277025
Sexual violence and HIV-related risk behaviors among men who have sex with men (MSM) in the United States: A nationally representative cross sectional survey, 2002, 2006-2010
Monday, November 4, 2013
: 12:38 p.m. - 12:56 p.m.
Emeka Oraka, MPH,
ICF International at the Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA
Eduardo E. Valverde, MPH,
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, GA
BACKGROUND: Studies have identified sexual violence as a risk factor for HIV infection. However, it is unknown how widespread sexual violence is among men who have sex with men (MSM). We described the prevalence of lifetime sexual violence among MSM by demographic characteristics, and characterized its association with HIV-related risk behaviors among MSM in the United States. METHODS: National Survey of Family Growth data from cycles 2002, and 2006-2010 were analyzed for males aged 18-44 years who reported ever having anal or oral intercourse with another male. Associations between lifetime sexual violence (forced intercourse by males or females) and HIV-related sexual risk behavior outcomes in the past 12 months i.e. exchanged sex for money or drugs; sex with ≥2 opposite sex partners; sex with injection drug user (IDU); sex with HIV-positive person; sex with ≥2 same sex partners were assessed using adjusted prevalence ratios (aPR) while controlling for significant demographic and health-related covariates (p <0.05). RESULTS: An estimated 6,453,743 (95%CI: 5,686,609-7,220,875) men were identified as MSM nationwide, and 1,590,364 (24.6%; 95%CI: 20.4-29.4) of these reported ever experiencing sexual violence. Compared to those not reporting sexual violence, MSM reporting sexual violence were more likely to have had sex with IDU (aPR=2.52; 95%CI: 1.10-5.74), and exchanged sex for money or drugs (aPR: 2.98; 95%CI=1.60-5.56). CONCLUSIONS: Almost one quarter of MSM in the sample reported sexual abuse, which was associated with certain HIV-related sexual risk behaviors. Effective interventions are needed for MSM who experience sexual violence to mitigate their risk for HIV acquisition.
Learning Areas:
Epidemiology
Learning Objectives:
Demonstrate the need for effective interventions for men who have sex with men (MSM) who experience sexual violence to mitigate their risk for HIV acquisition.
Keyword(s): Sexual Assault, Male Health
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am a physician with Masters in Public health, and currently working as a Medical Epidemiologist at the Centers for Disease Control & Prevention (CDC), Atlanta, Georgia, USA. I hold an appointment of Adjunct Assistant Professor at the Emory Universityâs Rollins School of Public Health with over 10 years of experience in Public Health. Furthermore, I am serving on the Editorial Boards of few journals and a reviewer to several scholarly journals in public health.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.
