Childhood sexual abuse and sexual risk behavior among men and women attending a sexually transmitted disease clinic

Theresa E. Senn, Michael P. Carey, Peter A. Vanable, Patricia Coury-Doniger, Marguerite A. Urban

Research output: Contribution to journalArticlepeer-review

97 Scopus citations

Abstract

Childhood sexual abuse (CSA) is associated with a wide range of negative outcomes. The authors investigated the relation between CSA and sexual risk behavior in 827 patients recruited from a sexually transmitted disease (STD) clinic. Overall, CSA was reported by 53% of women and 49% of men and was associated with greater sexual risk behavior, including more sexual partners, unprotected sex, and sex trading. Alcohol use for men and drug use for women mediated the relation between CSA and the number of sexual partners in the past 3 months; intimate partner violence mediated the relation between CSA and the number of episodes of unprotected sex in the past 3 months for women. These results document the prevalence of CSA among patients seeking care for an STD and can be used to tailor sexual risk reduction programs for individuals who were sexually abused.

Original languageEnglish (US)
Pages (from-to)720-731
Number of pages12
JournalJournal of Consulting and Clinical Psychology
Volume74
Issue number4
DOIs
StatePublished - Aug 2006

Keywords

  • Alcohol use
  • Child sexual abuse
  • Drug use
  • Human immunodeficiency virus (HIV)
  • Sexually transmitted disease

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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