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Childhood sexual abuse, one component of Adverse Childhood Experiences (ACEs), influences sexual risk behaviors among GBHM. Little is known about the association between ACEs, sexual risk behaviors and suicidal behaviors among GBHM; therefore, the purpose of this study was to explore the relationship of these variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional design was used. Participants completed standardized measures of ACEs (ACEs Scale), sexual risk behaviors (Behavioral Risk Assessment Test [BRAT]), and a demographic questionnaire that included questions about suicidal behavior. Data were analyzed using descriptive statistics and Chi-square analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Total ACEs ranged from 0\u201310 (\n                      <jats:italic toggle=\"yes\">M<\/jats:italic>\n                      \u2009=\u20092.47,\n                      <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                      \u2009\u00b1\u20092.46); 37.6% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200921) reported ACEs total scores \u22654, indicating increased physiological\/psychological health risks. Several sexual risk behaviors were reported. Total ACEs scores \u22654 were associated with sexual risk behaviors, a lifetime history of suicidal behavior, and a self-reported HIV positive antibody status.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study provided evidence that ACEs may be associated with sexual risk behaviors and suicidal behaviors among GBHM. More research with a larger sample is needed. Clinicians should consider incorporating ACEs screening during healthcare encounters with GBHM. This information could be used to discuss sexual and suicidal risk reduction and may be integrated into interventions for GBHM.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15404153261425869","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T18:26:24Z","timestamp":1773253584000},"page":"239-250","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Adverse Childhood Experiences (ACEs), Sexual Risk Behaviors, Suicidal Behaviors, and Self-Reported HIV Status among Gay and Bisexual Hispanic Men"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9144-7876","authenticated-orcid":false,"given":"Joseph P.","family":"De Santis","sequence":"first","affiliation":[{"name":"University of Miami School of Nursing and Health Studies"},{"name":"Center for HIV and Research in Mental Health (CHARM), Coral Gables, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Jose","family":"Baeza Robba","sequence":"additional","affiliation":[{"name":"School of Nursing, Pontificia Universidad Catolica de Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanelle","family":"Hodge","sequence":"additional","affiliation":[{"name":"University of Miami School of Nursing and Health Studies"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn S.","family":"Iriarte Parra","sequence":"additional","affiliation":[{"name":"School of Nursing, Pontificia Universidad Catolica de Chile"},{"name":"College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elias","family":"Provencio-Vasquez","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4294-5569","authenticated-orcid":false,"given":"Rosina","family":"Cianelli","sequence":"additional","affiliation":[{"name":"University of Miami School of Nursing and Health Studies"},{"name":"School of Nursing, Pontificia Universidad Catolica de Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2020.02.029"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2020.104627"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paed.2017.12.008"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/14733250211027644"},{"key":"e_1_3_3_6_1","unstructured":"Centers for Disease Control and Prevention. 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