Evidence map›Paper›PMID 17999171›Full record

ArticleArchives of sexual behavior2009

Psychosocial predictors of sexual HIV transmission risk behavior among HIV-positive adults with a sexual abuse history in childhood.

Kathleen J Sikkema, Nathan B Hansen, Christina S Meade, Arlene Kochman, Ashley M Fox

Abstract read
In one paragraph

Article in Archives of sexual behavior, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 4 pooled it
1.5field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 4 syntheses or guidelines pooled it, 88 citations in OpenAlex.

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  11. Dissociative experiences during sexual behavior among a sample of adults living with HIV infection and a history of childhood sexual abuse.Journal of trauma & dissociation : the official journal of the International Society for the Study of Dissociation (ISSD) · 2012
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  17. Repercussions of Rejecting Unwanted Advances: Gender Differences in Experience and Concern.International journal of sexual health : official journal of the World Association for Sexual Health · 2023
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  19. Typologies of Stressful Life Events and Their Association With Sexual Risk Behaviors and Communication Among Justice-Involved Males and Their Female Sex Partners.AIDS education and prevention : official publication of the International Society for AIDS Education · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Kathleen J SikkemaDepartment of Epidemiology and Public Health, Yale University School of Medicine, New Haven, CT, USA. kathleen.sikkema@duke.edu
Nathan B Hansen
Christina S Meade
Arlene Kochman
Ashley M Fox
Yale University · USDuke University · US

Funding

Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI John Edward Pachankis · 2001 to 2026
$48.5M
INTERDISCIPLINARY HIV PREVENTION TRAINING PROGRAMT32MH020031 · NIMH · YALE UNIVERSITY · PI Trace S Kershaw · 1999 to 2026
$12.1M
INTERVENTION FOR COPING WITH HIV AND TRAUMAR01MH062965 · NIMH · YALE UNIVERSITY · PI SIKKEMA, KATHLEEN J · 2000 to 2003
$1.8M
NIMH NIH HHS P30 MH062294NIMH NIH HHS P30 MH 62294NIMH NIH HHS R01 MH062965NIMH NIH HHS R01 MH 62965NIMH NIH HHS T32 MH020031NIMH NIH HHS T32 MH 20031
6 · The paper itself

Abstract

Childhood sexual abuse (CSA) is associated with HIV sexual risk behavior. Although many psychosocial correlates of sexual risk among HIV-positive persons have been identified, studies predicting continued risk among HIV-positive adults with histories of CSA are limited. This cross-sectional study identified variables predictive of sexual transmission risk behavior among an ethnically diverse sample of 256 HIV-positive adults (women and men who have sex with men; MSM) with CSA histories. Participants were assessed for trauma symptoms, shame related to HIV and sexual trauma, substance use, coping style, and sexual risk behavior. Logistic regression analyses were conducted to identify variables predictive of unprotected sexual behavior in the past 4 months. Unprotected sex was significantly associated with substance use and trauma-related behavioral difficulties among women and men, and less spiritual coping among men. Unprotected sex with HIV negative or serostatus unknown partners was significantly associated with greater trauma-related behavioral difficulties, more HIV-related shame, and fewer active coping strategies. Thus, trauma symptoms, shame, coping style, and substance use were significantly associated with sexual risk behavior among HIV-positive adults with histories of CSA, with models of prediction differing by gender and partner serostatus. HIV prevention intervention for persons with HIV and CSA histories should address trauma-related behavioral difficulties and enhance coping skills to reduce sexual transmission risk behavior.

Indexed as

Risk-TakingAdaptation, PsychologicalAdultChild Abuse, SexualChild, PreschoolFemaleHIV InfectionsHumansLogistic ModelsMaleNeuropsychological TestsOdds RatioShameSubstance-Related DisordersSurveys and QuestionnairesUnsafe Sex

Identifiers

PMID17999171
PMCPMC4370164
OpenAlexW1988835584

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.