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Childhood sexual abuse in males and subsequent risky sexual behavior: a potential alcohol-use pathway. |
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Child Abuse and Neglect, 34(5), May 2010, pp.369-378. |
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Abstract: |
This study investigated a possible connection between child sexual abuse (CSA) and an increased likelihood of risky sexual behaviour in adulthood. The study also explored whether or not alcohol use may contribute to this relationship. Two hundred and eighty heterosexual men completed multiple background questionnaires relating to past and current sexual experiences and patterns of alcohol use. CSA history was acquired and severity ratings were made based on type of contact reported. CSA was reported by 20% of men. Analysis revealed that CSA positively predicted number of sexual partners directly through its effect on alcohol use. Greater CSA severity predicted a lower age of first intoxication, which in turn predicted greater current alcohol consumption, followed by greater use of alcohol before sexual intercourse, in turn leading to an increased number of reported sexual partners. Results indicate that CSA influences risky sexual behaviour via multiple pathways and that more severe CSA may lead to elevated sexual risk indices. These results also suggest that men may elevate their risk of sexually transmitted infections via high numbers of sexual partners versus irregular condom use. The authors conclude that the results emphasise the need for adequate assessment and early interventions in order to mitigate the effects CSA may have on subsequent alcohol use and risky sexual behaviour. Ensuring that male CSA victims understand the risks of high numbers of sexual partners may be an effective strategy to interrupt the path toward risk-taking. |
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article; |
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Topics: |
adults; alcohol misuse; child sexual abuse; HIV AIDS; intervention; men; outcomes; prevention; risk; sexually transmitted infections; survivors; |
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www.scie-socialcareonline.org.uk/profile.asp?guid=37b0ad1d-8738-4fa5-90a3-7f1478db90e6 |
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