title: The effect of intimate partner violence on receptive syringe sharing among young female injection drug users: an analysis of mediation effects.
abstract: 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.
authors: 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
authors: Karla D
authors: KD
authors: Wagner
authors: Sharon M
authors: SM
authors: Hudson
authors: Mary H
authors: MH
authors: Latka
authors: Steffanie A
authors: SA
authors: Strathdee
authors: Hanne
authors: H
authors: Thiede
authors: Mary Ellen
authors: ME
authors: Mackesy-Amiti
authors: Richard S
authors: RS
authors: Garfein
mesh_terms: 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