Childhood Sexual Abuse, African American Women, and HIV Risk
Child sexual abuse (CSA) is defined as unwanted or coerced sexual contact prior to the age of 18 (Wyatt, 1985; Wyatt, Newcomb, & Riederle, 1995). Once thought to rarely occur, conservative estimates suggest that at least 20% of women and 5–10% of men worldwide report being sexually abuse as children (World Health Organization, 2002). Within the United States, the prevalence of CSA among women is approximately 33% (Briere & Elliott, 1993; Loeb et al., 2002a; Wyatt, Guthrie, & Notgrass, 1992). A large body of epidemiological evidence suggests that the impact of childhood sexual abuse is varied and wide-reaching. Further, a history of childhood sexual abuse is linked to increased risks for psychosocial, behavioral, and physical health problems, including HIV (Chin, Wyatt, Carmona, Loeb, & Myers, 2004).
KeywordsIntimate Partner Violence Sexual Abuse African American Woman Childhood Sexual Abuse Ptsd Symptom
Preparation of this chapter was supported by the National Institute of Mental Health (H059496-0451 and MH073453-01A1), the UCLA AIDS Institute (A128697), National Institute on Drug Abuse, (DA 01070-31), and National Institute on Drug Abuse (DA 01070-34). The first author was supported by a UCLA Psychobiology Fellowship (NIMH grant T32 MH17140) and The Pittsburgh Mind-Body Center (PMBC; NIH grant HL076852/076858). The authors acknowledge Micha Dalton and Tanishia Wright for their assistance in the preparation of this manuscript.
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