High-risk sexual behaviors among depressed Black women with histories of intrafamilial and extrafamilial childhood sexual abuse.

Objective: National estimates of childhood sexual abuse histories among black women range from 34% to 40%. Poor outcomes in adulthood, including impaired psychiatric functioning (e.g., depression), high-risk sexual behaviors (e.g., unprotected sex, exchange of sex for money or drugs), and lifetime sexually transmitted infections are robustly associated with sexual abuse histories. In the current study, we examined the relationships of intrafamilial and extrafamilial perpetration of childhood sexual abuse to high-risk sexual behaviors and sexually transmitted infections among black women.

Methods: We conducted a secondary analysis of data from 60 black women who participated in a depression treatment trial in a community mental health center.

Results: Our results demonstrated that intrafamilial perpetration of childhood sexual abuse, as compared to extrafamilial perpetration, was more strongly associated with high-risk sexual behaviors in a clinical sample of depressed black women. There were no significant associations between intrafamilial or extrafamilial perpetration of childhood sexual abuse and sexually transmitted infections.

Conclusions: These findings suggest that characteristics of childhood sexual abuse among depressed black women may be important factors for health professionals to consider when conducting clinical assessments and providing treatment.