Citation

Jaspal R, Lopes B, Jamal Z, Paccoud I, Sekhon P. Ment. Health Relig. Cult. 2017; 20(8): 841-853.

Copyright

(Copyright © 2017, Informa - Taylor and Francis Group)

DOI

10.1080/13674676.2017.1414170

PMID

unavailable

Abstract

Black and minority ethnic (BME) men who have sex with men (MSM) face a major burden in relation to HIV infection. It was hypothesised that sexual abuse would predict sexual risk-taking, and that this relationship would be mediated by victimisation and maladaptive coping variables. Four hundred and thirty-two BME MSM completed the survey; 54% reported no sexual abuse and 27% reported sexual abuse. Mann-Whitney tests showed that MSM with a history of sexual abuse reported higher frequency of drug use, and of homophobia and racism than those reporting no prior sexual abuse. A structural equation model showed that the experience of sexual abuse was positively associated with sexual risk-taking and that this relationship was mediated by victimisation variables: frequency of racism and frequency of homophobia and by the maladaptive coping variable: frequency of drug use. The findings can inform the design of psycho-sexual and behavioural interventions for BME MSM.

Language: en

Keywords

drug use; HIV; maladaptive coping; psychological adversity; Sexual abuse