Abstract The effects of sexual abuse in childhood are serious and far-reaching, and include a number of short- and long-term sequelae, including depression, anxiety, disordered eating, post-traumatic stress disorder (PTSD), substance abuse disorders, suicidal ideation and self-injurious behavior, sexual dysfunction, borderline personality traits, high-risk sexual behavior, and dissociative disorders. MSM (men who have sex with men) with a history of childhood sexual abuse are more likely to engage in high-risk sexual behavior, trade sex for substances and/or money, experience intimate partner violence, and report as being HIV-positive. In this case study, we aim to explore the association between sexual abuse in childhood and HIV/AIDS. We identify a HIV-positive gay man with a history of sexual abuse and review the existing literature on the subject of HIV and sexual abuse, with a focus on victims who are MSM. Early childhood traumas, especially sexual abuse, can have immense and long-lasting psychological sequelae. Here, we report a victim of childhood sexual abuse who suffers from PTSD, selective amnesia, and episodes of dissociation during sex who was diagnosed as being HIV-positive at the height of the HIV/AIDS epidemic in the United States. More research needs to be done to investigate the complex relationship between childhood trauma and HIV infection, with insights into racial, gender, and socioeconomic differences. Counseling and risk-reduction strategies need to be explored with patients with a history of sexual trauma, in tandem with long-term pharmacologic and therapeutic interventions.

中文翻译：

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HIV/AIDS 与儿童性虐待之间的关联：一个探索性案例研究

摘要 儿童期性虐待的影响是严重而深远的，包括许多短期和长期的后遗症，包括抑郁、焦虑、饮食失调、创伤后应激障碍（PTSD）、药物滥用障碍、自杀意念和自伤行为、性功能障碍、边缘人格特征、高危性行为和分离障碍。有童年性虐待史的 MSM（男男性行为者）更有可能从事高风险的性行为，以性交易换取物质和/或金钱，经历亲密伴侣暴力，并报告为 HIV 阳性。在本案例研究中，我们旨在探讨儿童期性虐待与 HIV/AIDS 之间的关联。我们确定了一名有性虐待史的 HIV 阳性男同性恋者，并回顾了关于 HIV 和性虐待主题的现有文献，重点是 MSM 受害者。儿童早期的创伤，尤其是性虐待，会产生巨大而持久的心理后遗症。在这里，我们报告了一名患有创伤后应激障碍、选择性失忆症和性行为分离症的儿童性虐待受害者，他在美国艾滋病毒/艾滋病流行高峰期被诊断为艾滋病毒阳性。需要做更多的研究来调查童年创伤与 HIV 感染之间的复杂关系，并深入了解种族、性别和社会经济差异。需要对有性创伤史的患者探索咨询和降低风险的策略，