Abuse Impedes Prevention: The Intersection of Intimate Partner Violence and HIV/STI Risk Among Young African American Women.
Intimate partner violence (IPV) is associated with risky sexual behavior and STIs among diverse groups of women. IPV was examined as a moderator of efficacy for an HIV/STI intervention. 848 African American women, 18-29, were randomly assigned to an HIV/STI intervention or control condition. Participants completed measures on sociodemographics, IPV, risky sexual behavior and received STI testing. IPV predicted inconsistent condom use and a risky sexual partner over 12-month follow-up. A significant interaction indicated that among women who experienced IPV, those in the intervention were more likely to test positive for Trichomonas vaginalis (TV). Among intervention participants, those who experienced IPV were more likely to test TV-positive than those who did not. In an HIV intervention that did not specifically address IPV, women in the control condition were less likely to acquire TV than those in the intervention. Consideration of contextual/interpersonal factors is essential when developing HIV intervention programs.
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd NE; MS E-59, Atlanta, GA, 30333, USA, pseth@cdc.gov.
Puja
P
Seth
Gina M
GM
Wingood
LaShun S
LS
Robinson
Jerris L
JL
Raiford
Ralph J
RJ
DiClemente
D000328:Adult; D001741:Black or African American / Q000523:psychology / Q000706:statistics & numerical data*; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control* / Q000523:psychology; D020010:Heterosexuality; D006801:Humans; D007398:Interpersonal Relations; D000066511:Intimate Partner Violence / Q000208:ethnology* / Q000523:psychology; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000208:ethnology / Q000517:prevention & control* / Q000523:psychology; D012959:Socioeconomic Factors; D047568:Unsafe Sex / Q000706:statistics & numerical data