title: Impact of Intimate Partner Forced Sex on HIV Risk Factors in Physically Abused African American and African Caribbean Women.
abstract: We examined associations between intimate partner forced sex (IPFS) and HIV sexual risk behaviors among physically abused Black women. Women aged 18-55 in intimate relationships were interviewed in health clinics in Baltimore, MD and St. Thomas and St. Croix, US Virgin Islands (USVI). Of 426 physically abused women, 38% experienced IPFS; (Baltimore = 44 and USVI = 116). USVI women experiencing IPFS were more likely to have 3+ past-year sex partners (AOR 2.06, 95% CI 1.03-4.14), casual sex partners (AOR 2.71, 95% CI 1.42-5.17), and concurrent sex partners (AOR 1.94, 95% CI 1.01-3.73) compared to their counterparts. Baltimore women reporting IPFS were more likely to have exchanged sex (AOR 3.57, 95% CI 1.19-10.75). Women experiencing IPFS were more likely to report their abuser having other sexual partners in Baltimore (AOR 3.30, 95% CI 1.22-8.88) and USVI (AOR 2.03, 95% CI 1.20-3.44). Clinicians should consider the influence of IPFS on individual and partnership HIV sexual risk behaviors.
authors.affiliation: Johns Hopkins University School of Nursing, Baltimore, MD, USA, jessica.draughon@nursing.ucsf.edu.
authors.forename: Jessica E
authors.initials: JE
authors.lastname: Draughon
authors.forename: Marguerite B
authors.initials: MB
authors.lastname: Lucea
authors.forename: Jacquelyn C
authors.initials: JC
authors.lastname: Campbell
authors.forename: Mary T
authors.initials: MT
authors.lastname: Paterno
authors.forename: Desiree R
authors.initials: DR
authors.lastname: Bertrand
authors.forename: Phyllis W
authors.initials: PW
authors.lastname: Sharps
authors.forename: Doris W
authors.initials: DW
authors.lastname: Campbell
authors.forename: Jamila K
authors.initials: JK
authors.lastname: Stockman
mesh_terms: D000293:Adolescent; D000328:Adult; D015142:Baltimore / Q000453:epidemiology; D018585:Battered Women / Q000706:statistics & numerical data*; D044383:Black People / Q000208:ethnology*; D017280:Condoms / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D008875:Middle Aged; D011902:Rape; D012307:Risk Factors; D012725:Sexual Behavior / Q000208:ethnology*; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000208:ethnology; D012959:Socioeconomic Factors; D013179:Spouse Abuse / Q000706:statistics & numerical data; D014767:United States Virgin Islands / Q000453:epidemiology; D055815:Young Adult; D001741:Black or African American