4374.0 Childhood Sexual Abuse among Adults at Risk for HIV

Tuesday, November 10, 2009: 4:30 PM
Men who have sex with men (MSM) and Intravenous drug users (IDUs) are populations at high risk for HIV in the United States. An understanding of population segments that contribute to these ongoing HIV epidemics is essential. Childhood sexual abuse (CSA) is highly prevalent (20%) among MSM, and MSM CSA victims have higher levels of HIV risk behavior and HIV infection than non-victims (Paul et al., 2001; Catania et al., 2008). The extent of CSA victimization among IDUs may also be substantial, and the implications for HIV risk among IDUs is under study. Understanding the mediators of childhood sexual trauma and adult HIV risk behaviors (sex and drug related), and describing the challenges for targeting and tailoring HIV prevention programs for CSA victims is a priority. The symposium would present four papers on data relevant to CSA and MSM and a fifth paper that extends this work to IDUs. Collectively, these papers present new data on proximal and developmental mediators/modifiers of CSA and adult HIV risk behavior among MSM and IDUs. In addition, work will be presented that examines the extent to which CSA victims disclose their CSA histories, and in so doing, aid in identifying potential venues for targeting HIV-prevention messages to highly stigmatized populations. In this context, important findings will be presented that suggest that standard HIV prevention efforts with CSA victims may be limited in promoting safe sex, and may even acerbate risk behavior. Discussants will consider findings from Syndemic and developmental perspectives.
Session Objectives: 1) Describe the relationship between childhood sexual abuse and HIV risk behavior among MSM and IDUs. 2) Explain standard HIV prevention efforts with childhood sexual abuse victims. 3) Describe appropriate HIV prevention intervention methods for childhood sexual abuse victims.
Ron Stall, PhD and Joseph Catania, PhD

4:30 PM
A Meta-Analysis of Health Disparities among Gay/Bisexual Men relating to Early Sexual Abuse
Mark S. Friedman, PhD, Michael P. Marshal, PhD, Thomas E. Guadamuz, PhD, MHS, Sara Luby, BA, Helen Smith, MPH, Carolyn F. Wong, Ph D, Chongyi Wei, MA, Mackey R. Friedman, MPH and Ron Stall, PhD
4:45 PM
Childhood sexual experiences among men who have sex with men in Brazil
Alex Carballo-Dieguez, PhD, Ivan Balan, PhD, Curtis Dolezal, PhD and Maeve Mello, PhD
5:15 PM
Mediators of the relationship between childhood sexual abuse and subsequent HIV infection among MSM in the EXPLORE study
Matthew J. Mimiaga, ScD, MPH, Elizabeth Noonan, MS, Deborah Donnell, PhD, Steven A. Safren, PhD, Conall O'Cleirigh, PhD, Margaret A. Chesney, PhD, Thomas Coates, PhD, Beryl Koblin, ScM, PhD and Kenneth H. Mayer, MD
5:30 PM
Impact of childhood sexual abuse on sex trading and other HIV risks among men in methadone treatment
E. Roberto Orellana, PhD, MPH, MSW, Nabila El-Bassel, DSW and Louisa Gilbert, PhD

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: HIV/AIDS
Endorsed by: Latino Caucus, Maternal and Child Health, Socialist Caucus

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH)

See more of: HIV/AIDS