4132.0: Tuesday, November 14, 2000 - Board 10

Abstract #7692

What are the levels of childhood sexual abuse and assault among sub-groups of persons with HIV in British Columbia?

Arn J. Schilder1, K.J.P. Craib1, I.L. Goldstone1, K. Chan1, W. Campbell2, R.S. Hogg1, and M.V. O'Shaughnessy1. (1) B.C. Centre for Excellence in HIV/AIDS, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada, (604) 682-2344 ex 63183, arn@hivnet.ubc.ca, (2) British Columbia Persons with AIDS Society [BCPWA]

Methods: The study was conducted jointly by the BCCOE. Self-administered questionnaires were mailed to 1450 HIV-positive members. Statistical analyses were carried out using parametric and distribution-free methods.

Results: Of a sample 620, 262 (43.0%) self-reported sexual abuse and/or experience coercive sex (37.4%). Persons assaulted were significantly more likely to be women (14% vs. 7%; p=0.003); or Gay men (45% vs. 53%; p=0.048), likely to identify as straight men (30.1% vs. 69.8%; p=0.011). Persons reporting sexual abuse were likely: to be injection drug users [Odds Ratio (OR)=2.88; 95% CI: 1.84 - 4.51]; used a detox centre [OR=5.98 ; 95% CI: 1.11 - 4.60]; been a patient in a psychiatric ward [OR=4.04; 95% CI: 1.11 - 4.04]. They were less likely: to be male [OR=0.40; 95% CI: 0.22 - 0.74]; to identify as a "straight" man [OR=0.32; 95% CI: 0.16 - 0.61]; have a low plasma viral load [OR=0.63 ; 95% CI: 0.43 - 0.92]. After adjusting for gender, First Nations status, education, stable housing, social identity, and institutional experience within this sample, IDUs were 2.77 times [95% CI: 1.73 - 4.44] likely to have been assaulted.

Conclusion: Results indicate high rates of sexual assault within a small cross-sectional sample of men and women [N=620]. Sexual assault and coercive sex was clearly linked to health status and IDU but also to: First Nations status, social identity, age, gender, stable housing, education, and institutional experience.

Learning Objectives: The study was conducted jointly by the BCCOE. Self-administered questionnaires were mailed to 1450 HIV-positive members. Statistical analyses were carried out using parametric and distribution-free methods

Keywords: Sexual Assault, HIV/AIDS

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA