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Data were collected from 296 HIV\u2010uninfected sexual minority men with childhood sexual abuse (CSA) histories. We analyzed baseline assessment data from a multisite randomized controlled trial that tested the efficaciousness of an experimental psychosocial treatment and examined vulnerabilities known to be linked with CSA. Our analyses compared EA sexual minority men, aged 18\u201329, with older sexual minority men (OSMM) on posttraumatic stress disorder (PTSD) and other mental health and substance use outcomes. We found higher odds of PTSD, odds ratio (<jats:italic>OR<\/jats:italic>) = 0.57, 95% CI [0.33, 0.96]; panic disorder or panic disorder with agoraphobia, <jats:italic>OR<\/jats:italic> = 0.36, 95% CI [0.16, 0.85]; and cocaine use, <jats:italic>OR<\/jats:italic> = 0.50, 95% CI [0.25, 0.97], among OSMM and higher odds of alcohol intoxication, <jats:italic>OR<\/jats:italic> = 5.60, 95% CI [3.20, 9.82]; cannabis use, <jats:italic>OR<\/jats:italic> = 3.09, 95% CI [1.83, 5.21]; and non\u2010HIV sexually transmitted infections, <jats:italic>OR<\/jats:italic> = 3.03, 95% CI [1.29, 7.13], among the EA men. These results present a complex picture of health risks among sexual minority men in general and EA sexual minority men in particular. HIV seroconversion linked health risk behaviors, among sexual minority men, may be better addressed via increased attention to treating trauma and comorbid mental health and substance use problems using evidence\u2010based psychosocial assessments and integrated treatment platforms that are tailored to this population.<\/jats:p>","DOI":"10.1002\/jts.22335","type":"journal-article","created":{"date-parts":[[2018,10,19]],"date-time":"2018-10-19T07:54:15Z","timestamp":1539935655000},"page":"665-675","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Posttraumatic Stress Symptoms and Emerging Adult Sexual Minority Men: Implications for Assessment and Treatment of Childhood Sexual Abuse"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4294-6542","authenticated-orcid":false,"given":"Michael S.","family":"Boroughs","sequence":"first","affiliation":[{"name":"Department of Psychology University of Windsor  Windsor Ontario Canada"},{"name":"The Fenway Institute at Fenway Health  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter P.","family":"Ehlinger","sequence":"additional","affiliation":[{"name":"Department of Counseling Psychology and Human Services University of Oregon  Eugene Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail W.","family":"Batchelder","sequence":"additional","affiliation":[{"name":"The Fenway Institute at Fenway Health  Boston Massachusetts USA"},{"name":"Behavioral Medicine Service, Department of Psychiatry Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven A.","family":"Safren","sequence":"additional","affiliation":[{"name":"The Fenway Institute at Fenway Health  Boston Massachusetts USA"},{"name":"Department of Psychology University of Miami  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Conall","family":"O'Cleirigh","sequence":"additional","affiliation":[{"name":"The Fenway Institute at Fenway Health  Boston Massachusetts USA"},{"name":"Behavioral Medicine Service, Department of Psychiatry Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,19]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.55.5.469"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2004.10.014"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.88.6.887"},{"key":"e_1_2_5_5_1","first-page":"10","article-title":"Near elimination of HIV transmission in a demonstration project of PrEP and ART [CROI Abstract 24]. 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