Mediators of the relation between partner violence and sexual risk behavior among women attending a sexually transmitted disease clinic.
BACKGROUND
Intimate partner violence (IPV) is associated with a wide range of negative outcomes, including sexual risk behavior. This cross-sectional study explored mediators of the relationship between IPV and risky sexual behavior in 717 women recruited from a sexually transmitted disease (STD) clinic.


METHODS
Participants were recruited from a public STD clinic in upstate New York as part of a randomized controlled trial that was designed to evaluate several sexual risk reduction interventions. They completed an audio computer-assisted self-interview in a private room.


RESULTS
Among these women, 18% reported IPV in the past 3 months and 57% reported lifetime experience of IPV. Recent IPV was associated with greater sexual risk, as measured by more episodes of unprotected sex (overall and with a steady partner). Although IPV was associated with depressive symptoms and drug use before sex, these variables did not mediate the relationship between IPV and sexual risk behavior.


CONCLUSIONS
The results indicate that IPV is common among women who attend an STD clinic and warrants increased attention. Research is needed to better understand the pathways linking IPV and HIV risk in women, to optimize the design of effective interventions.
Department of Marriage and Family Therapy, Syracuse University, Syracuse, NY, USA.
Mona
M
Mittal
Theresa E
TE
Senn
Michael P
MP
Carey
D000328:Adult; D000554:Ambulatory Care Facilities; D003430:Cross-Sectional Studies; D017579:Domestic Violence; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D015819:Substance Abuse, Intravenous / Q000150:complications; D047568:Unsafe Sex / Q000706:statistics & numerical data; D055815:Young Adult
Health Psychol. 2000 Jan;19(1):3-11
10711582
Psychol Addict Behav. 2004 Jun;18(2):180-3
15238060
J Natl Med Assoc. 2010 Jul;102(7):614-20
20690325
Alcohol Clin Exp Res. 2010 Apr;34(4):655-8
20102574
Am J Prev Med. 2000 Nov;19(4):302-7
11064235
Am J Prev Med. 2000 Nov;19(4):270-5
11064231
J Affect Disord. 2001 Oct;66(2-3):133-8
11578665
J Nerv Ment Dis. 2004 Apr;192(4):289-96
15060403
Am J Public Health. 2008 Jan;98(1):169-74
18160677
Struct Equ Modeling. 2008;15(1):23-51
20179778
JAMA. 1997 May 7;277(17):1357-61
9134940
Am J Prev Med. 2005 Oct;29(3):163-70
16168864
Lancet. 2002 Apr 13;359(9314):1331-6
11965295
Lancet. 2002 Apr 6;359(9313):1232-7
11955557
Womens Health Issues. 2008 Sep-Oct;18(5):375-80
18774455
Behav Res Methods. 2008 Aug;40(3):879-91
18697684
J Fam Violence. 2008 Oct;23(7):605-617
34177099
Am J Psychiatry. 2004 May;161(5):912-4
15121659
J Consult Clin Psychol. 1996 Aug;64(4):819-28
8803373
J Womens Health. 1998 Feb;7(1):77-84
9511135
J Adolesc Health. 1995 Apr;16(4):304-8
7612636
AIDS Behav. 2003 Dec;7(4):395-403
14707536
Soc Sci Med. 1997 Oct;45(8):1161-76
9381230
JAMA. 1994 May 11;271(18):1436-44
8176804
AIDS. 2000;14 Suppl 3:S253-65
11086869
Health Psychol. 2001 Jul;20(4):291-9
11515741
Addict Behav. 2008 Sep;33(9):1167-76
18556139
Psychol Bull. 2000 Sep;126(5):651-680
10989615
Am J Public Health. 1997 Jun;87(6):1016-8
9224187
Sex Transm Dis. 2001 May;28(5):281-4
11354267
Annu Rev Sex Res. 2000;11:92-124
11351836
AIDS Behav. 2010 Jun;14(3):504-17
19590947
AIDS Behav. 2003 Sep;7(3):291-301
14586191
Sex Transm Dis. 2002 Jul;29(7):411-6
12170131
Natl Vital Stat Rep. 2005 Mar 7;53(17):1-89
15786629
Addict Behav. 2008 Sep;33(9):1244-8
18571335
Soc Sci Med. 2000 Feb;50(4):459-78
10641800
AIDS Educ Prev. 2000 Apr;12(2):154-70
10833040
Ann Behav Med. 2003 Oct;26(2):104-23
14534028
Lancet. 2002 Apr 20;359(9315):1423-9
11978358
JAMA. 1996 Jul 24-31;276(4):293-9
8656541
Am J Public Health. 2000 Apr;90(4):560-5
10754970
Am J Prev Med. 2002 Nov;23(4):260-8
12406480
Violence Vict. 1998 Summer;13(2):107-15
9809391
J Consult Clin Psychol. 1997 Aug;65(4):531-41
9256553
J Womens Health. 1998 Apr;7(3):371-8
9580917
Demography. 2003 May;40(2):247-68
12846131
Am Psychol. 1993 Oct;48(10):1035-45
8256876
Am J Epidemiol. 2000 Jul 15;152(2):99-106
10909945
Annu Rev Sex Res. 2000;11:125-57
11351830
Am Psychol. 1993 Oct;48(10):1077-87
8256881