compromise their sexual health exponentially. These findings may inform health policies related to sexuality to foster positive sexual health outcomes for all people, including marginalised populations.

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A meta-analysis of the relationship of child sexual abuse to HIV risk behavior among women

Cited by 161 publications

References 51 publications

Long-Term Correlates of Childhood Abuse among Adults with Severe Mental Illness: Adult Victimization, Substance Abuse, and HIV Sexual Risk Behavior

Long-Term Correlates of Childhood Abuse among Adults with Severe Mental Illness: Adult Victimization, Substance Abuse, and HIV Sexual Risk Behavior

Childhood sexual abuse and sexual risk behavior among men and women attending a sexually transmitted disease clinic.

Sexual health, vulnerabilities and risk behaviours among homeless adults

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