October 13, 2025

Adult sexual risk behavior in a Canadian sample of two-spirit, trans, and non-binary survivors of childhood sexual abuse

Key Points

Survivors of childhood sexual abuse exhibit increased sexual risk behaviors as adults.
The study highlights unique behaviors in two-spirit, trans, and non-binary individuals.
Understanding these patterns is essential for targeted interventions and support.
Larger implications for mental health services and community support systems are discussed.

Abstract

Background Research on the impacts of CSA on survivors' sexual outcomes as adults has found an increase in sexual risk behaviors, including earlier sexual debut, greater involvement in transactional sex, and having sex under the influence of alcohol/drugs, among others. However, the impact of CSA on adult sexual risk behaviors in two-spirit, trans, and non-binary (2STNB) individuals has not been investigated.

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