TABLE 5.

Associations of Childhood Sexual Abuse With Number of Total Sexual Contacts and Acts of Anal Intercourse Among HIV-Positive Men Who Have Sex With Men: Positive Connections, 2005–2006

Frequency of Abusea	bcrude (95% CI)	badjusted (95% CI)	RRadjusted (95% CI)	Pb
Total sexual contacts
Often	0.40 (0.37, 0.44)	0.25 (0.21, 0.29)	1.28 (1.23, 1.34)	< .001
Sometimes	0.26 (0.22, 0.30)	0.22 (0.19, 0.26)	1.25 (1.21, 1.27)	< .001
Once/Rarely	0.30 (0.26, 0.34)	0.21 (0.17, 0.25)	1.23 (1.19, 1.28)	< .001
Never (Ref)			1.0
Total acts of anal intercourse
Often	0.36 (0.31, 0.41)	0.31 (0.26, 0.36)	1.36 (1.30, 1.43)	< .001
Sometimes	0.28 (0.23, 0.33)	−0.10 (-0.15, −0.04)	0.90 (0.86, 0.96)	.001
Once/Rarely	0.26 (0.21, 0.31)	0.17 (0.12, 0.22)	1.19 (1.13, 1.25)	< .001
Never (Ref)			1.0
Total acts of unsafe anal intercoursec
Often	0.72 (0.63, 0.81)	0.40 (0.28, 0.52)	1.49 (1.32, 1.68)	< .001
Sometimes	0.72 (0.63, 0.82)	0.68 (0.57, 0.79)	1.97 (1.77, 2.20)	< .001
Once/Rarely	−0.02 (-0.14, 0.09)	−0.30 (-0.46, −0.14)	0.74 (0.63, 0.88)	< .001
Never (Ref)			1.0

Note. CI = confidence interval; RR = rate ratio. For total sexual contacts, n = 496; for total acts of anal intercourse, n = 476; for total acts of unsafe anal intercourse, n = 169.

^aComparisons are with men reporting no childhood sexual abuse.

^bValues are for adjusted models. The model for total sexual contacts was adjusted for being self-identified as gay versus not self-identified as gay. The model for total acts of anal intercourse was adjusted for race/ethnicity and reporting current or past problems with drugs. The model for total acts of unsafe anal intercourse was adjusted for being self-identified as gay versus not self-identified as gay, education level, and reporting current use of crystal methamphetamine during sexual intercourse.

^cUnsafe anal intercourse was defined as no use of condoms with insertive or receptive anal intercourse with partners who were HIV serodiscordant or of unknown HIV status.