Men's Pathways to Risky Sexual Behavior: Role of Co-Occurring Childhood Sexual Abuse, Posttraumatic Stress Disorder, and Depression Histories

Holmes, William C.; Foa, Edna B.; Sammel, Mary D.

doi:10.1093/jurban/jti028

Cited by 62 publications

(88 citation statements)

References 39 publications

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“…These patterns are largely consistent with previous studies showing links between CSA severity and clinically meaningful PTSD or depression symptoms 38,39,74,78 and links between clinically meaningful symptoms and biomarker composite scores among women 65,67,69,74 ; they are also consistent with the links between CSA severity and clinical symptom severity reported in the baseline-only analyses of the larger sample of 99 men that included our participants. 40 Nonetheless, replication of this study is needed with a larger sample to increase the probability of effective randomization and provide adequate statistical power to further examine the effectiveness of ES-HIM in improving sexual and mental health outcomes and biomarker composites.…”

supporting

confidence: 91%

A Sexual Risk and Stress Reduction Intervention Designed for HIV-Positive Bisexual African American Men With Childhood Sexual Abuse Histories

et al. 2013

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Objectives. HIV transmission risk is high among men who have sex with men and women (MSMW), and it is further heightened by a history of childhood sexual abuse (CSA) and current traumatic stress or depression. Yet, traumatic stress is rarely addressed in HIV interventions. We tested a stress-focused sexual risk reduction intervention for African American MSMW with CSA histories. Methods. This randomized controlled trial compared a stress-focused sexual risk reduction intervention with a general health promotion intervention. Sexual risk behaviors, psychological symptoms, stress biomarkers (urinary cortisol and catecholamines), and neopterin (an indicator of HIV progression) were assessed at baseline and at 3- and 6-month follow-ups. Results. Both interventions decreased and sustained reductions in sexual risk and psychological symptoms. The stress-focused intervention was more efficacious than the general health promotion intervention in decreasing unprotected anal insertive sex and reducing depression symptoms. Despite randomization, baseline group differences in CSA severity, psychological symptoms, and biomarkers were found and linked to subsequent intervention outcomes. Conclusions. Although interventions designed specifically for HIV-positive African American MSMW can lead to improvements in health outcomes, future research is needed to examine factors that influence intervention effects.

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supporting

confidence: 91%

A Sexual Risk and Stress Reduction Intervention Designed for HIV-Positive Bisexual African American Men With Childhood Sexual Abuse Histories

et al. 2013

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“…CSA was associated with a greater number of lifetime sexual partners, and the combination of CSA and mental illness (PTSD or depression) was associated with an even greater number of sexual partners than CSA alone (Holmes et al, 2005). Among men participating in a state-wide survey, CSA was associated with reporting at least one HIV risk behavior (Bensley et al, 2000).…”

Section: Resultsmentioning

confidence: 99%

“…In one of the few studies to investigate a sample of men drawn from the general population, Holmes, Foa, and Sammel (2005) interviewed by telephone men living in areas with a high incidence of HIV; 22% of the men reported a history of CSA, defined by an age-graded discrepancy, or a sexual experience involving coercion or an authority figure, or a sexual experience before age 12 involving penetration. CSA was associated with a greater number of lifetime sexual partners, and the combination of CSA and mental illness (PTSD or depression) was associated with an even greater number of sexual partners than CSA alone (Holmes et al, 2005).…”

Section: Resultsmentioning

confidence: 99%

Childhood and adolescent sexual abuse and subsequent sexual risk behavior: Evidence from controlled studies, methodological critique, and suggestions for research

Senn¹,

Carey²,

Vanable³

2008

Clinical Psychology Review

290

309

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Childhood and adolescent sexual abuse (CSA) is associated with a wide variety of adverse psychological and health outcomes, including negative sexual health outcomes. In this paper, we review the literature investigating the relation between CSA and subsequent sexual risk behaviors among men and women. Previous research has found a relatively consistent association between CSA and higher rates of sexual risk behaviors, particularly sex trading, more sexual partners, and an earlier age of first intercourse. However, there are a number of limitations to this research, including lack of a consistent definition of CSA, failure to investigate gender as a moderator, and possible confounding of the CSA experience with some of the sexual behavior outcome variables. Further, although there appears to be an association between CSA and later sexual risk behavior, researchers have not established whether this association is causal. Suggestions for future research and implications for clinical practice are discussed.The association between childhood and adolescent sexual abuse (CSA) and adverse psychological functioning has been well-documented, in both literature reviews (e.g., Beitchman, Zucker, Hood, daCosta, & Akman, 1991;Beitchman et al., 1992) and metaanalyses (e.g., Jumper, 1995;Paolucci, Genuis, & Violato, 2001). Recently, researchers have also documented an association between CSA and adverse health outcomes, including sexual health outcomes (e.g., Bartholow et al., 1994;Senn, Carey, Vanable, Coury-Doniger, & Urban, 2006). However, few systematic reviews of this literature have been undertaken. Thus, the purpose of this paper is to review the literature investigating the relation between CSA and subsequent sexual risk behavior, and to provide researchers with directions for future studies in this area. In this paper, we first review how CSA has been defined, and then review measures used to assess CSA. Next, we briefly summarize the mental health outcomes of CSA. The bulk of the paper examines findings from previous studies investigating the association between CSA and subsequent sexual behavior. Finally, we conclude by suggesting directions for future studies, and discussing practice implications. Definition of CSAThe definition of CSA has varied widely across studies. First, researchers have used different age criteria for "childhood sexual abuse." Often, this term is used to refer to sexual abuse that Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Author ManuscriptClin Psychol Rev. Author manuscript; available in PMC 2009 June 1. NIH-PA Author M...

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“…Кроме того, могут быть обоснованные предположения о характере поведения, о связях между параметрами. В частности, рискованное поведение во многих исследованиях рассматривается как пуассонов-ский процесс [74,84,89,99,104]. Включение таких теоретических предположений позволяет построить более полную модель.…”

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Hybrid models for parameter estimates of socially significant behavior on the base of supershort incomplete set of observations

Суворова¹

2014

Тр. СПИИРАН

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А.В. СУВОРОВА ГИБРИДНЫЕ МОДЕЛИ ОЦЕНКИ ПАРАМЕТРОВ СОЦИАЛЬНО-ЗНАЧИМОГО ПОВЕДЕНИЯ ПО СВЕРХМАЛОЙ НЕПОЛНОЙ СОВОКУПНОСТИ НАБЛЮДЕНИЙСуворова А.В. Гибридные модели оценки параметров социально-значимого поведе-ния по сверхмалой неполной совокупности наблюдений Аннотация. Предложен обзор возможных подходов к построению моделей социально-значимого поведения по сверхмалой неполной совокупности наблюдений и оценке па-раметров таких моделей. Рассмотрены такие методы как агентное моделирование, стати-стический подход, включая методы анализа малой выборки, методология временных рядов и их приложения к решению указанной задачи. Выявлены преимущества исполь-зования моделей в рамках теории вероятностных графических моделей. Ключевые слова: оценка интенсивности, модели поведения, последние эпизоды, не-определенность.Suvorova A.V. Hybrid models for parameter estimates of socially significant behavior on the base of supershort incomplete set of observations. Abstract. We provide a description of the methods for socially significant behavior modeling and estimation on the base of supershort incomplete set of observations. We consider agentbased modeling, statistical approach including small samples analysis, time series analysis and their application to the described problem. Finally, we describe advantages of probabilistic graphical models for representation of socially significant behavior. Keywords: rate estimate, behavior models, last episodes, uncertainty. 1.Введение. Во многих отраслях социологических, психологиче-ских, маркетинговых исследований возникают задачи оценивания ин-тенсивности социально-значимого поведения респондентов [48,59,60,61]. Например, в настоящее время наиболее острой методологической проблемой в эпидемиологии является оценка риска передачи и приоб-ретения такой опасной и неизлечимой инфекции как инфекция виру-сом иммунодефицита человека (ВИЧ) в зависимости от особенностей инъекционного и сексуального поведения индивида. Наиболее точно такой риск характеризуется инсиденс-показателем [100] -числом заразившихся за определенный период среди лиц, подвергавшихся риску заражения, отнесенным к человеко×месяцам наблюдения.Прямые измерения во многих случаях невозможны или требуют значительных финансовых, временных и трудовых ресурсов. В част-ности, «дневниковый метод» подразумевает запись всех действий ре-спондента в течение дня, после чего полученные данные, как правило, накапливавшиеся несколько месяцев, поступают на обработку экспер-ту, который подсчитывает число эпизодов поведения определенного вида за данный период. Однако такой вид исследований достаточно дорог, его сложно организовать и долго выполнять. Наиболее доступ-ными исходными данными для анализа поведения выступают самоот-четы респондентов о его поведении, то есть ответы в анкете на блок вопросов или результаты проведения интервью. Требуется предложить математические модели, позволяющие выполнить более дешевые кос-венные измерения интенсивности социально-значимого поведения на основе ответов респондентов [46-52, 59, 60]. Сейчас для оценки интенсивности...

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Men's Pathways to Risky Sexual Behavior: Role of Co-Occurring Childhood Sexual Abuse, Posttraumatic Stress Disorder, and Depression Histories

Abstract: Recent reports of sexually transmitted infection-rate increases among men

Cited by 62 publications

References 39 publications

A Sexual Risk and Stress Reduction Intervention Designed for HIV-Positive Bisexual African American Men With Childhood Sexual Abuse Histories

A Sexual Risk and Stress Reduction Intervention Designed for HIV-Positive Bisexual African American Men With Childhood Sexual Abuse Histories

Childhood and adolescent sexual abuse and subsequent sexual risk behavior: Evidence from controlled studies, methodological critique, and suggestions for research

Hybrid models for parameter estimates of socially significant behavior on the base of supershort incomplete set of observations

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