Sexual risk-taking among high-risk urban women with and without histories of childhood sexual abuse: mediating effects of contextual factors.
This study investigated the mechanisms of risk for urban women at high risk for HIV with and without childhood sexual abuse histories. Childhood sexual abuse survivors reported more unprotected intercourse and sexually transmitted infections (STIs). The association of STI locus of control with frequency of unprotected sex was fully mediated by being intoxicated during sex and engaging in sex work, whereas the association between relational control and unprotected sex was not mediated by contextual factors for the childhood sexual abuse group. The mechanisms of risk are different for those with divergent childhood sexual abuse histories and thus interventions should be developed to educate women with a history of childhood sexual abuse about ways to avoid revictimization, particularly within a context of poverty, prostitution, and drug use.
Mosack
Katie E
KE
University of Wisconsin-Milwaukee, Milwaukee, Wisconsin 53201, USA.
Randolph
Mary E
ME
Dickson-Gomez
Julia
J
Abbott
Maryann
M
Smith
Ellen
E
Weeks
Margaret R
MR
D000293:Adolescent; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D016009:Chi-Square Distribution; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D012044:Regression Analysis; D012307:Risk Factors; D012309:Risk-Taking; D011477:Sex Work / Q000523:psychology; D012725:Sexual Behavior / Q000523:psychology*; D012749:Sexually Transmitted Diseases / Q000523:psychology; D019966:Substance-Related Disorders / Q000523:psychology; D011795:Surveys and Questionnaires; D014505:Urban Population; D016387:Women's Health
Violence Vict. 2001 Dec;16(6):655-72
11863064
AIDS Educ Prev. 2001 Aug;13(4):377-89
11565596
Int J STD AIDS. 1997 May;8(5):332-5
9175657
J Community Health Nurs. 2006 Winter;23(4):235-44
17064233
Health Psychol. 2004 Jan;23(1):67-74
14756605
J Abnorm Child Psychol. 2005 Feb;33(1):39-53
15759590
Med Anthropol. 2003 Jul-Sep;22(3):233-59
12893541
Annu Rev Public Health. 1997;18:401-36
9143725
AIDS Care. 1999 Feb;11(1):3-20
10434979
J Child Sex Abus. 2001;10(2):101-20
15154403
Am J Prev Med. 1997 Sep-Oct;13(5):380-4
9315271
J Interpers Violence. 2005 Apr;20(4):455-62
15722501
J Womens Health (Larchmt). 2004 Jun;13(5):468-73
15257839
Public Health Rep. 2002;117 Suppl 1:S88-95
12435832
J Consult Clin Psychol. 2003 Dec;71(6):987-96
14622074
Women Health. 1998;27(1-2):205-29
9640643
Sex Transm Dis. 1999 Sep;26(8):472-5
10494939
Am J Orthopsychiatry. 1985 Oct;55(4):530-541
4073225
Child Abuse Negl. 1999 Feb;23(2):145-59
10075184
Trauma Violence Abuse. 2005 Apr;6(2):103-29
15753196
Am J Addict. 2007 Nov-Dec;16(6):431-8
18058406
Child Abuse Negl. 1999 Apr;23(4):383-94
10321775
AIDS Care. 2000 Jun;12(3):291-7
10928206
Child Abuse Negl. 1997 Feb;21(2):149-56
9056094
J Interpers Violence. 2003 Dec;18(12):1452-71
14678616
AIDS Educ Prev. 1996 Feb;8(1):44-57
8703640
Med Anthropol Q. 2006 Dec;20(4):545-74
17225658
J Immigr Health. 2004 Oct;6(4):155-65
16228698
Am J Prev Med. 2000 Feb;18(2):151-8
10698246
Am J Public Health. 2000 Apr;90(4):560-5
10754970
Child Abuse Negl. 2000 May;24(5):677-88
10819099
Child Abuse Negl. 2001 Jan;25(1):137-48
11214808
Arch Sex Behav. 2004 Jun;33(3):197-209
15129039
Fam Plann Perspect. 2001 Sep-Oct;33(5):206-11
11589541
J Adolesc Health. 1996 Mar;18(3):211-7
8777197
Health Educ Monogr. 1978 Spring;6(2):160-70
689890
Clin Psychol Rev. 2001 Mar;21(2):183-204
11293365
Am J Prev Med. 1998 May;14(4):245-58
9635069
Soc Sci Med. 2001 Jan;52(2):315-22
11144787
Child Abuse Negl. 2002 Dec;26(12):1275-89
12464301
Am J Public Health. 2005 Apr;95(4):703-9
15798133
Arch Sex Behav. 2009 Feb;38(1):121-34
17999171