Prevalence of child and adult sexual abuse and risk taking practices among HIV serodiscordant african-american couples

Nabila El-Bassel, Gina Wingood, Gail E. Wyatt, John B. Jemmott, Willo Pequegnat, J. Richard Landis, Scarlett Bellamy, Louisa Gilbert, Robert H. Remien, Susan Witte, Elwin Wu, Ralph DiClemente, Hector Myers, Loretta Sweet Jemmott, David Metzger, Shawn Ballard, Trina Brown, Quincy Greene, Christopher Helker, Nancy RobinsonLynne Allen-Taylor, Dina Appleby, Evelyn Crowley, Angela Ankoma, Deidre Ashton, Dawn A. Goddard, Tamu Daniel, Tina Henderson, Inna Rivkin, Cynthia M. Green, Jeffery Brently, Rebecca D. Cheraquit, Deborah Gray, Linda Hakim, Bright Sarfo, Kijana Saunders, Dawn Simmons, Keisha Wilson, Nikia D. Braxton, Anita Conner, Jevon Gibson, Alvin Harmon, Teaniese Latham, Tiffany Pennick-Walters, Kenneth Rucker, Shammara Steinback, Phillip Williams, Richard Williams, Shauni Williams, Kevin Chancy, Frank Levels, Nathaniel Thomas, Reginald Bennett, Shirley Bryson, Salema Curtis, Michelle Jones, Phyllis Jones, Malachi Moore, Charles Patterson, Marcia Penn, Alicia Samuel, Randy Shine, Ralph Stevenson, Robert Tate, Michael Taylor, Charlotte Wroton, Derryck Griffith, Pearl Johnson, Lisa Matthews, Rhonda Mendoza, Allan Winkle, Jill Daugherty, Deja Er, Linda Felix, Meklit Hailemeskal, Toya Howard, Tamika Hoyte, Jamie Smith, Lisa Smith, Les DeMorst, Rotrease Regan, Elsa Rogers, Karen Carter, Calvin Collier, Mikia Croom, Dionna Samuel, Joseph Sosa, Brian Taylor, Tamara S. Bryan, La Shun Robinson-Simpson, Christina Camp, Tamra Loeb, John Williams, Lynette Gueits, Cynthia Bayer, Angela Caliendo, Shalonda Freeman, Jessica Ingersoll, Lisa Maslankowski, Debra McGee-Smith, Patrice Moorer, Michelle Mott, Bennie Woodard, Claudette Bannerman, Warren Blake, Tiffany Bratts, Olivia Copeland, Daisy De Jesus-Sosa, Adefunke Faly, Janet Hsu, Karen Williams, Sonya Combs, Mathew MacDonald, Lolita Roy, Dalena White, Pandora Woods, Crystal Wyatt

Research output: Contribution to journalArticlepeer-review


This study reports the prevalence of child (CSA) and adult (ASA) sexual abuse among 535 African American HIV serodiscordant couples from four major United State cities, and its relationship to personal and couple related vulnerabilities and HIV risk factors. As part of a randomized, clinical trial, CSA and ASA histories were obtained through face-to-face interviews. Results indicate that HIV positive women were significantly more likely to report one kind of abuse (32.32%), either before or since age 18 or both (32.6%). HIV-positive men (34.9%) were significantly more likely to report CSA than HIVnegative men (22.0%). Overall, 72% of couples reported that one or both had CSA histories. These findings underscore the heightened emotional vulnerability, and STI and HIV transmission risk taking practices, associated with sexual abuse. Sexual abuse histories among couples should be assessed to better understand how these histories may contribute to couples dynamics and risk-taking practices.

Original languageEnglish (US)
Pages (from-to)1032-1044
Number of pages13
JournalAIDS and Behavior
Issue number5
StatePublished - Oct 2010


  • Adult sexual abuse
  • African-American couples
  • Child sexual abuse
  • HIV
  • Serodiscordant
  • Sexual re-victimization

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases


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