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: 2.84). 05/2012; 39(5):366-71. DOI: 10.1097/OLQ.0b013e3182478fa5
Source: PubMed


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.

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Available from: Kristen L Hess, Jan 07, 2015
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    • "particular importance to adolescent health specifically, and to the public health community in general, due to their association with health problems such as sexually transmitted diseases and infections, HIV/AIDS, and teenage pregnancy (Hess et al., 2012; Kreiter et al., 1999; Silverman et al., 2004; Silverman et al., 2001). Finally, teen dating violence is an especially important issue because it sets the stage for adult exposure to intimate partner violence and related physical, mental, and psychosocial consequences (Arriaga & Foshee, 2004; Ehrensaft et al., 2003). "
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    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.
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    • "Empirical research has also linked IPV to inconsistent condom use (Seth et al., 2010; Silverman et al., 2011). Further, researchers have found that abused women are more likely to self-report STDs or be diagnosed with an STD than non-abused women (Champion, Shain, & Piper 2004; Coker et al., 2002; Hess et al., 2012; Laughon et al., 2007). Although initial behavioral research on HIV risk focused on individuallevel factors, researchers have now expanded their models to include relational variables, such as IPV and its impact on women's sexual behavior (Cavanaugh, Hansen, & Sullivan, 2010; Enriquez et al., 2010). "
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    ABSTRACT: Intimate partner violence (IPV) has been associated with risk for HIV infection. This cross-sectional study tested the hypothesis that fear of violent consequences when negotiating condom use mediated the relation between IPV and condom use. Participants (n = 478) were recruited between March 1, 2004 and June 30, 2006 from a public clinic that treats sexually transmitted diseases in upstate New York as part of a randomized controlled trial. They completed an audio, computer-assisted, self-administered questionnaire with items on risky sexual behavior, intimate relationships, and related covariates and confounding variables. Seventeen percent of the sample reported IPV in the past three months. Recent IPV was associated with fear of violent consequences to requests for condom use, and such fear was associated with inconsistent condom use. Women who reported IPV also reported greater difficulties in negotiating safer sex behaviors with their abusers. So fear of violent consequences appeared to hinder their ability to protect themselves against HIV infection. The results were consistent with fear of violent consequences mediating the relationship between IPV and condom use. Health care providers involved in HIV prevention and sexual risk reduction interventions need to address IPV and, more specifically, fear of IPV when negotiating safer sex as part of their services for providing more comprehensive care to the women they serve.
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