Childhood Sexual Abuse and Determinants of Risky Sexual Behavior in Men Who Have Sex with Men

The persistent prevalence of HIV infection among men who have sex with men (MSM) within the United States warrants examination of the social-sexual factors that contribute to the spread of HIV within this population. We reviewed 15 studies correlating disproportionately high child-sexual abuse (CSA) and victimization during sexual development with adult sexual risk behavior and HIV amongst MSM. CSA prevalence amongst MSM ranged from 14.9%-47% and was significantly associated with alcohol use, risky sexual behavior, partner violence, and depression. Additionally, cultural marginalization and victimization of MSM during childhood and adolescent sexual development directly contributed to negative health outcomes associated with HIV infection amongst MSM. We conclude that CSA and other forms of childhood victimization contribute to negative adult health outcomes and sexual behavior patterns that augment the spread of HIV amongst MSM. Further research is necessary to understand how health interventions can be tailored to address the affects of CSA and victimization on the HIV epidemic in the United States.