title: Association of violence victimization with inconsistent condom use in HIV-infected persons.
abstract: The association of violence victimization with current condom use in HIV-infected persons was examined in this cross-sectional study. The HIV-Alcohol Longitudinal Cohort (HIV-ALC) recruited HIV-infected participants with a history of alcohol problems. Interviews assessed violence histories and current sexual behaviors. Of the 349 participants (79% men), 38% reported inconsistent condom use and 80% reported a violence history. Lifetime sexual violence was reported by 40% and lifetime physical violence (without sexual violence) by 40%. Participants reporting lifetime sexual violence had greater odds of inconsistent condom use than participants without any history of violence. A history of childhood sexual violence was also associated with greater odds of inconsistent condom use than participants without a history of childhood sexual violence. A history of sexual violence may in part explain HIV-infected persons' greater risk for transmitting HIV through high-risk sexual behaviors.
authors.affiliation: Division of General Internal Medicine, Department of Medicine, Penn State College of Medicine, Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, USA. cchuang@psu.edu
authors.forename: Cynthia H
authors.initials: CH
authors.lastname: Chuang
authors.forename: Jane M
authors.initials: JM
authors.lastname: Liebschutz
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Horton
authors.forename: Jeffrey H
authors.initials: JH
authors.lastname: Samet
mesh_terms: D000328:Adult; D015331:Cohort Studies; D017280:Condoms / Q000706:statistics & numerical data*; D019548:Crime Victims / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D006679:HIV Seropositivity / Q000453:epidemiology*; D006801:Humans; D008297:Male; D047568:Unsafe Sex / Q000706:statistics & numerical data*; D014754:Violence / Q000706:statistics & numerical data*