title: Sexual risk-taking among high-risk urban women with and without histories of childhood sexual abuse: mediating effects of contextual factors.
abstract: 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.
authors.affiliation: University of Wisconsin-Milwaukee, Milwaukee, Wisconsin 53201, USA.
authors.forename: Katie E
authors.initials: KE
authors.lastname: Mosack
authors.forename: Mary E
authors.initials: ME
authors.lastname: Randolph
authors.forename: Julia
authors.initials: J
authors.lastname: Dickson-Gomez
authors.forename: Maryann
authors.initials: M
authors.lastname: Abbott
authors.forename: Ellen
authors.initials: E
authors.lastname: Smith
authors.forename: Margaret R
authors.initials: MR
authors.lastname: Weeks
mesh_terms: 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
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