Psychological and behavioral moderators of the relationship between trauma severity and HIV transmission risk behavior among MSM with a history of childhood sexual abuse

Batchelder, Abigail; Ehlinger, Peter P.; Boroughs, Michael S.; Shipherd, Jillian C.; Safren, Steven A.; Ironson, Gail; O’Cleirigh, Conall

doi:10.1007/s10865-017-9848-9

Cited by 22 publications

(23 citation statements)

References 45 publications

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“…Data from 296 HIV-uninfected MSM with histories of CSA were collected as part of a comprehensive psychiatric baseline assessment from a multisite randomized clinical trial aimed at reducing sexual risk behaviors associated with HIV in Boston, MA, and Miami, FL, from 2011 to 2016 (Batchelder et al, 2017; Boroughs et al, 2015). Of the 827 individuals who completed phone screens across both sites, 421 were deemed eligible, 296 completed the baseline visit, and 290 completed the assessments used in the presented analyses.…”

Section: Methodsmentioning

confidence: 99%

Indirect Effects From Childhood Sexual Abuse Severity to PTSD: The Role of Avoidance Coping

Batchelder

Safren

Coleman

et al. 2018

J Interpers Violence

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Men who have sex with men (MSM) disproportionately experience childhood sexual abuse (CSA) compared with heterosexual men, often resulting in continued trauma-related sequelae, including symptoms of posttraumatic stress disorder (PTSD) such as avoidance. The variability in trauma-related sequelae may be associated with chronicity or duration of CSA. The relationship between duration of CSA and later PTSD symptom severity is not well understood, including the extent coping strategies account for these relationships. We used linear regression to examine these relationships and to assess the indirect effects of avoidance (behavioral disengagement and denial) and adaptive coping strategies on the relationship between CSA duration and adult PTSD symptom severity on a diverse sample included 290 MSM with a history of CSA. In adjusted models, CSA duration was significantly associated with adult PTSD symptom severity (standardized β = .23, p < .000) and with avoidance coping (standardized β = .19, p = .002). Separating this out, behavioral disengagement was significantly associated with CSA duration (standardized β = .20, p = .001) but denial was not. In adjusted analyses assessing indirect effects, avoidance coping partially accounted for the relationship between CSA duration and total trauma symptom severity (standardized β reduced from .23 to .17; Sobel = 2.90, p = .004). Similarly, behavioral disengagement partially accounted for the association between CSA duration and total symptoms (standardized β reduced from .23 to .18; Sobel = 2.68, p = .007). Avoidance coping, and behavioral disengagement specifically, may play a role in the severity of PTSD symptoms experienced by MSM with CSA histories. This work emphasizes the need for clinicians to consider behavioral disengagement in understanding PTSD symptom severity among MSM with histories of CSA.

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Section: Methodsmentioning

confidence: 99%

Indirect Effects From Childhood Sexual Abuse Severity to PTSD: The Role of Avoidance Coping

Batchelder

Safren

Coleman

et al. 2018

J Interpers Violence

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“…70,71 Moreover, victims of intimate partner violence are at higher risk for HIV and STIs, central nervous system problems, stress related conditions, 72 and reproductive health outcomes including induced abortion, sexual dysfunction, and inconsistent condom use. 73 Related to trauma and HIV/STI risk are high rates of mental illness, 74–76 especially among criminal justice involved women. 77 Indeed, HSV-2 seropositive women endorsed significantly higher depression and psychological distress symptomatology.…”

Section: Discussionmentioning

confidence: 99%

Behavioral, Psychological, Gender, and Health Service Correlates to Herpes Simplex Virus Type 2 Infection among Young Adult Mexican-American Women Living in a Disadvantaged Community

Nowotny

Frankeberger

Rodríguez

et al. 2018

Behavioral Medicine

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Herpes simplex virus type 2 (HSV-2) is among the most prevalent sexually transmitted infections in the United States. Despite this, there has been limited research on the correlates to HSV-2 among disadvantaged and marginalized women, particularly among Latinas. Data for the present analysis include 125 young adult Mexican-American women enrolled in a longitudinal study in a disadvantaged urban community in San Antonio, Texas. The current rate of tested HSV-2 infection is 56.8%. Our findings suggest strong comorbidity of genital herpes with injecting heroin use, Hepatitis C, sexual violence, incarceration, and mental illness. Contributing to this population's nexus of risk are the low rates of health service utilization among those infected with HSV-2. Integration between behavioral health and primary care, including access to preventative services, are essential for improving the health of Latinas living in disadvantaged neighborhoods.

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“…High-risk health behaviors include having more lifetime sexual partners, having unprotected sexual activity, and abusing substances [15,[27][28]. Behavioral problems include aggression, adult criminality, and abusive behavior [29][30][31]. Existing research lacks socioeconomic diversity, since CSA is limited to convenience sampling techniques [32].…”

Section: Current Csa Researchmentioning

confidence: 99%

A Needed Uniform Criteria for Defining Childhood Sexual Abuse

Emetu¹

2019

SJPH

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Childhood sexual abuse (CSA) has serious public health consequences and implications. Variables such as gender, sexual orientation, ethnicity, race, and other socioeconomic factors in relation to CSA could be better understood. However, a consistent definition of CSA among research, governmental, and regional sectors in the United States does not exist. Differences in the operationalization of CSA have contributed to the fluctuation of prevalence and incidence rates. The literature varies with respect to age requirements for CSA and types of sexual behaviors. The Department of Justice lacks a detailed definition of CSA, and the definition also differs from state to state. At times different types of child abuse are aggregated, or lacks differentiation from child maltreatment, molestation, or other types of abuse. This report is a call to action to standardize the definition of CSA at the local, state, and federal levels. A definition is needed that is inclusive of different subsets of CSA, given that more aggressive abusive episodes can elicit more adverse outcomes. Without consistency and uniformity in how CSA and subtypes of CSA are defined, discrepancies in occurrences, research outcomes, and preventative and interventional efforts could hinder the progress made in this field of study.

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Psychological and behavioral moderators of the relationship between trauma severity and HIV transmission risk behavior among MSM with a history of childhood sexual abuse

Cited by 22 publications

References 45 publications

Indirect Effects From Childhood Sexual Abuse Severity to PTSD: The Role of Avoidance Coping

Indirect Effects From Childhood Sexual Abuse Severity to PTSD: The Role of Avoidance Coping

Behavioral, Psychological, Gender, and Health Service Correlates to Herpes Simplex Virus Type 2 Infection among Young Adult Mexican-American Women Living in a Disadvantaged Community

A Needed Uniform Criteria for Defining Childhood Sexual Abuse

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