Decker MR, Silverman JG, Raj A. Dating violence and sexually transmitted disease - HIV testing and diagnosis among adolescent females

Boston University, Boston, Massachusetts, United States
PEDIATRICS (Impact Factor: 5.47). 09/2005; 116(2):e272-6. DOI: 10.1542/peds.2005-0194
Source: PubMed


Previous studies demonstrate significant associations between dating-violence victimization and sexual risk behaviors among adolescent girls; however, a relationship between dating violence and actual sexually transmitted disease (STD)/HIV testing and diagnosis has yet to be investigated among a representative sample. The present study assesses associations between dating violence and STD/HIV testing and diagnosis among a representative sample of sexually active adolescent girls.
Data from 9th- to 12th-grade female students completing the 1999 and 2001 Massachusetts Youth Risk Behavior Surveys and reporting having ever had sexual intercourse (N = 1641) were examined. Odds ratios for STD/HIV testing and diagnosis that were based on experiences of dating violence and adjusted for STD/HIV risk behaviors and demographics were calculated.
More than one third (38.8%) of adolescent girls tested for STD or HIV and more than half (51.6%) of girls diagnosed with STD/HIV reported experiencing dating violence. Compared with nonabused girls, girls who experienced both physical and sexual dating violence were 3.0 times more likely to have been tested for STD and HIV, and 2.6 times more likely to report an STD diagnosis.
After adjusting for STD/HIV risk behaviors, dating violence remains significantly associated with STD/HIV testing and diagnosis among sexually active adolescent girls.

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    • "Adolescent boys victimized by dating abuse endorsed increased suicidal ideation, marijuana use, and antisocial behaviors compared to adolescent boys who were not victimized. Abusive dating experiences during adolescence are also related to adverse health outcomes , including early sexual activity, sexually transmitted infections, pregnancy, and physical injury (Decker et al. 2005; Foshee et al. 2013). Moreover, a growing body of literature supports a link between exposure to dating abuse during adolescence and both perpetration and victimization of intimate partner violence in adulthood (Gomez 2011; Sunday et al. 2011). "
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    ABSTRACT: While research has explored adolescents' use of technology to perpetrate dating violence, little is known about how traditional in-person and cyber abuse are linked, and no studies have examined their relationship over time. Using our sample of 780 diverse adolescents (58 % female), we found that traditional and cyber abuse were positively associated, and cyber abuse perpetration and victimization were correlated at each time point. Cyber abuse perpetration in the previous year (spring 2013) predicted cyber abuse perpetration 1 year later (spring 2014), while controlling for traditional abuse and demographic variables. In addition, physical violence victimization and cyber abuse perpetration and victimization predicted cyber abuse victimization the following year. These findings highlight the reciprocal nature of cyber abuse and suggest that victims may experience abuse in multiple contexts.
    Journal of Youth and Adolescence 10/2015; DOI:10.1007/s10964-015-0380-3 · 2.72 Impact Factor
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    • "The three risk factors most strongly associated with HIV testing were having four or more lifetime sexual partners, lifetime illegal injection drug use, and ever having been forced to have sexual intercourse. This was consistent with previous studies (Arrington-Sanders et al. 2008; Balaji et al. 2012; Decker et al. 2005, 2014; Miller 2010; Samet et al. 1997; Talib et al. 2013). However, Swenson reported higher odds of rapid HIV testing among those with only one sex partner in the past 90 days than those with multiple partners , using a sample of 81 adolescents (Swenson et al. 2011). "
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    ABSTRACT: Background: Human immunodeficiency virus (HIV) remains an important public health issue and CDC recommends routine HIV screening for Americans aged 13-64. Adolescents and young adults are disproportionately affected compared to the overall population. We analyzed self-reported HIV testing and related risk behaviors at the state and national level among youths who had sexual intercourse, with a focus on state level differences. Methods: This study used the state and national Youth Risk Behaviors Surveys 2005-2011. It included a total of 59,793 national-level observations and 39,421 state-level observations of US high school students, of which respectively 28,177 and 13,916 reported ever having sexual intercourse. The outcome of interest was having ever been tested for HIV. The risk behaviors were condom use at last intercourse, number of sexual partners in lifetime, age at first intercourse, ever forced sexual intercourse, and ever illegal injection drug use. Analyses performed included logistic regression and t-test analyses. Results: HIV testing was positively associated with HIV-related risk behaviors among sexually active high school students. However, HIV testing remained relatively low (22%) between 2005 and 2011, even for those engaging in risk behaviors. Results differed among the only 7 states that monitored HIV testing through YRBS, most commonly with respect to HIV testing and condom use. Conclusions: Routine HIV testing is critical for early identification of HIV, which was set as a priority in a recent Executive Order. Our data suggest further efforts are needed to achieve widespread uptake of HIV testing among high school students. Furthermore, differences observed across states likely reflect different needs and should be followed up closely by states. Finally, having accurate data that reflects the reality of youths' lives is crucial for efficient prevention planning. Thus, more states should consider collecting HIV testing data to evaluate uptake of HIV testing among youth.
    SpringerPlus 04/2014; 3:202. DOI:10.1186/2193-1801-3-202
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    • "Within this broader risk context, a rapidly growing evidence base confirms the primacy of physical and sexual violence [5],with FSWs suffering alarming levels of abuse [6-9]. Consistent with findings from general populations [10-13], violence against FSWs is increasingly associated with HIV [14] as well as STI symptoms [15] and infection [6,7,14]. Condom non-use and other sexual risk behaviors [5,6,9,16], injection drug use [14], often undertaken as coping mechanism, as well as physiologic factors and genitoanal injury concomitant with sexual violence [17,18], are largely considered responsible for these patterns. "
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    ABSTRACT: Physical and sexual violence heighten STI/HIV risk for women in sex work. Against this backdrop, we describe the nature of abuse against women in sex work, and its STI/HIV implications, across perpetrators. Adult women involved in sex work (n = 35) in Baltimore, MD participated in an in-depth interview and brief survey. Physical and sexual violence were prevalent, with 43% reporting past-month abuse. Clients were the primary perpetrators; their violence was severe, compromised women's condom and sexual negotiation, and included forced and coerced anal intercourse. Sex work was a factor in intimate partner violence. Police abuse was largely an exploitation of power imbalances for coerced sex. Findings affirm the need to address physical and sexual violence, particularly that perpetrated by clients, as a social determinant of health for women in sex work, as well as a threat to safety and wellbeing, and a contextual barrier to HIV risk reduction.
    BMC Public Health 09/2013; 13(1):876. DOI:10.1186/1471-2458-13-876 · 2.26 Impact Factor
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