Archives of Sexual Behavior

, Volume 42, Issue 2, pp 257–265 | Cite as

Sexual Risk Behaviors by Relationship Type and Trauma History Among HIV-Positive Men Who Have Sex with Men

  • Charles Kamen
  • Darryl Etter
  • Sergio Flores
  • Susan Sharp
  • Susanne Lee
  • Cheryl Gore-Felton
Original Paper


The association of trauma exposure and coping style to sexual risk behavior has yet to be fully examined in the context of primary and casual sexual partnerships. The current study assessed a high risk sexual behavior—unprotected anal intercourse (UAI)—in a high risk population of HIV-positive men who have sex with men (MSM) with a history of trauma. Using audio computer-assisted self-interview technology, 132 HIV-positive MSM completed measures of trauma exposure, trauma symptoms, coping strategies, and sexual risk behavior. Hierarchical logistic regression analyses indicated that completing more years of education and having experienced sexual abuse were positively associated with UAI with casual partners. Additionally, use of active coping was negatively associated with UAI with casual partners and the final model significantly predicted variance in UAI with casual partners. However, no variables were significantly associated with UAI with primary partners, suggesting that sexual risk behavior with primary partners may be associated with factors not commonly assessed in risk prediction or prevention research. We discuss the results in the context of developing new or modifying existing interventions to address rates of sexual risk in the relationships of HIV-positive MSM.


HIV Sexual risk taking Trauma Coping Sexual partners Men who have sex with men 


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Charles Kamen
    • 1
  • Darryl Etter
    • 2
  • Sergio Flores
    • 2
  • Susan Sharp
    • 2
  • Susanne Lee
    • 1
  • Cheryl Gore-Felton
    • 1
  1. 1.Department of Psychiatry and Behavioral SciencesStanford University School of MedicineStanfordUSA
  2. 2.Pacific Graduate School of Psychology/Stanford ConsortiumPalo AltoUSA

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