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HIV risk among men who have sex with men who have experienced childhood sexual abuse: Systematic review and meta-analysis

机译：艾滋病毒的风险与男性发生性关系的男人儿童期性虐待经历:系统回顾和荟萃分析

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Previous research has indicated a high prevalence of childhood sexual abuse (CSA) among men who have sex with men (MSM) in the United States, and has suggested that CSA history is a risk factor for HIV infection in MSM. We conducted a systematic review to identify, synthesize, meta-analyze, and critique the current state of relevant literature. Systematic review methodology was utilized to identify 12 studies that compared MSM with a history of CSA to MSM without a history of CSA on HIV risk indicators including HIV serostatus, sexually transmitted infections (STIs), sexual behaviors, and illicit drug use. Overall, 27.3% (n = 4,263) of the MSM in all included studies (n = 15,622) reported a CSA history. Across the studies that used probabilistic sampling (n = 8,240), the estimated prevalence of CSA was 21.8% (n = 1,800). Meta-analysis indicated that MSM with CSA history were more likely to be HIV positive [odds ratio (OR) = 1.54; 95% confidence interval (CI) = 1.22-1.95)] and to engage in recent unprotected anal intercourse (OR = 1.85, 95% CI = 1.36-2.51). Studies also indicated that MSM with a history of CSA were more likely to report frequent casual male partners, substance use, and sex while under the influence of alcohol or other drugs. Trends across studies indicated a need for interventions to assess CSA history and address effects of CSA on sexual risk behavior of MSM. Inconsistencies across studies indicated a need to reach consensus among researchers and providers in defining CSA.
机译：先前的研究已经表明患病率高儿童性虐待(CSA)的男人行为者(MSM)在美国,然后呢历史已经表明,CSA是一个风险因素在男男同性恋感染艾滋病病毒。系统评价识别、合成,meta-analyze和批判的当前状态相关的文献。方法利用识别12的研究相比,男男男男CSA的历史没有CSA艾滋病风险指标的历史包括艾滋病毒serostatus,性传播感染、性行为和非法吸毒。在所有包括研究报告(n = 15622)CSA的历史。概率抽样(n = 8240),估计CSA患病率为21.8% (n = 1800)。荟萃分析表明,男男同性恋者与CSA的历史更有可能是HIV阳性(优势比吗(或)= 1.54;1.22 - -1.95)]和参与最近的保护肛交(或= 1.85,95% CI = 1.36 - -2.51)。研究还表明,历史的男男同性恋者CSA更有可能报告频繁的休闲男性伴侣、物质使用和性而下酒精或其他药物的影响。在研究表明干预的必要性CSA的影响评估CSA历史和地址男男同性恋者的性风险行为。在研究表明需要达到研究人员和供应商之间的共识定义CSA。

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