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Association between childhood physical abuse, unprotected receptive anal intercourse and HIV infection among young men who have sex with men in Vancouver, Canada
The association between childhood sexual abuse and HIV risk among men who have sex with men (MSM) is well established. However, no studies have examined the potential impact of other forms of childhood maltreatment on HIV incidence in this population. We explored the impact of child physical abuse (...
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| Published in: | PloS one 2014-06, Vol.9 (6), p.e100501-e100501 |
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| creator | Schilder, Arn J Anema, Aranka Pai, Jay Rich, Ashleigh Miller, Cari L Chan, Keith Strathdee, Steffanie A Moore, David Montaner, Julio S G Hogg, Robert S |
| description | The association between childhood sexual abuse and HIV risk among men who have sex with men (MSM) is well established. However, no studies have examined the potential impact of other forms of childhood maltreatment on HIV incidence in this population.
We explored the impact of child physical abuse (CPA) on HIV seroconversion in a cohort of gay/bisexual men aged 15 to 30 in Vancouver, Canada. Cox proportional hazard models were used, controlling for confounders.
Among 287 participants, 211 (73.5%) reported experiencing CPA before the age of 17, and 42 (14.6%) reporting URAI in the past year. After a median of 6.6 years follow-up, 16 (5.8%) participants HIV-seroconverted. In multivariate analysis, CPA was significantly associated with HIV seroconversion (adjusted hazard ratio [AHR] = 4.89, 95% confidence interval (CI): 1.65-14.48), after controlling for potential confounders.
Our study uncovered a link between childhood physical violence and HIV incidence. Results highlight an urgent need for screening of young gay and bisexual men for histories of violence, and social and structural supports to prevent HIV transmission in this population. |
| doi_str_mv | 10.1371/journal.pone.0100501 |
| format | article |
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We explored the impact of child physical abuse (CPA) on HIV seroconversion in a cohort of gay/bisexual men aged 15 to 30 in Vancouver, Canada. Cox proportional hazard models were used, controlling for confounders.
Among 287 participants, 211 (73.5%) reported experiencing CPA before the age of 17, and 42 (14.6%) reporting URAI in the past year. After a median of 6.6 years follow-up, 16 (5.8%) participants HIV-seroconverted. In multivariate analysis, CPA was significantly associated with HIV seroconversion (adjusted hazard ratio [AHR] = 4.89, 95% confidence interval (CI): 1.65-14.48), after controlling for potential confounders.
Our study uncovered a link between childhood physical violence and HIV incidence. Results highlight an urgent need for screening of young gay and bisexual men for histories of violence, and social and structural supports to prevent HIV transmission in this population.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0100501</identifier><identifier>PMID: 24963804</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject><![CDATA[Acquired immune deficiency syndrome ; Adult ; Adults ; Aggression ; AIDS ; Anal intercourse ; Bisexuality ; British Columbia - epidemiology ; Certified public accountants ; Child ; Child & adolescent psychiatry ; Child abuse & neglect ; Child Abuse - psychology ; Child Abuse - statistics & numerical data ; Child sexual abuse ; Childhood ; Children ; Children & youth ; Cohort Studies ; Confidence intervals ; Disease transmission ; Domestic violence ; Epidemiology ; Ethics ; Female ; Gays & lesbians ; Health risks ; Health sciences ; HIV ; HIV infections ; HIV Seropositivity - epidemiology ; HIV Seropositivity - psychology ; Homosexuality ; Homosexuality, Male - psychology ; Homosexuality, Male - statistics & numerical data ; Human immunodeficiency virus ; Humans ; Incidence ; Infections ; Male ; Medical tests ; Medicine and Health Sciences ; Men ; Men who have sex with men ; Mens health ; Multivariate analysis ; Neurosciences ; Public health ; Seroconversion ; Sex ; Sex crimes ; Sexual abuse ; Sexual assault ; Sexual intercourse ; Sexually transmitted diseases ; Sick role ; STD ; Supports ; Tests ; Trauma ; Unsafe Sex - psychology ; Unsafe Sex - statistics & numerical data ; Violence ; Young men]]></subject><ispartof>PloS one, 2014-06, Vol.9 (6), p.e100501-e100501</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Schilder et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2014 Schilder et al 2014 Schilder et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-6fb14bec1f4e6340263834077640e36cec4350c4e3d1b58d2355828c14b2d6c63</citedby><cites>FETCH-LOGICAL-c692t-6fb14bec1f4e6340263834077640e36cec4350c4e3d1b58d2355828c14b2d6c63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1540471140/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1540471140?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27344,27924,27925,33774,37012,37013,44590,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24963804$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Loutfy, Mona Rafik</contributor><creatorcontrib>Schilder, Arn J</creatorcontrib><creatorcontrib>Anema, Aranka</creatorcontrib><creatorcontrib>Pai, Jay</creatorcontrib><creatorcontrib>Rich, Ashleigh</creatorcontrib><creatorcontrib>Miller, Cari L</creatorcontrib><creatorcontrib>Chan, Keith</creatorcontrib><creatorcontrib>Strathdee, Steffanie A</creatorcontrib><creatorcontrib>Moore, David</creatorcontrib><creatorcontrib>Montaner, Julio S G</creatorcontrib><creatorcontrib>Hogg, Robert S</creatorcontrib><title>Association between childhood physical abuse, unprotected receptive anal intercourse and HIV infection among young men who have sex with men in Vancouver, Canada</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The association between childhood sexual abuse and HIV risk among men who have sex with men (MSM) is well established. However, no studies have examined the potential impact of other forms of childhood maltreatment on HIV incidence in this population.
We explored the impact of child physical abuse (CPA) on HIV seroconversion in a cohort of gay/bisexual men aged 15 to 30 in Vancouver, Canada. Cox proportional hazard models were used, controlling for confounders.
Among 287 participants, 211 (73.5%) reported experiencing CPA before the age of 17, and 42 (14.6%) reporting URAI in the past year. After a median of 6.6 years follow-up, 16 (5.8%) participants HIV-seroconverted. In multivariate analysis, CPA was significantly associated with HIV seroconversion (adjusted hazard ratio [AHR] = 4.89, 95% confidence interval (CI): 1.65-14.48), after controlling for potential confounders.
Our study uncovered a link between childhood physical violence and HIV incidence. Results highlight an urgent need for screening of young gay and bisexual men for histories of violence, and social and structural supports to prevent HIV transmission in this population.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>Adults</subject><subject>Aggression</subject><subject>AIDS</subject><subject>Anal intercourse</subject><subject>Bisexuality</subject><subject>British Columbia - epidemiology</subject><subject>Certified public accountants</subject><subject>Child</subject><subject>Child & adolescent psychiatry</subject><subject>Child abuse & neglect</subject><subject>Child Abuse - psychology</subject><subject>Child Abuse - statistics & numerical data</subject><subject>Child sexual abuse</subject><subject>Childhood</subject><subject>Children</subject><subject>Children & youth</subject><subject>Cohort Studies</subject><subject>Confidence intervals</subject><subject>Disease transmission</subject><subject>Domestic violence</subject><subject>Epidemiology</subject><subject>Ethics</subject><subject>Female</subject><subject>Gays & lesbians</subject><subject>Health risks</subject><subject>Health sciences</subject><subject>HIV</subject><subject>HIV infections</subject><subject>HIV Seropositivity - epidemiology</subject><subject>HIV Seropositivity - psychology</subject><subject>Homosexuality</subject><subject>Homosexuality, Male - psychology</subject><subject>Homosexuality, Male - statistics & numerical data</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infections</subject><subject>Male</subject><subject>Medical tests</subject><subject>Medicine and Health Sciences</subject><subject>Men</subject><subject>Men who have sex with men</subject><subject>Mens health</subject><subject>Multivariate analysis</subject><subject>Neurosciences</subject><subject>Public health</subject><subject>Seroconversion</subject><subject>Sex</subject><subject>Sex crimes</subject><subject>Sexual abuse</subject><subject>Sexual assault</subject><subject>Sexual intercourse</subject><subject>Sexually transmitted diseases</subject><subject>Sick role</subject><subject>STD</subject><subject>Supports</subject><subject>Tests</subject><subject>Trauma</subject><subject>Unsafe Sex - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Open Access: DOAJ - Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schilder, Arn J</au><au>Anema, Aranka</au><au>Pai, Jay</au><au>Rich, Ashleigh</au><au>Miller, Cari L</au><au>Chan, Keith</au><au>Strathdee, Steffanie A</au><au>Moore, David</au><au>Montaner, Julio S G</au><au>Hogg, Robert S</au><au>Loutfy, Mona Rafik</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between childhood physical abuse, unprotected receptive anal intercourse and HIV infection among young men who have sex with men in Vancouver, Canada</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2014-06-25</date><risdate>2014</risdate><volume>9</volume><issue>6</issue><spage>e100501</spage><epage>e100501</epage><pages>e100501-e100501</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The association between childhood sexual abuse and HIV risk among men who have sex with men (MSM) is well established. However, no studies have examined the potential impact of other forms of childhood maltreatment on HIV incidence in this population.
We explored the impact of child physical abuse (CPA) on HIV seroconversion in a cohort of gay/bisexual men aged 15 to 30 in Vancouver, Canada. Cox proportional hazard models were used, controlling for confounders.
Among 287 participants, 211 (73.5%) reported experiencing CPA before the age of 17, and 42 (14.6%) reporting URAI in the past year. After a median of 6.6 years follow-up, 16 (5.8%) participants HIV-seroconverted. In multivariate analysis, CPA was significantly associated with HIV seroconversion (adjusted hazard ratio [AHR] = 4.89, 95% confidence interval (CI): 1.65-14.48), after controlling for potential confounders.
Our study uncovered a link between childhood physical violence and HIV incidence. Results highlight an urgent need for screening of young gay and bisexual men for histories of violence, and social and structural supports to prevent HIV transmission in this population.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24963804</pmid><doi>10.1371/journal.pone.0100501</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2014-06, Vol.9 (6), p.e100501-e100501 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1540471140 |
| source | Publicly Available Content Database; PubMed Central; Sociological Abstracts |
| subjects | Acquired immune deficiency syndrome Adult Adults Aggression AIDS Anal intercourse Bisexuality British Columbia - epidemiology Certified public accountants Child Child & adolescent psychiatry Child abuse & neglect Child Abuse - psychology Child Abuse - statistics & numerical data Child sexual abuse Childhood Children Children & youth Cohort Studies Confidence intervals Disease transmission Domestic violence Epidemiology Ethics Female Gays & lesbians Health risks Health sciences HIV HIV infections HIV Seropositivity - epidemiology HIV Seropositivity - psychology Homosexuality Homosexuality, Male - psychology Homosexuality, Male - statistics & numerical data Human immunodeficiency virus Humans Incidence Infections Male Medical tests Medicine and Health Sciences Men Men who have sex with men Mens health Multivariate analysis Neurosciences Public health Seroconversion Sex Sex crimes Sexual abuse Sexual assault Sexual intercourse Sexually transmitted diseases Sick role STD Supports Tests Trauma Unsafe Sex - psychology Unsafe Sex - statistics & numerical data Violence Young men |
| title | Association between childhood physical abuse, unprotected receptive anal intercourse and HIV infection among young men who have sex with men in Vancouver, Canada |
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