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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    • "Low-income and full-year uninsured status were associated with higher risk for not receiving this visit [22]. After adjusting for STD/HIV risk behaviours, dating violence remains significantly associated with STD/HIV testing and diagnosis among sexually active adolescent girls [23]. The reproductive and sexual health education does not match the reality of sexual behaviour and sexual risk faced by teenagers because : (1) reproductive health and sexuality education that given to the high school level is more focused on the biological aspects aloner, (2) there is still a notion that sexuality is a taboo to be given at school, (3) the sexuality education has not looked at the importance of aspects of gender relations and rights of adolescents in adolescent reproductive and sexual health [24]. "
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    ABSTRACT: This study aims to analyze the role of sexual behavior in the transmission of HIV/AIDS in adolescents in coastal areas. This study is quantitative research with observational methods using crossectional approach. The study population was adolescents in high school aged 15-18 years. The sample of the research was chosen by random sampling at 200 students. Data collected is analized by quantitative methodes with univariat analysis and narative explanation. Results showed that the adolescents knowledge related to HIV / AIDS in the coastal areas is high and the attitudes of HIV / AIDS is in the category adequate, it was not guarantee that they have save behaviour, which 15% of students had sexual intercourse, 6% of them using condom, only 7% of students had sexual intercourse with a girlfriend/boyfriend, 2% of students had sexual intercourse with prostitutes, and there are 5% of students had sexual intercourse with more than one person, there are 47% of students had masturbation, and 5% of students had STIs symptoms.
    Full-text · Article · Dec 2015
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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.
    Full-text · Article · Oct 2015 · Journal of Youth and Adolescence
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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.
    Full-text · Article · Apr 2014 · SpringerPlus
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