title: History of Childhood Abuse, Drinking Motives, Alcohol Use, and Sexual Risk Behavior Among STD Clinic Patients in St. Petersburg, Russia: A Cross-Sectional Study.
abstract: The relationship between level of childhood abuse (physical and emotional) and sexual risk behavior of sexually transmitted disease clinic patients in St. Petersburg, Russia was examined through path analyses. Mediating variables investigated were: Alcohol Use Disorder Identification Test (AUDIT), drinking motives (for social interaction, to enhance mood, to facilitate sexual encounters), intimate partner violence (IPV), anxiety, and depression symptoms. Results showed a significant indirect effect of childhood abuse on women's sexual risk behavior: higher level of childhood abuse was associated with a greater likelihood of IPV, motivations to drink, leading to higher AUDIT scores and correlated to higher likelihood of having multiple, new or casual sexual partner(s). No significant effect was identified in paths to condom use. Among men, childhood abuse had no significant effect on sexual risk behavior. Reduction in alcohol-related sexual risk behavior may be achieved by addressing the effects of childhood abuse among female participants.
authors: Department of Epidemiology of Microbial Diseases, Yale School of Public Health, 60 College Street, New Haven, CT, 06520-8034, USA. nadia.abdala@yale.edu.
authors: Nadia
authors: N
authors: Abdala
authors: Yale Center for Analytical Sciences, Yale School of Public Health, 300 George Street, New Haven, CT, 06520, USA.
authors: Fangyong
authors: F
authors: Li
authors: Department of Psychology, Saint Petersburg State University, 7/9 Universitetskaya nab, St Petersburg, 199034, Russian Federation.
authors: Alla V
authors: AV
authors: Shaboltas
authors: Department of Psychology, Saint Petersburg State University, 7/9 Universitetskaya nab, St Petersburg, 199034, Russian Federation.
authors: Roman V
authors: RV
authors: Skochilov
authors: Department of Dermatology and Venereology, First Pavlov State Medical University of St. Petersburg, 6-8 L'va Tolstogo Str., St Petersburg, 197022, Russian Federation.
authors: Tatiana V
authors: TV
authors: Krasnoselskikh
mesh_terms: D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology*; D000428:Alcohol Drinking / Q000009:adverse effects / Q000523:psychology*; D002648:Child; D002649:Child Abuse / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D012309:Risk-Taking; D012426:Russia / Q000453:epidemiology; D012725:Sexual Behavior; D055815:Young Adult
keywords: Alcohol use; Drinking motives; HIV risk; Physical and emotional childhood abuse history; STD clinic patients