Sexual abuse and HIV-risk behaviour among black and minority ethnic men who have sex with men in the UK

• Autor(a) principal: Jaspal, Rusi
• Data de Publicação: 2018
• Outros Autores: Lopes, Barbara, Jamal, Zahra, Paccoud, Ivana, Sekhon, Parminder
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://hdl.handle.net/10316/47107; https://doi.org/10.1080/13674676.2017.1414170
• topic: Sexual abuse; psychological adversity; HIV; maladaptive coping; drug use

Black and minority ethnic (BME) men who have sex with men (MSM) face a major burden in relation to HIV infection. It was hypothesised that sexual abuse would predict sexual risk-taking, and that this relationship would be mediated by victimisation and maladaptive coping variables. Four hundred and thirty-two BME MSM completed the survey; 54% reported no sexual abuse and 27% reported sexual abuse. Mann–Whitney tests showed that MSM with a history of sexual abuse reported higher frequency of drug use, and of homophobia and racism than those reporting no prior sexual abuse. A structural equation model showed that the experience of sexual abuse was positively associated with sexual risk-taking and that this relationship was mediated by victimisation variables: frequency of racism and frequency of homophobia and by the maladaptive coping variable: frequency of drug use. The findings can inform the design of psycho-sexual and behavioural interventions for BME MSM.