Child Sexual Abuse and Negative Affect as Shared Risk Factors for Sexual Aggression and Sexual HIV Risk Behavior in Heterosexual Men

Zoё D. Peterson, Erick Janssen, David Goodrich, J. Fortenberry, Devon Hensel, Julia R. Heiman

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Previous research has suggested that sexually aggressive behavior and sexual HIV risk behavior are associated. Childhood sexual abuse (CSA) is a well-established risk factor for both types of problematic sexual behavior. Negative affect (i.e., anxiety, depression, and anger) is a less well-studied risk factor, but it has been theorized to relate to both sexual aggression and HIV risk behavior. Thus, this study sought to (1) confirm the relationship between sexual aggression and HIV risk behavior, (2) establish CSA and negative affect as shared risk factors for sexual aggression and HIV risk behavior, and (3) evaluate whether negative affect mediates the relationship between CSA and sexual aggression and between CSA and HIV sexual risk in a sample of heterosexual men. We recruited 18- to 30-year-old heterosexual men (N = 377) from urban sexually transmitted infection clinics. Men completed measures of sexual HIV risk history (number of partners and condom use), sexual aggression history, CSA history, and trait negative affect (anger, anxiety, and depression). Structural equation modeling was used to examine hypothesized direct and indirect relationships. In the final SEM model, sexual aggression history and sexual HIV risk behavior were correlated. CSA was associated with both types of problematic sexual behavior. Anxiety significantly mediated the relationship between CSA and sexual aggression and between CSA and sexual HIV risk behavior (χ2[1300] = 2121.79, p < .001; CFI = 0.905; RMSEA [90% CI] = .044 [.041–.047]). Sexual aggression appears to be part of a constellation of sexual risk behaviors; thus, it may be possible to develop prevention programs that target both sexual HIV risk and sexual aggression. CSA is a shared risk factor for sexual aggression and HIV risk behavior through the pathway of anxiety. Thus, anxiety might be one promising target for intervention.

Original languageEnglish (US)
Pages (from-to)1-16
Number of pages16
JournalArchives of Sexual Behavior
DOIs
StateAccepted/In press - Oct 31 2017

Fingerprint

Sexual Child Abuse
Heterosexuality
Risk-Taking
Sex Offenses
Aggression
HIV
Anxiety
Sexual Behavior
Anger
Child Sexual Abuse
AIDS/HIV
Risk Factors
Sexual
Depression
Condoms
Sexually Transmitted Diseases
Childhood
Sexual Abuse
History

Keywords

  • Child sexual abuse
  • HIV
  • Rape
  • Sexual aggression
  • Sexual coercion
  • Sexually transmitted infections

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Psychology(all)

Cite this

Child Sexual Abuse and Negative Affect as Shared Risk Factors for Sexual Aggression and Sexual HIV Risk Behavior in Heterosexual Men. / Peterson, Zoё D.; Janssen, Erick; Goodrich, David; Fortenberry, J.; Hensel, Devon; Heiman, Julia R.

In: Archives of Sexual Behavior, 31.10.2017, p. 1-16.

Research output: Contribution to journalArticle

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