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M94A2396.TXT
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Document 2396
DOCN M94A2396
TI Sexual abuse during childhood and adolescence as predictors of
HIV-related sexual risk behaviors in adulthood.
DT 9412
AU Klein H; Young P; Wild J; NOVA Research, Bethesda, MD 20814.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):313 (abstract no. PC0180). Unique
Identifier : AIDSLINE ICA10/94370179
AB OBJECTIVE: This study strives to understand the relationship between
sexual abuse during childhood and adolescence and subsequent involvement
in HIV-related sexual risk behaviors in adulthood. The research
hypothesis is that women who have been abused sexually will be more
likely than nonabused women to engage in sexual risk behaviors. METHODS:
From 1990-1993, 2,794 North American women who were sexual partners of
injection drug users (IDUs) were studied. Respondents were asked whether
they experienced four types of sexual abuse during childhood or
adolescence: being forced to see or show private parts, being forced to
touch private parts, being shown dirty pictures or magazines, and sexual
penetration. Data about telling others about one's abuse, whether one's
abuse-related claims were believed, age of first and last abuse were
also gathered. Information about HIV-related sexual risk behaviors in
adulthood included trading sex for drugs/money, having sex while high on
alcohol/other drugs, contracting sexually transmitted diseases (STDs),
number of sex partners, and proportion of all sexual activity involving
unprotected sex. Fifty personal empowerment-related items were also
included in the questionnaires. RESULTS: Childhood and adolescent sexual
abuse were reported by 36.3% and 34.4%, respectively, of respondents.
The number of different types of abuse experienced was directly related
to (p < .05) all 5 sexual risk behaviors. Abuse during childhood or
adolescence, and having one's abuse believed by others are related to (p
< .05) trading sex for drugs/money and contracting STDs, but not to
number of partners, practicing unsafe sex, or having sex while high.
DISCUSSION AND CONCLUSIONS: Sexual abuse early in life predicts
involvement in high-risk sexual behaviors later in life. In particular,
sexual abuse during childhood and/or adolescence seems to increase
women's likelihoods of contacting STDS and trading sex for drugs/money.
Our findings suggest that females who, as adults, become the sex
partners of IDUs may do so because of the negative effects that their
own abuse histories have had on their senses of self worth and on their
feelings of having control over their own lives.
DE Adolescence Adult Child Child Abuse, Sexual/*PSYCHOLOGY Female
Human HIV Infections/*TRANSMISSION Risk Factors *Sex Behavior Sexual
Partners Substance Abuse, Intravenous/COMPLICATIONS MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).