• Forough Saadatmand, Roderick Harrison, Jennifer Bronson, Craig Dearfield, Deanna Crouse, Marjorie Douglas, and Celia Maxwell.
• College of Medicine, Howard University, Washington, DC. Electronic address: frough.saadatmand@howard.edu.
• J Natl Med Assoc. 2020 Oct 1; 112 (5): 484-502.

ObjectiveTo examine gender differences among African American young adults in their exposure to violence (ETV) before age 18 and community violence as an adult, and the relationship of these exposures to drug use and HIV risk taking behaviors (HIVRTB).MethodWe detail these experiences in 440 self-identified African Americans, ages 18 to 25, from socio-economically disadvantaged wards in Washington, DC. Factor analysis was used to identify the types of violence experienced before age 18 and as adults. Regression was used to identify which types of violence had the greatest impact on subsequent drug use and HIVRTB.ResultsWe found gender differences in the types of violence experienced and their effects on drug use and HIVRTB. For women, the strongest ETV factors were direct personal violence, and exposure to drug sales or physical violence as adults. For men, the strongest factors were feeling unsafe in different situations as adults and exposure to violence among adults before age 18.ConclusionsWe identified the specific kinds of violence that are most likely to impact drug use and risky sexual behaviors that can leave one vulnerable to HIV and how these differ between women and men exposed to both childhood violence and community violence as an adult. Our findings point toward the need for trauma-informed programs that are tailored to gender.Copyright © 2019 National Medical Association. Published by Elsevier Inc. All rights reserved.

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