Social Work Research
Volume 38, Issue 2, 2014, Pages 117-126

Sex trading and other HIV risks among drug-involved men: Differential associations with childhood sexual abuse (Article)

Orellana E.R.* , El-Bassel N. , Gilbert L. , Miller K.M. , Catania J. , Epperson M. , Wu E.
  • a Portland State University, Portland, OR 97201, United States
  • b School of Social Work, Columbia University, New York, United States
  • c School of Social Work, Columbia University, New York, United States
  • d School of Social Work, Portland State University, Portland, OR, United States
  • e College of Public Health, Oregon State University, Corvallis, United States
  • f School of Social Service Administration, University of Chicago, United States
  • g School of Social Work, Columbia University, New York, United States

Abstract

This study examined the prevalence of childhood sexual abuse (CSA), sex trading, and other HIV risks among a random sample of 356 men in heterosexual relationships who were enrolled in methadone treatment in New York City. Mediational analyses were performed to test a hypothesis that selected dimensions of substance use history and psychopathology mediate the relationship between CSA and sex trading and HIV risks. Thirty-eight percent (n = 135) of participants reported a history of CSA. CSA history was significantly associated with sex trading (adjusted OR= 2.80, 95% CI [1.67, 4.64]) and HIV risks (adjusted OR= 2.10, 95% CI [1.22, 3.62]). The relationship between CSA and sex trading was partially mediated by substance use and psychopathology. The relationship between CSA and HIV risks was completely mediated by substance use and psychopathology. These findings highlight the need for targeted HIV prevention, mental health services, and substance abuse treatment for drug-involved men with a history of CSA. © 2014 National Association of Social Workers.

Author Keywords

HIV risks Substance abuse childhood sexual abuse

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84903993162&doi=10.1093%2fswr%2fsvu012&partnerID=40&md5=d445120930bb1a43d8ac8d72bb20c59f
DOI: 10.1093/swr/svu012
ISSN: 10705309
Cited by: 1
Original Language: English