HIV and Childhood Sexual Violence: Implications for Sexual Risk Behaviors and HIV Testing in Tanzania.
Prior research has established an association between sexual violence and HIV. Exposure to sexual violence during childhood can profoundly impact brain architecture and stress regulatory response. As a result, individuals who have experienced such trauma may engage in sexual risk-taking behavior and could benefit from targeted interventions. In 2009, nationally representative data were collected on violence against children in Tanzania from 13-24 year old respondents (n=3,739). Analyses show that females aged 19-24 (n=579) who experienced childhood sexual violence, were more likely to report no/infrequent condom use in the past 12 months (AOR=3.0, CI [1.5, 6.1], p=0.0017) and multiple sex partners in the past 12 months (AOR=2.3, CI [1.0, 5.1], p=0.0491), but no more likely to know where to get HIV testing or to have ever been tested. Victims of childhood sexual violence could benefit from targeted interventions to mitigate impacts of violence and prevent HIV.
Centers for Disease Control and Prevention, Atlanta, Georgia.
Laura F
LF
Chiang
Centers for Disease Control and Prevention, Atlanta, Georgia.
Jieru
J
Chen
Centers for Disease Control and Prevention, Atlanta, Georgia.
Matthew R
MR
Gladden
Centers for Disease Control and Prevention, Atlanta, Georgia.
James A
JA
Mercy
Muhimbili University, Dar es Salaam, Tanzania.
Gideon
G
Kwesigabo
Tanzania Commission for AIDS, Dar es Salaam, Tanzania.
Fatma
F
Mrisho
Centers for Disease Control and Prevention, Atlanta, Georgia.
Linda L
LL
Dahlberg
UNICEF-Namibia, Windhoek, Namibia.
Myo Zin
MZ
Nyunt
Centers for Disease Control and Prevention, Atlanta, Georgia.
Kate A
KA
Brookmeyer
Centers for Disease Control and Prevention, Atlanta, Georgia.
Kevin
K
Vagi
D000293:Adolescent; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology* / Q000706:statistics & numerical data; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control*; D006306:Health Surveys; D006801:Humans; D008297:Male; D008403:Mass Screening; D015995:Prevalence; D012309:Risk-Taking; D021841:Safe Sex; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D013636:Tanzania / Q000453:epidemiology; D055815:Young Adult