CHILD SEXUAL ABUSE, HIV SEXUAL RISK, AND GENDER RELATIONS OF AFRICAN-AMERICAN WOMEN

Introduction: A cross-sectional study was conducted to examine the ass ociation between childhood abuse, HIV-related sexual risks, and gender relations among African-American women. Methods: The sample 165 Afric an-American women, 18-29 years of age, were recruited by street outrea ch from a lower socioeconomic community in San Francisco, CA. A face-t o-face interview was administered to assess HIV/STD-sexual risk practi ces, alcohol use, physical abuse, affective health, and relationship c ommitment. Childhood sexual abuse was defined as experiencing forced s ex prior to age 16. Results: The prevalence of childhood sexual abuse in this sample was 13.3%. Compared to women who were not abused during childhood, women who reported a history of childhood sexual abuse wer e 1.5 times more likely to have had an abortion, 1.4 times more likely to report having an STD, 2.4 times as likely to report having greater than two lifetime STDs, 3.8 times as likely to have a history of anal sex, 2.6 times as likely to worry about acquiring HIV, 3.9 times more likely to believe their partner did not care for them, twice as likel y to doubt the longevity of their relationship, 5.1 times as likely to have a partner who had been physically abusive within the previous 3 months, 2.6 times as likely to have a partner who was physically abusi ve when asked to use condoms, and 1.5 times as likely to consume three or more glasses of alcohol at one time. Conclusions: Awareness of a w oman's history of child sexual abuse can assist in making appropriate medical and social referrals and can lead to the development of more t ailored HIV prevention programs for African-American women.