Correlates of sexual abuse among female participants in the California Latino Couples Study were examined in two sets of comparisons: (a) nonabused women versus women reporting any sexual abuse and (b) among sexually abused women, those reporting forced intercourse versus those with no forced intercourse. Women who reported any sexual abuse (n = 208) differed from women who reported no abuse (n = 363) in their age at first voluntary sexual intercourse, risk-taking scores, and sexually transmitted infection (STI) history. Among the abused women, those who experienced forced intercourse (n = 101) were more likely to report sexual intercourse with an injection drug user, a history of STIs, unhappy intimate relationships, depression, and elevated stress scores compared wth women who had been touched inappropriately but not forced to have sexual intercourse.
Individual HIV risk estimates were generated from reported sexual behavior for 1,146 California Latino Couples Study participants (573 couples). These Bernoulli process model-based estimates proved strongly associated with individual sexually transmitted disease history. Mean estimated background risk from sexual contacts other than with their primary partner was substantially lower for the females than the males (1.4 vs. 7.4 per 10,000). After including their chance of infection from each other, mean net estimated risk was higher for the females than the males (9.2 vs. 8.6 per 10,000). Individual background risk was predicted by individual demographic and psychosocial characteristics (females: coefficient of concordance C = 0.84 predicting any (nonzero) risk; adjusted R(2) = 36% predicting level of risk, given any risk; males: C = 0.78; R(2) = 24%). Characteristics of women with higher risk primary partners were also identifiable (C = 0.65; R(2) = 13%). There was no significant negative association between the male partner's background sexual risk and the aggregate infectivity of the woman from him (taking into account the total number of their condom-protected and unprotected acts of different types).
Choice of condom use measure and control of confounding variables can substantially affect results when studying potential predictors of condom use such as HC/SS.
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