title: Untangling the impact of sexual abuse on HIV risk behaviors among youths in foster care.
abstract: This study investigates the interrelationships among childhood sexual abuse, other types of child maltreatment, emotional and behavioral problems, and HIV risk behaviors in a sample of 167 adolescents, aged 15-19, participating in an independent living preparation program in one midwestern county. Thirty-three percent of the youths identified as white and 67% as youths of color. The sample was almost evenly split by gender (51% male and 49% female). Thirty-five percent of the youths (n = 59) reported some form of sexual abuse; 21 reported unwanted touching, with no unwanted intercourse, and 38 reported unwanted intercourse. Multivariate analyses demonstrated a significant relationship between the severity of sexual abuse and youths' recent HIV risk behaviors, after accounting for the contribution of other childhood trauma and emotional and behavioral problems. The findings support the need for HIV prevention programs targeting sexually abused youths.
authors.affiliation: George Warren Brown School of Social Work, Washington University, St Louis, MO 63130, USA. delze@gwbmail.wustl.edu
authors.forename: D E
authors.initials: DE
authors.lastname: Elze
authors.forename: W
authors.initials: W
authors.lastname: Auslander
authors.forename: C
authors.initials: C
authors.lastname: McMillen
authors.forename: T
authors.initials: T
authors.lastname: Edmond
authors.forename: R
authors.initials: R
authors.lastname: Thompson
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000328:Adult; D002649:Child Abuse / Q000523:psychology* / Q000706:statistics & numerical data; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D005581:Foster Home Care; D015658:HIV Infections / Q000517:prevention & control / Q000523:psychology*; D006801:Humans; D008297:Male; D008923:Missouri; D012309:Risk-Taking; D012725:Sexual Behavior / Q000523:psychology*