Adverse Childhood Experiences (ACEs),Sexual Risk Behaviors,Suicidal Behaviors,and Self-Reported HIV Status among Gay and Bisexual Hispanic Men

Abstract

Introduction

Certain factors influence sexual risk behaviors among gay and bisexual Hispanic men (GBHM). Childhood sexual abuse, one component of Adverse Childhood Experiences (ACEs), influences sexual risk behaviors among GBHM. Little is known about the association between ACEs, sexual risk behaviors and suicidal behaviors among GBHM; therefore, the purpose of this study was to explore the relationship of these variables.

Methods

A cross-sectional design was used. Participants completed standardized measures of ACEs (ACEs Scale), sexual risk behaviors (Behavioral Risk Assessment Test [BRAT]), and a demographic questionnaire that included questions about suicidal behavior. Data were analyzed using descriptive statistics and Chi-square analysis.

Results

Total ACEs ranged from 0–10 (M = 2.47, SD ± 2.46); 37.6% (n = 21) reported ACEs total scores ≥4, indicating increased physiological/psychological health risks. Several sexual risk behaviors were reported. Total ACEs scores ≥4 were associated with sexual risk behaviors, a lifetime history of suicidal behavior, and a self-reported HIV positive antibody status.

Conclusions

This study provided evidence that ACEs may be associated with sexual risk behaviors and suicidal behaviors among GBHM. More research with a larger sample is needed. Clinicians should consider incorporating ACEs screening during healthcare encounters with GBHM. This information could be used to discuss sexual and suicidal risk reduction and may be integrated into interventions for GBHM.

Keywords

adverse childhood experiences bisexual men gay men hispanics HIV status sexual risk suicidal behaviors

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