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RESEARCH ARTICLE

Intimate partner violence and other partner-related factors: correlates of sexually transmissible infections and risky sexual behaviours among young adult African American women

Puja Seth A B D * , Jerris L. Raiford A B , LaShun S. Robinson A , Gina M. Wingood A B and Ralph J. DiClemente A B C
+ Author Affiliations
- Author Affiliations

A Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30332, USA.

B Emory Center for AIDS Research, Social and Behavioral Sciences Core, 1518 Clifton Road NE, Atlanta, GA 30332, USA.

C Department of Pediatrics, Division of Infectious Diseases, Epidemiology, and Immunology, Emory University School of Medicine, 2015 Uppergate Drive, Atlanta, GA 30322, USA.

D Corresponding author. Email: pseth@cdc.gov

Sexual Health 7(1) 25-30 https://doi.org/10.1071/SH08075
Submitted: 8 October 2008  Accepted: 17 November 2009   Published: 15 February 2010

Abstract

Background: Intimate partner violence and other partner-related factors have been associated with acquiring sexually transmissible infections (STIs) and engaging in risky sexual behaviour. The present study examined partner-related risk factors for STIs and risky sexual behaviours among an urban sample of African American women. Methods: African American women, between 18 and 29 years (n = 848), participated in the study at baseline. Participants completed a 40-min Audio Computer Assisted Survey Interview assessing sociodemographics, partner-related factors and HIV/STI-associated sexual risk behaviours. Subsequently, participants provided two vaginal swab specimens for STIs. Results: The findings indicated that risky sexual behaviours and STIs were prevalent in this sample: 35.6% reported a risky sexual partner, 65.4% reported inconsistent condom use and 17% tested positive for a laboratory-confirmed STI. Women reporting a history of intimate partner violence were more likely to report risky sexual partners (adjusted odds ratio (AOR) = 2.00; 95% confidence interval (CI) = 1.5–2.8), inconsistent condom use (AOR = 1.60; 95% CI = 1.1–2.3) and test positive for an STI (AOR = 1.46; 95% CI = 0.99–2.1). Women reporting high partner-related barriers to condom use were more likely to report risky sexual partners (AOR = 1.69; 95% CI = 1.2–2.3), inconsistent condom use (AOR = 2.13; 95% CI = 1.5–3.0) and test positive for an STI (AOR = 1.98; 95% CI = 1.3–3.0). Finally, women with older partners were more likely to report risky sexual partners (AOR = 1.53; 95% CI = 1.1–2.1) and test positive for an STI (AOR = 1.46; 95% CI = 1.0–2.2). Conclusions: This study examines partner-related risk factors for STIs and risky sexual behaviours among African American women. These findings underscore the need for combined intimate partner violence and HIV/STI prevention programs for this disproportionately affected high-risk group.

Additional keywords: intimate partner violence, sex, sexually transmissible infections.


Acknowledgements

This study was supported by grant R01-MH62717 from the National Institute of Health awarded to Dr. Gina M. Wingood.


References


[1] Centers for Disease Control and Prevention. HIV/AIDS surveillance report, 2005. Atlanta: US Department of Health and Human Services; 2007; 17: 1–46.

[2] Anderson RW,  Smith BL. Deaths: leading causes for 2001. Natl Vital Stat Rep 2003; 52 27–33.


[3] Wingood GM,  DiClemente RJ. Partner influences and gender-related factors associated with noncondom use among young adult African American women. Am J Community Psychol 1998; 26 29–51.
CrossRef | CAS | PubMed |

[4] Wingood GM,  DiClemente RJ. Gender-related correlates and predictors of consistent condom use among African American women: a prospective analysis. Int J STD AIDS 1997; 8 1–7.


[5] Jarama SL,  Belgrave FZ,  Bradford J,  Young M,  Honnold JA. Family, cultural and gender roles aspects in the context of HIV risk among African American women of unidentified HIV status: an exploratory qualitative study. AIDS Care 2007; 19 307–17.
CrossRef | CAS | PubMed |

[6] Wingood GM,  DiClemente RJ. The effects of an abusive primary partner on the condom use and sexual negotiation practices of young adult African American women. Am J Public Health 1997; 87 1016–8.
CrossRef | CAS | PubMed |

[7] Wu E,  El-Bassel N,  Witte SS,  Gilbert L,  Chang M. Intimate partner violence and HIV risk about urban minority women in primary health care settings. AIDS Behav 2003; 7 291–301.
CrossRef | PubMed |

[8] Begley E,  Crosby RA,  DiClemente RJ,  Wingood GM,  Rose E. Older partners and STD prevalence among pregnant African American teens. Sex Transm Dis 2003; 30 211–3.
CrossRef | PubMed |

[9] Adimora AA,  Schoenbach VJ,  Doherty IA. HIV and African Americans in the southern United States: sexual networks and social context. Sex Transm Dis 2006; 33 S39–45.
CrossRef | PubMed |

[10] Centers for Disease Control and Prevention. Intimate partner violence: definitions. Atlanta: Centers for Disease Control and Prevention; 2009. Available online at: http://www.cdc.gov/ViolencePrevention/intimatepartnerviolence/definitions.html [verified December 2009].

[11] El-Bassel N,  Fontdevila J,  Gilbert L,  Voisin D,  Richman BL,  Pitchell P. HIV risks of men in methadone maintenance treatment programs who abuse their intimate partners: a forgotten issue. J Subst Abuse 2001; 13 29–43.
CrossRef | CAS | PubMed |

[12] Campbell JC,,  Woods AB,  Chouaf KL,  Parker B. Reproductive health consequences of intimate partner violence: a nursing research review. Clin Nurs Res 2000; 9 217–37.
CrossRef | CAS | PubMed |

[13] Silverman JG,  Decker MR,  Saggurti N,  Balaiah D,  Raj A. Intimate partner violence and HIV infection among married Indian women. JAMA 2008; 300 703–10.
CrossRef | CAS | PubMed |

[14] El-Bassel N,  Gilbert L,  Rajah V,  Foleno A,  Frye V. Fear and violence: raising the HIV stakes. AIDS Educ Prev 2000; 12 154–70.
CAS | PubMed |

[15] El-Bassel N,  Gilbert L,  Krishnan S,  Schilling RF,  Gaeta T,  Purpura S, et al. Partner violence and sexual HIV-risk behaviours among women in an inner-city emergency department. Violence Vict 1998; 13 377–93.
CAS | PubMed |

[16] Neighbors HW,  Jackson JS,  Broman C,  Thompson E. Racism and the mental health of African Americans: the role of self and system blame. Ethn Dis 1996; 6 167–75.
CAS | PubMed |

[17] Raiford JL,  DiClemente RJ,  Wingood GM. Effects of fear of abuse and possible STI acquisition on the sexual behaviour of African American adolescent girls and young women. Am J Public Health 2009; 99 1067–71.
CrossRef | PubMed |

[18] Lichtenstein B. Domestic violence, sexual ownership, and HIV risk in women in the American deep south. Soc Sci Med 2005; 60 701–14.
CrossRef | PubMed |

[19] Butler J . Gender trouble: feminism and the subversion of identity. New York: Routledge; 1990.

[20] Jewkes R,  Dunkle K,  Nduna M,  Levin J,  Jama N,  Khuzwayo N, et al. Factors associated with HIV sero-status in young rural South African women: connections between intimate partner violence and HIV. Int J Epidemiol 2006; 35 1461–8.
CrossRef | CAS | PubMed |

[21] Karon JM,  Fleming PL,  Steketee RW,  de Cock KM. HIV in the United States at the turn of the century: an epidemic in transition. Am J Public Health 2001; 91 1060–8.
CrossRef | CAS | PubMed |

[22] Hader SL,  Smith DK,  Moore JS,  Holmberg SD. HIV infection in women in the United States: status at the millennium. JAMA 2001; 285 1186–92.
CrossRef | CAS | PubMed |

[23] Wingood GM,  DiClemente RJ,  Hubbard McCree D,  Harrington KF,  Davies SL. Dating violence and African-American adolescent females’ sexual health. Pediatrics 2002; 107 E72–5.
CrossRef |

[24] Wingood GM,  DiClemente RJ,  Harrington KF,  Lang DL,  Davies SL,  Hook EW, et al. Efficacy of an HIV prevention program among female adolescents experiencing gender-based violence. Am J Public Health 2006; 96 1085–90.
CrossRef | PubMed |

[25] DiClemente RJ,  Wingood GM,  Harrington KF,  Lang DL,  Davies SL,  Hook EW, et al. Efficacy of an HIV prevention intervention for African American adolescent girls: a randomized controlled trial. JAMA 2004; 292 171–9.
CrossRef | CAS | PubMed |

[26] Hosmer DW , Lemeshow S . Applied logistic regression. New York: John Wiley & Sons; 1989.

[27] Hosmer DW,  Taber S,  Lemeshow S. The importance of assessing the fit of logistic regression models: a case study. Am J Public Health 1991; 81 1630–5.
CrossRef | CAS | PubMed |

[28] Wingood GM,  DiClemente RJ. HIV sexual risk reduction interventions for women: a review. Am J Prev Med 1996; 12 209–17.
CAS | PubMed |

[29] Mize SJ,  Robinson BE,  Bockting WO,  Scheltema KE. Meta-analyses of the effectiveness of HIV prevention interventions for women. AIDS Care 2002; 14 163–80.
CrossRef | CAS | PubMed |

[30] Melendez RM,  Hoffman S,  Exner T,  Leu CS,  Ehrhardt AA. Intimate partner violence and safer sex negotiation: effects of a gender-specific intervention. Arch Sex Behav 2003; 32 499–511.
CrossRef | PubMed |

[31] Catania JA,  Binson D,  Stone V. Relationship of sexual mixing across age and ethnic groups to herpes simplex virus-2 among unmarried heterosexual adults with multiple sexual partners. Health Psychol 1996; 15 362–70.
CrossRef | CAS | PubMed |

[32] Aral SO,  Hughes J,  Stoner B,  Whittington W,  Handsfield HH,  Anderson RM, et al. Sexual mixing patterns in the spread of gonococcal and chlamydial infections. Am J Public Health 1999; 89 825–33.
CrossRef | CAS | PubMed |

[33] Ford K,  Lepkowski JM. Characteristics of sexual partners and STD infection among American adolescents. Int J STD AIDS 2004; 15 260–5.
CrossRef | PubMed |

[34] Bauer HM,  Gibson P,  Hernandez M,  Kent C,  Klausner J,  Bolan G. Intimate partner violence and high-risk sexual behaviors among female patients with sexually transmitted diseases. Sex Transm Dis 2002; 29 411–6.
CrossRef | PubMed |

[35] Miller M. A model to explain the relationship between sexual abuse and HIV risk among women. AIDS Care 1999; 11 3–20.
CrossRef | CAS | PubMed |

[36] Resnick HS,  Acierno R,  Kilpatrick DG. Health impact of interpersonal violence 2: Medical and mental health outcomes. Behav Med 1997; 23 65–78.
CrossRef | CAS | PubMed |

[37] Centers for Disease Control and Prevention. Sexually transmitted disease surveillance, 2003. Atlanta: US Department of Health and Human Services; 2005. Available online at: http://www.cdc.gov/std/stats03/toc2003.htm [verified December 2009].

[38] Peipert JF,  Lapane KL,  Allsworth JE,  Redding CA,  Blume JD,  Stein MD. Bacterial vaginosis, race, and sexually transmitted infections: does race modify the association? Sex Transm Dis 2008; 35 363–7.
CrossRef | PubMed |




* *Dr. Seth is now an APTR-CDC Fellow in the Division of STD Prevention at the Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS E-44, Atlanta, GA 30333, USA.


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