Association between a history of childhood sexual abuse and subsequent, adolescent psychoactive substance use disorder in a sample of HIV seropositive men
Holmes, W.C.
Journal of Adolescent Health Official Publication of the Society for Adolescent Medicine 20(6): 414-419
1997
ISSN/ISBN: 1054-139X PMID: 9178077 DOI: 10.1016/s1054-139x(96)00278-9Document Number: 533473
This study surveyed 95 HIV seropositive men. Sociodemographic and sexual abuse histories obtained before administration of the Standardized Clinical Interview for DSM-III-R (SCID-NP-HIV)-used to identify psychoactive substance use disorder (PSUD). 19 (20%) subjects had sexual abuse histories. Sexual abuse occurred early (mean age: 8.1 years). 10 (53%) subjects reported oral (n=4) and/or anal (n=9) penetration by perpetrator. Comparing men with histories of sexual abuse to men without, the odds ratio (OR) for subsequent injection drug use was 5.4 (1.5, 19.6), and for subsequent early (before age 20) injection drug use was 21.6 (3.4, 224.5). Adjusted ORs were 2.4 (0.55, 10.6) and 12.2 (1.7, 90.3), respectively. These data suggested that an association between having been sexually abused and subsequently initiating injection drug use during adolescence exists.
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