Long-term health outcomes of childhood sexual abuse and peer sexual contact among an urban sample of behaviourally bisexual Latino men

Abstract

While previous research indicates high rates of childhood sexual abuse among Latino men who have sex with men, few studies have examined the long-term health outcomes of childhood sexual abuse specifically among behaviourally bisexual Latino men. In a sample of 148 behaviourally bisexual Latino men in New York City, we examined associations between childhood sexual abuse and multiple dimensions of adult health: sexual risk behaviours; sexually transmitted infections incidence; polydrug use; depressive symptoms; and perceived stress. We compared outcomes between those with histories of childhood sexual abuse, those reporting peer sexual contact prior to age 13 and those with no sexual contact prior to age 13. Over one-fifth (22.3%) reported a history of childhood sexual abuse, which was significantly associated with engaging in receptive condomless anal intercourse (aOR = 3.59, p < .01, SE = 2.0), high perceived stress (aOR = 2.48, p < .06, SE = 1.13) and clinically significant depressive symptoms (aOR = 2.7, p < .05, SE = 1.25). Across all variables, peer sexual contact did not impact these outcomes, underscoring a key distinction between abusive and non-abusive early sexual experiences. We recommend that sexual abuse prevention policies and programmes better engage Latino youth, and that practitioners serving this population across diverse areas of practice incorporate childhood sexual abuse screening and culturally appropriate treatment and care into practice.

Early Sexual Experiences, Mental Health, and Risk Behavior among Black Non-Hispanic and Hispanic / Latino Men Who Have Sex with Men (MSM)

“…Some research has focused on racially and/or ethnically homogeneous samples, presumably in order to understand within-group disparities in CSA experiences and long-term consequences. Among Latino MSM, CSA has been linked to depression (Levine et al, 2018;Mattera et al, 2018;Sauceda, Wiebe, & Simoni, 2016), stress (Mattera et al, 2018), heavy drinking or problematic alcohol use (Levine et al, 2018;Wang et al, 2017), and sexual risk behavior Martinez et al, 2016;Mattera et al, 2018). In a cross-sectional study of Latino MSM living with HIV (Sauceda et al, 2016), those with a history of CSA reported more depression and worse HIV medication adherence than men without CSA history.…”

Substance Use Outcomes For Sexual and Gender Minority Adults With a History of Adverse Childhood Experiences: A Scoping Review

“…Studies that did not utilize previously validated measures were operationalized in the current study as investigator-created. Mattera et al. (2018) , asked Latino bisexual men closed-ended questions based on definitions of statutory rape to define childhood sexual assault.…”

“…CEA and CSA were not significantly associated with prescription drug misuse or illicit drug use. Mattera et al. (2018) Study design: Cross-sectional Sample Size: 148 Population: Bisexual Latino men Measure name: Investigator created- CSA type Operationalization: Individual ACE ACE prevalence: 1+ CSA = 22% Outcome: Polydrug use Measure: Investigator created Analysis: Logistic Regression CSA was not significantly associated with past four-month polydrug use.…”

Violencia sexual en niños y adolescentes varones en el mundo: una revisión integrativa

“…La mayoría de los artículos se enfocaron en los im pactos de la VSI (n = 22) en varias dimensiones: salud mental, salud sexual, co m portamientos de riesgo y violencia. Varios estudios encontraron asociaciones entre la VSI con distrés mental, estrés postraumático y estrés crónico (17-18, 21, 24, 29); sínto mas psiq uiátricos en la adolescencia (23); sínto mas depresivos, depresión mayor e ideación suicida (21,24,29,40); y alteraciones en el desarrollo de la identidad en varios do minios (psicológico, relacional, de género, aspiracional y espiritual) (41).…”

“…Estos incluyen la ocurrencia de VIH (20,(31)(32), la adherencia a antirretrovirales (36) y efectos sindémicos negativos (incluyendo coocurrencia de riesgo de VIH , uso de sustancias y violencia de pareja) (31). Varios estudios deter minaron asociaciones con co m portamientos de riesgo co m o el uso de sustancias psicoactivas (19,21,31), consum o excesivo de alcohol (27,31), mayor número de parejas sexuales (31), y trabajo sexual y otras conductas sexuales de riesgo (29,31,36).…”