HIV and Childhood Sexual Violence: Implications for Sexual Risk Behaviors and HIV Testing in Tanzania

• Published in: AIDS education and prevention Vol. 27; no. 5; p. 474
• Main Authors: Chiang, Laura F, Chen, Jieru, Gladden, Matthew R, Mercy, James A, Kwesigabo, Gideon, Mrisho, Fatma, Dahlberg, Linda L, Nyunt, Myo Zin, Brookmeyer, Kate A, Vagi, Kevin
• Format: Journal Article
• Language: English
• Published: United States 01-10-2015
• Subjects: Adolescent; Child; Child Abuse, Sexual - psychology; Child Abuse, Sexual - statistics & numerical data; Condoms - utilization; Female; Health Surveys; HIV Infections - diagnosis; HIV Infections - epidemiology; HIV Infections - prevention & control; Humans; Male; Mass Screening; Prevalence; Risk-Taking; Safe Sex; Sexual Behavior - psychology; Sexual Behavior - statistics & numerical data; Sexual Partners; Surveys and Questionnaires; Tanzania - epidemiology; Young Adult; Tanzania
• ISSN: 1943-2755
• DOI: 10.1521/aeap.2015.27.5.474

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.