The effect of intimate partner violence on receptive syringe sharing among young female injection drug users: an analysis of mediation effects.
This study sought to explore the relationship between intimate partner violence (IPV) and receptive syringe sharing (RSS) among young female injection drug users (IDUs) and to examine mediating variables. Cross-sectional behavioral assessments were completed by 797 female IDUs in five U.S. cities who reported having at least one main sexual partner in the past three months. Linear regression was used to estimate direct and mediated effects. The product of coefficients method was used to statistically evaluate mediation. Respondents were predominantly white (70%) and mean age was 23 years. Sixty percent reported RSS in the past three months and 33% reported IPV in the past year. The association between IPV and RSS was independently mediated by self-esteem and depression, but not by self-efficacy for safer drug injection. Findings suggest that interventions focused on improving victimized women's self-esteem and depression may help mitigate some of the negative health effects of IPV.
Wagner
Karla D
KD
Institute for Health Promotion and Disease Prevention Research, Keck School of Medicine, University of Southern California, 1000 S. Fremont Ave., Unit 8, Alhambra, CA 91803, USA. kdwagner@usc.edu
Hudson
Sharon M
SM
Latka
Mary H
MH
Strathdee
Steffanie A
SA
Thiede
Hanne
H
Mackesy-Amiti
Mary Ellen
ME
Garfein
Richard S
RS
D000293:Adolescent; D000328:Adult; D003866:Depressive Disorder; D055030:Drug Users / Q000523:psychology / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D016485:Needle Sharing / Q000523:psychology / Q000706:statistics & numerical data*; D012307:Risk Factors; D012309:Risk-Taking; D012649:Self Concept; D012747:Sexual Partners; D013179:Spouse Abuse / Q000706:statistics & numerical data*; D015819:Substance Abuse, Intravenous / Q000523:psychology*; D014754:Violence; D055815:Young Adult