Article

Intimate partner violence and sexually transmitted infections among young adult women.

Department of Epidemiology, University of California, Los Angeles, CA 90095-1772, USA.
Sexually transmitted diseases (Impact Factor: 2.75). 05/2012; 39(5):366-71. DOI: 10.1097/OLQ.0b013e3182478fa5
Source: PubMed

ABSTRACT Intimate partner violence (IPV) is common among young adult relationships, and is associated with significant morbidity, including sexually transmitted infections (STI). This study measured the association between IPV victimization and perpetration and prevalent STIs and STI-risk behaviors among a sample of young women.
This analysis uses wave 3 of the National Longitudinal Study of Adolescent Health and was restricted to the 3548 women who reported on a sexual relationship that occurred in the previous 3 months and agreed to STI testing. A multivariate random effects model was used to determine associations between STI and STI-risk behaviors and IPV.
The IPV prevalence over the past year was 32%-3% victim-only, 12% perpetrator-only, and 17% reciprocal. The STI prevalence was 7.1%. Overall, 17% of participants reported partner concurrency and 32% reported condom use at last vaginal intercourse. In multivariate analysis, victim-only and reciprocal IPV were associated with not reporting condom use at last vaginal intercourse. Perpetrator-only, victim-only, and reciprocal IPV were associated with partner concurrency. Victim-only IPV was associated with a higher likelihood of having a prevalent STI (odds ratio: 2.1; 95% confidence interval: 1.0-4.2).
This analysis adds to the growing body of literature that suggests that female IPV victims have a higher STI prevalence, as well as a higher prevalence of STI-risk behaviors, compared with women in nonviolent relationships. Women in violent relationships should be considered for STI screening in clinics, and IPV issues should be addressed in STI prevention messages, given its impact on risk for STI acquisition.

2 Followers
 · 
127 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The purpose of this study was to examine differences in sexual behaviors among White, Black, and Hispanic adolescent females exposed to dating or sexual violence (DSV) using a secondary data analysis of the 2009 Youth Risk Behavior Survey. We also examined the interaction effect of exposure to DSV and race/ethnicity on sexual behaviors. The sample consisted of 6,988 (weighted 6,742) Black, White, and Hispanic adolescent females. Sexual behaviors were significantly associated with both race/ethnicity and exposure to DSV; exposure to DSV was a much stronger predictor of sexual behaviors than race/ethnicity; and the effect of DSV on condom use was more pronounced among Hispanic adolescents, while the effect of DSV on birth control use was more pronounced among both Black and Hispanic adolescents. In conclusion, adolescent health programs should simultaneously address DSV and sexual risk reduction, with particular emphasis on birth control and condom use among ethnic minority populations.
    Journal of Aggression Maltreatment & Trauma 12/2014; 23(10):1072-1089. DOI:10.1080/10926771.2014.964436
  • [Show abstract] [Hide abstract]
    ABSTRACT: Purpose Little is known about adolescent relationship abuse (ARA) and related sexual and reproductive health among females who either identify as lesbian or bisexual or engage in sexual behavior with female partners (i.e., sexual minority girls [SMGs]). Methods Baseline data were collected from 564 sexually active girls ages 14–19 years seeking care at eight California school-based health centers participating in a randomized controlled trial. Associations between ARA, sexual minority status and study outcomes (vaginal, oral, and anal sex, number and age of sex partners, contraceptive nonuse, reproductive coercion, sexually transmitted infection [STI] and pregnancy testing) were assessed via logistic regression models for clustered survey data. Results SMGs comprised 23% (n = 130) of the sample. Controlling for exposure to ARA, SMGs were less likely to report recent vaginal sex (adjusted odds ratio [AOR], .51; 95% confidence interval [CI], .35–.75) and more likely to report recent oral sex (AOR, 2.01; 95% CI, 1.38–2.92) and anal sex (AOR, 1.76; 95% CI, 1.26–2.46) compared with heterosexual girls. Heterosexual girls with ARA exposure (AOR, 2.85; 95% CI, 1.07–7.59) and SMGs without ARA exposure (AOR, 3.01; 95% CI, 2.01–4.50) were more likely than nonabused heterosexual girls be seeking care for STI testing or treatment than heterosexual girls without recent victimization. Conclusions Findings suggest the need for attention to STI risk among all girls, but SMGs in particular. Clinicians should be trained to assess youth for sexual contacts and sexual identity and counsel all youth on healthy relationships, consensual sex, and safer sex practices relevant to their sexual experiences.
    Journal of Adolescent Health 11/2014; 55(5):652-8. DOI:10.1016/j.jadohealth.2014.04.020 · 2.75 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Intimate partner violence (IPV) is associated with risk of sexually transmitted infections (STIs) and HIV among women, but less is known about mechanisms of this association and if length of relationship violence is a factor. The purpose of this study was to explore the relationship between the duration of IPV and both individual and partner-related sexual risk factors that may increase women's risk for STIs and HIV. This was a secondary analysis of data collected from the medical records of 2000 women. Four distinct categories defined the duration of partner violence: violence in the past year only, past year and during the past 5 years, past year plus extending for greater than 5 years, and no past year violence but a history of partner violence. Logistic regression models were used to examine the associations between the duration of partner violence and individual sexual risk behaviors (eg, number of sexual partners, drug and/or alcohol use, anal sex) and partner-related sexual risk factors (eg, nonmonogamy, STI risk, condom nonuse). Nearly 30% of the women in the study reported a history of partner violence during their lifetime. All of the individual risk factors, as well as partner-related risk factors, were significantly associated (P < .05) with partner violence and duration of violence. The study findings extend the knowledge related to partner violence as a risk factor for STIs/HIV, highlighting the effects of partner violence duration on the health of women. Assessing for lifetime experiences of partner violence may improve outcomes for women and their families.
    Journal of midwifery & women's health 01/2014; 59(1):67-73. DOI:10.1111/jmwh.12145 · 1.04 Impact Factor

Full-text

Download
6 Downloads
Available from
Jan 7, 2015