Psychological and behavioral moderators of the relationship between trauma severity and HIV transmission risk behavior among MSM with a history of childhood sexual abuse

Childhood sexual abuse (CSA) is associated with post-traumatic stress disorder (PTSD), which can be associated with condomless sex among men who have sex with men (MSM). However, the impact of moderating factors on the relationship between PTSD symptom severity and condomless sex is poorly understoo...

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Bibliographic Details
Published in:Journal of behavioral medicine 2017-10, Vol.40 (5), p.794-802
Main Authors: Batchelder, Abigail W., Ehlinger, Peter P., Boroughs, Michael S., Shipherd, Jillian C., Safren, Steven A., Ironson, Gail H., O’Cleirigh, Conall
Format: Article
Language:English
Subjects:
Abuse
Child abuse & neglect
Child sexual abuse
Childhood
Children
Disease transmission
Drug tolerance
Family Medicine
General Practice
Health Psychology
High risk
HIV
HIV infections
Homosexuality
Human immunodeficiency virus
Immunological tolerance
Influence
Medicine
Medicine & Public Health
Men
Men who have sex with men
Moderators
MSM (Men who have sex with men)
Post traumatic stress disorder
Psychological aspects
Psychological distress
Psychological trauma
Risk behavior
Risk factors
Self esteem
Severity
Sex crimes
Sexual behavior
Substance abuse
Substance use
Symptoms
Tolerance
Trauma
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Summary:Childhood sexual abuse (CSA) is associated with post-traumatic stress disorder (PTSD), which can be associated with condomless sex among men who have sex with men (MSM). However, the impact of moderating factors on the relationship between PTSD symptom severity and condomless sex is poorly understood. We examined whether PTSD symptom severity was associated with condomless sex among MSM with CSA histories, and whether substance dependence, self-esteem, and distress tolerance moderated that relationship (n = 288). Notably, no direct relationship between PTSD symptom severity and condomless sex was found. Adjusted models indicated that condomless sex was differentially impacted by PTSD symptom severity among those without substance dependence (ΔR 2  = 0.03, p  = 0.034) and, counterintuitively, those with high self-esteem (ΔR 2  = 0.07, p  = 0.005). PTSD symptom severity was associated with condomless sex across levels of distress tolerance. Findings indicate that substance use, self-esteem, and distress tolerance should be targeted in high-risk MSM with CSA even if they do not have PTSD.
ISSN:0160-7715
1573-3521
DOI:10.1007/s10865-017-9848-9