Men who have sex with men (MSM) report childhood sexual abuse (CSA) at higher rates than heterosexual men. The literature has established a clear association between CSA and sexual risk taking. Biomedical HIV preventative approaches are effective tools for reducing HIV acquisition. Since many studies are conducted on MSM broadly, the objective of this review was to examine outcomes of studies on MSM with CSA histories and HIV biomedical approaches. The PRISMA checklist was used to extract data from the included studies. Of 124 studies retrieved, seven articles (n = 7) met the inclusion criteria. Studies included in the review were predominately correlational. Four themes were identified which were sexual behaviour, mental health, drug use/polydrug abuse and intimate partner violence. All identified variables impacted biomedical adherence either directly or indirectly. However, negative childhood experiences were not the dominant priority in the studies reviewed. In addition, there were confusion over how some variables were operationalized. This systematic review highlights the need for further research and intervention development based on past experiences and trauma, especially among MSM of colour. Approaches that incorporate past trauma should be the future focus of HIV prevention and management.

中文翻译：

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有童年性虐待史的性少数男性的艾滋病毒生物医学方法：系统评价

男男性行为者 (MSM) 报告儿童期性虐待 (CSA) 的比例高于异性恋男性。文献已证实 CSA 与性冒险之间存在明确的关联。生物医学艾滋病毒预防方法是减少艾滋病毒感染的有效工具。由于许多研究都是针对 MSM 进行的，本次综述的目的是通过 CSA 历史和 HIV 生物医学方法来检查 MSM 研究的结果。PRISMA 检查表用于从纳入的研究中提取数据。在检索到的 124 项研究中，有 7 篇文章 ( n = 7) 符合纳入标准。审查中包含的研究主要是相关的。确定了四个主题，即性行为、心理健康、吸毒/多种药物滥用和亲密伴侣暴力。所有确定的变量都直接或间接影响生物医学依从性。然而，在所审查的研究中，负面的童年经历并不是最重要的。此外，对于如何操作某些变量也存在混乱。这项系统回顾强调需要根据过去的经历和创伤，特别是有色人种男男性行为者，进一步研究和制定干预措施。纳入过去创伤的方法应该成为未来艾滋病毒预防和管理的重点。