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CN 34-1304/RISSN 1674-3679

Volume 23 Issue 12
Dec.  2019
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Article Contents
TAN Zhi-min, LI Jing, CHEN Xiao-bin, CHENG Wei-bin, XU Hui-fang, JIANG Hong-bo, YANG Yi. Impact of childhood sexual abuse on risky sexual behaviors among men who have sex with men in Guangzhou[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(12): 1487-1491. doi: 10.16462/j.cnki.zhjbkz.2019.12.011
Citation: TAN Zhi-min, LI Jing, CHEN Xiao-bin, CHENG Wei-bin, XU Hui-fang, JIANG Hong-bo, YANG Yi. Impact of childhood sexual abuse on risky sexual behaviors among men who have sex with men in Guangzhou[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2019, 23(12): 1487-1491. doi: 10.16462/j.cnki.zhjbkz.2019.12.011

Impact of childhood sexual abuse on risky sexual behaviors among men who have sex with men in Guangzhou

doi: 10.16462/j.cnki.zhjbkz.2019.12.011
Funds:

National Natural Science Foundation of China 81703282

The "13th Five-Year" plan for the development of philosophy and social sciences in Guangzhou 2018GZGJ67

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  • Corresponding author: YANG Yi, E-mail: yangyigz@163.com
  • Received Date: 2019-02-25
  • Rev Recd Date: 2019-05-15
  • Publish Date: 2019-12-10
  •   Objective  To explore the experience of childhood sexual abuse (CSA) among men who have sex with men (MSM) in Guangzhou, and to evaluate its impact on risky sexual behaviors in adulthood.  Methods  A non-probability sampling method was used to recruit MSM aged 18 years and over in Guangzhou. Sociodemographic characteristics, experience of CSA and risky sexual behaviors during the past 6 months were collected using an electronic questionnaire. χ2 tests were used to compare the prevalence of CSA and risky sexual behaviors during the past 6 months among different sociodemographic characteristics. Logistic regressions were performed to assess the impact of CSA on risky sexual behaviors.  Results  Overall, 976 MSM were included with an average age of (28.35±6.83) years old. Nearly one-third (26.95%, 263/976) of MSM experienced CSA. Participants having multiple sexual partners (MSP) and unprotected anal intercourse (UAI) during the past 6 months accounted for 61.68% (602/976) and 47.95% (468/976), respectively. After adjusting age, ethnicity, household registration, local residence time, marital status, education, employment status, monthly income and sexual orientation, the results of multivariate Logistic regression showed that MSM who experienced CSA were likely to have MSP during the past 6 months (aOR=1.62; 95%CI: 1.19-2.22) than those did not experience CSA. But the association between UAI and CSA was not statistically significant.  Conclusions  The prevalence of CSA among MSM in Guangzhou is high. CSA can substantially increase the risk of risky sexual behaviors in adulthood. Intervention to reduce the risk of sexual risk behaviors may need to be tailored for MSM who experienced CSA.
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  • [1]
    Tang K, Qu X, Li C, et al. Childhood sexual abuse, risky sexual behaviors and adverse reproductive health outcomes among Chinese college students[J]. Child Abuse Negl, 2018, 84(1): 123-130. DOI: 10.1016/j.chiabu.2018.07.038.
    [2]
    Xu W, Zheng L, Song J, et al. Relationship between childhood sexual abuse and HIV-related risks among men who have sex with men: findings from mainland China[J]. Arch Sex Behav, 2018, 47(7): 1949-1957. DOI: 10.1007/s10508-017-1104-4.
    [3]
    彭淋, 张思恒, 杨剑, 等. 中国儿童期性虐待发生率的Meta分析[J]. 中华流行病学杂志, 2013, 34(12): 1245-1249. DOI: 10.3760/cmaj.issn.0254-6450.2013.012.021.

    Peng L, Zhang SH, Yang J, et al. Meta-analysis on the incidence rates of child sexual abuse in China[J]. Chin J Epidemiol, 2013, 34(12): 1245-1249. DOI: 10.3760/cmaj.issn.0254-6450.2013.012.021.
    [4]
    葛琳, 李东民, 李培龙, 等. 2010-2015年中国艾滋病哨点监测人群HIV、梅毒和HCV感染状况分析[J]. 疾病监测, 2017, 32(2): 111-117. DOI: 10.3784/j.issn.1003-9961.2017.02.008.

    Ge L, Li DM, Li PL, et al. Population specific sentinel surveillance for HIV infection, syphilis and HCV infection in China, during 2010-2015[J]. Dis Surveill, 2017, 32(2): 111-117. DOI: 10.3784/j.issn.1003-9961.2017.02.008.
    [5]
    豆正东, 方艳姣, 芮蓓. 2011-2015年芜湖市男男性行为人群安全套使用状况及影响因素分析[J]. 中华疾病控制杂志, 2018, 22(3): 254-257, 286. DOI: 10.16462/j.cnki.zhjbkz.2018.03.010.

    Dou ZD, Fang YJ, Rui B. Status of condom use and influencing factors among men who have sex with men in Wuhu City from 2011 to 2015[J]. Chin J Dis Control Prev, 2018, 22(3): 254-257, 286. DOI:10.16462/j.cnki.zhjbkz. 2018.03.010.
    [6]
    卢姗, 李东民. 男男性行为人群无保护性肛交行为及其影响因素研究进展[J]. 中华流行病学杂志, 2017, 38(11): 1584-1587. DOI: 10.3760/cma.j.issn.0254-6450.2017.11.029.

    Lu S, Li DM. Research progress on unprotected anal intercourse and its influencing factors in men who have sex with men[J]. Chin J Epidemiol, 2017, 38(11): 1584-1587. DOI: 10.3760/cma.j.issn.0254-6450.2017.11.029.
    [7]
    Williams JK, Wilton L, Magnus M, et al. Relation of childhood sexual abuse, intimate partner violence, and depression to risk factors for HIV among black men who have sex with men in 6 US cities[J]. Am J Public Health, 2015, 105(12): 2473-2481. DOI:10.2105/AJPH.2015. 302878.
    [8]
    Ji K, Finkelhor D, Dunne M. Child sexual abuse in China: a meta-analysis of 27 studies[J]. Child Abuse Negl, 2013, 37(9): 613-622. DOI: 10.1016/j.chiabu.2013.03.008.
    [9]
    Finkelhor D, Ji K, Mikton C, et al. Explaining lower rates of sexual abuse in China[J]. Child Abuse Negl, 2013, 37(10): 852-860. DOI: 10.1016/j.chiabu.2013.07.006.
    [10]
    Cheng W, Tang W, Zhong F, et al. Consistently high unprotected anal intercourse (UAI) and factors correlated with UAI among men who have sex with men: implication of a serial cross-sectional study in Guangzhou, China[J]. BMC Infect Dis, 2014, 14: 696. DOI: 10.1186/s12879-014-0696-8.
    [11]
    Wang Z, Zhao X, Zhang Z, et al. Co-occurring psychosocial problems and multiple sexual partners among men who have sex with men in Shanghai, China: a syndemic approach[J]. J Sex Res, 2018, 55(7): 892-901. DOI: 10.1080/00224499.2017.1399333.
    [12]
    蔡于茂, 宋亚娟, 洪福昌. 深圳市男男性行为者肛交多性伴行为特征及影响因素[J]. 中国艾滋病性病, 2016(12): 978-981. DOI: 10.13419/j.cnki.aids.2016.12.11.

    Cai YM, Song YJ, Hong FC. Factors associated with multiple sexual partners among men who have sex with men in Shenzhen[J]. Chin J AIDS STD, 2016, 22(12): 978-981. DOI: 10.13419/j.cnki.aids.2016.12.11.
    [13]
    王毅, 李六林, 周万明, 等. 绵阳市年轻男男性行为者儿童期性虐待经历对个体行为及心理健康的影响[J]. 中国艾滋病性病, 2018, 24(9): 912-915, 922. DOI: 10.13419/j.cnki.aids.2018.09.14.

    Wang Y, Li LL, Zhou WM, et al. Impact of childhood sexual abuse experience on individual behavioral and mental health by young men who have sex with men in Mianyang City[J]. Chin J AIDS STD, 2018, 24(9): 912-915, 922. DOI: 10.13419/j.cnki.aids.2018.09.14.
    [14]
    Tomori C, Mcfall AM, Srikrishnan AK, et al. The prevalence and impact of childhood sexual abuse on HIV-risk behaviors among men who have sex with men (MSM) in India[J]. BMC Public Health, 2016, 16: 784. DOI: 10.1186/s12889-016-3446-6.
    [15]
    Senn TE, Carey MP, Vanable PA. Childhood and adolescent sexual abuse and subsequent sexual risk behavior: evidence from controlled studies, methodological critique, and suggestions for research[J]. Clin Psychol Rev, 2008, 28(5): 711-735. DOI:10.1016/j.cpr. 2007.10.002.
    [16]
    Finkelhor D, Browne A. The traumatic impact of child sexual abuse: a conceptualization[J]. Am J Orthopsychiatry, 1985, 55(4): 530-541. DOI: 10.1111/j.1939-0025.1985.tb02703.x.
    [17]
    Briere JN, Elliott DM. Immediate and long-term impacts of child sexual abuse[J]. Future Child, 1994, 4(2): 54-69. DOI: 10.2307/1602523.
    [18]
    Senn TE, Carey MP, Coury-Doniger P. Mediators of the relation between childhood sexual abuse and women's sexual risk behavior: a comparison of two theoretical frameworks[J]. Arch Sex Behav, 2012, 41(6): 1363-1377. DOI: 10.1007/s10508-011-9897-z.
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