title: Depression, Abuse, Relationship Power and Condom Use by Pregnant and Postpartum Women with Substance Abuse History.
abstract: Substance-abusing pregnant and postpartum women are less likely to maintain consistent condom use and drug and alcohol abstinence, which is particularly concerning in high HIV-prevalence areas. Data from 224 pregnant and postpartum women in substance abuse treatment were analyzed to examine effects of history of substance use, child abuse, and mental health problems on current substance use and condom-use barriers. Mediators were depression, relationship power and social support. Most participants (72.9 %) evidenced current depression. Less social support (-0.17, p < 0.05) and relationship power (-0.48, p < 0.001), and greater depression (-0.16, p < 0.05) predicted more condom-use barriers. History of mental health problems predicted condom-use barriers, mediated by recent depression and relationship power (0.15, p < 0.001). These findings suggest depression and diminished relationship power limit highest-risk women's ability to negotiate condom use and abstain from substance use, increasing their risk of acute HIV infection and vertical transmission.
authors: Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health & Social Work, Florida International University, Biscayne Bay Campus, 3000 NE 151 Street - ACI #260, Miami, FL, 33181, USA. devieuxj@fiu.edu.
authors: Jessy G
authors: JG
authors: Dévieux
authors: Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health & Social Work, Florida International University, Biscayne Bay Campus, 3000 NE 151 Street - ACI #260, Miami, FL, 33181, USA. gillesm@fiu.edu.
authors: Michèle
authors: M
authors: Jean-Gilles
authors: Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health & Social Work, Florida International University, Biscayne Bay Campus, 3000 NE 151 Street - ACI #260, Miami, FL, 33181, USA. rosenr@fiu.edu.
authors: Rhonda
authors: R
authors: Rosenberg
authors: Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health & Social Work, Florida International University, Modesto Maidique Campus, 11200 SW 8 Street - AHC II -571A, Miami, FL, 33199, USA. becksague@gmail.com.
authors: Consuelo
authors: C
authors: Beck-Sagué
authors: Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health & Social Work, Florida International University, Biscayne Bay Campus, 3000 NE 151 Street - ACI #260, Miami, FL, 33181, USA. jatto001@fiu.edu.|Department of Health Services Administration, Florida Atlantic University College of Business, 777 Glades Road, Boca Raton, FL, 33431, USA. jatto001@fiu.edu.
authors: Jennifer M
authors: JM
authors: Attonito
authors: Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health & Social Work, Florida International University, Biscayne Bay Campus, 3000 NE 151 Street - ACI #260, Miami, FL, 33181, USA. asaxe002@fiu.edu.
authors: Anshul
authors: http://orcid.org/0000-0002-2485-5017
authors: A
authors: Saxena
authors: Jane & Terry Semel Institute for Neuroscience & Human Behavior, University of California, Los Angeles, 760 Westwood Plaza, Los Angeles, CA, 90095, USA. jastein@ucla.edu.
authors: Judith A
authors: JA
authors: Stein
mesh_terms: D000293:Adolescent; D000328:Adult; D054523:Adult Survivors of Child Abuse / Q000523:psychology* / Q000706:statistics & numerical data; D002648:Child; D017280:Condoms / Q000706:statistics & numerical data*; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D017008:Negotiating; D049590:Postpartum Period; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology*; D021841:Safe Sex; D012944:Social Support; D019966:Substance-Related Disorders / Q000523:psychology / Q000534:rehabilitation*
keywords: Condom; Depression; HIV; Pregnant; Substance abuse