Self-Reported Sexual Behavioral Similarities and Differences Among Young Men Who Have Sex With Men With Childhood Sexual Abuse Histories: A Qualitative Exploratory Study

被引:3
作者
Emetu, Roberta E. [1 ]
Yarber, William L. [2 ]
Sherwood-Laughlin, Catherine M. [3 ]
Brandt, Alexis S. [1 ]
机构
[1] Calif State Univ Northridge, Coll Hlth & Human Dev, Dept Hlth Sci, 18111 Nordhoff St, Northridge, CA 91330 USA
[2] Indiana Univ, Dept Appl Hlth Sci, Rural Ctr AIDS STD Prevent, Kinsey Inst Res Sex Gender & Reprod, Bloomington, IN 47405 USA
[3] Indiana Univ, Dept Appl Hlth Sci, Sch Publ Hlth, Bloomington, IN 47405 USA
关键词
men who have sex with men; sexual behavior; sexually transmitted infections; HIV; AIDS; childhood sexual abuse; HIV PREEXPOSURE PROPHYLAXIS; RISK BEHAVIOR; UNITED-STATES; SUBSTANCE USE; HEALTH; VICTIMIZATION; WOMEN; EXPERIENCES; DISORDERS; INFECTION;
D O I
10.1177/1557988320949355
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Young men who have sex with men (YMSM) have the highest burden of sexually transmitted infections (STIs), including HIV. Childhood sexual abuse (CSA) is a risk factor for high-risk sexual behavior and STI acquisition. Studies that have explored sexual behavior based on the type of reported sexual abuse are limited. This study aimed to further understand current sexual behaviors and perceptions among YMSM that have experienced different types of CSA. Sixteen YMSM who were survivors of CSA were interviewed utilizing a phenomenological conceptual framework and methodology. Thematic findings were divided into two parts. Part I gave an overview of the entire sample, and themes were as follows: unprotected oral sex used to evaluate penile abnormalities, trust promoting unprotected sex, and alcohol and other drugs not cited as the reason for casual sex. Part II demonstrated the differences among those with a history of CSA involving non-penile-anal intercourse and those with a history of CSA involving penile-anal intercourse. The major themes in Part II were that victims of CSA involving penile-anal intercourse reported the following: a hypersexual self-definition, an STI diagnosis and noncondom use history, and a third sexual partner during sexual activity. Based on the findings, early life experiences such as CSA should be considered when developing preventative sexual health strategies and individuals who experienced penetrative sexual abuse may have different needs which should be further explored.
引用
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页数:11
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