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Childhood sexual abuse (CSA) is disproportionately high among men who have sex with men (MSM), with estimated rates ranging between 29.7% and 35.5% 1–4 as compared to 5% to 10% of the general male population. 5 The presence of CSA in MSM has been found to be associated with higher rates of HIV sexual risk behavior 6–9 and with higher rates of HIV and other sexually ... INTRODUCTION. Childhood sexual abuse (CSA) is disproportionately high among men who have sex with men (MSM), with estimated rates ranging between 29.7% and 35.5% 1–4 as compared to 5% to 10% of the general male population. 5 The presence of CSA in MSM has been found to be associated with higher rates of HIV sexual risk behavior 6–9 and with higher rates of HIV and other sexually ... CBT for the LGBTQ Community. 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