title: Impact of sexual abuse on the HIV-risk-related behavior of adolescents in intensive psychiatric treatment.
abstract: OBJECTIVE
  This study compared the HIV-risk-related behaviors and attitudes of adolescents with and without a history of sexual abuse who were in intensive psychiatric treatment.
  
  
  METHODS
  Adolescent patients (N=208) completed measures of psychological functioning and HIV-related knowledge, attitudes, and behaviors.
  
  
  RESULTS
  Among sexually active adolescents in psychiatric treatment (N=116), those with a history of abuse reported significantly less condom self-efficacy (emotional ability to use condoms), less knowledge of HIV, less impulse control, less frequent use and purchase of condoms, and significantly higher rates of sexually transmitted diseases than their peers. Multiple logistic regression indicated that a history of sexual abuse was strongly associated with inconsistent condom use.
  
  
  CONCLUSIONS
  Sexual abuse was associated with HIV-risk-related attitudes and behaviors among adolescents in psychiatric treatment. Clinicians should thus view a history of sexual abuse as a marker for sexual behavior that puts adolescents at risk for HIV.
authors.affiliation: Child and Family Psychiatry, Rhode Island Hospital, Providence, RI 02903, USA. lkbrown@lifespan.org
authors.forename: L K
authors.initials: LK
authors.lastname: Brown
authors.forename: K J
authors.initials: KJ
authors.lastname: Lourie
authors.forename: C
authors.initials: C
authors.lastname: Zlotnick
authors.forename: J
authors.initials: J
authors.lastname: Cohn
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D002650:Child Abuse, Sexual / Q000523:psychology / Q000706:statistics & numerical data*; D017280:Condoms; D007174:Disruptive, Impulse Control, and Conduct Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D000297:Psychology, Adolescent; D012307:Risk Factors; D012309:Risk-Taking; D020377:Self Efficacy; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000453:epidemiology