Prevalence of child and adult sexual abuse and risk taking practices among HIV serodiscordant African-American couples.
El-Bassel N, Wingood G, Wyatt GE, Jemmott JB 3rd, Pequegnat W, Landis JR, Bellamy S, Gilbert L, Remien RH, Witte S, Wu E, DiClemente R, Myers H, Jemmott LS, Metzger D, Ballard S, Brown T, Greene Q, Helker C, Robinson N, Allen-Taylor L, Appleby D, Crowley E, Ankoma A, Ashton D, Goddard DA, Daniel T, Henderson T, Rivkin I, Green CM, Brently J, Cheraquit RD, Gray D, Hakim L, Sarfo B, Saunders K, Simmons D, Wilson K, Braxton ND, Camp C, Conner A, Gibson J, Harmon A, Latham T, Pennick-Walters T, Rucker K, Steinback S, Williams P, Williams R, Williams S, Chancy K, Levels F, Thomas N, Bennett R, Bryson S, Curtis S, Jones M, Jones P, Moore M, Patterson C, Penn M, Samuel A, Shine R, Stevenson R, Tate R, Taylor M, Wroton C, Griffith D, Johnson P, Matthews L, Mendoza R, Winkle A, Daugherty J, Er D, Felix L, Hailemeskal M, Howard T, Hoyte T, Smith J, Smith L, DeMorst L, Regan R, Rogers E, Carter K, Collier C, Croom M, Samuel D, Sosa J, Taylor B, Bryan TS, Robinson-Simpson L, Camp C, Loeb T, Williams J, Gueits L, Bayer C, Caliendo A, Freeman S, Ingersoll J, Maslankowski L, McGee-Smith D, Moorer P, Mott M, Woodard B, Bannerman C, Blake W, Bratts T, Copeland O, De Jesus-Sosa D, Faly A, Hailemeskal M, Hoyte T, Hsu J, Irobunda H, Johnson S, Napoleon F, Williams K, Combs S, MacDonald M, Roy L, White D, Woods P, Wyatt C.
Abstract
This study reports the prevalence of child (CSA) and adult (ASA) sexual abuse among 535 African American HIV serodiscordant couples from four major United State cities, and its relationship to personal and couple related vulnerabilities and HIV risk factors. As part of a randomized, clinical trial, CSA and ASA histories were obtained through face-to-face interviews. Results indicate that HIV positive women were significantly more likely to report one kind of abuse (32.32%), either before or since age 18 or both (32.6%). HIV-positive men (34.9%) were significantly more likely to report CSA than HIV-negative men (22.0%). Overall, 72% of couples reported that one or both had CSA histories. These findings underscore the heightened emotional vulnerability, and STI and HIV transmission risk taking practices, associated with sexual abuse. Sexual abuse histories among couples should be assessed to better understand how these histories may contribute to couples dynamics and risk-taking practices.
- PMID:
- 20499150
- [PubMed - indexed for MEDLINE]
- PMCID:
- PMC2944965
Free PMC ArticleFig. 1
AAC participant flow; pre-screening to randomization, Note: there were no observed statistical differences between participants who were eligible and not randomized compared to those who were eligible and randomized for a number of key demographic characteristics, including age, education, employment status, income and insurance status. Randomized participants were, however, more likely to be married compared to those eligible couples who were not randomized (340 (32.35%) versus (19.80%); P < 0.01)
AIDS Behav. AIDS Behav;14(5):1032-1044.
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