Prevalence of Child and Adult Sexual Abuse and Risk Taking Practices Among HIV Serodiscordant African-American Couples

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doi:10.1007/s10461-010-9700-5

Cited by 15 publications

(12 citation statements)

References 64 publications

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“…But taken as a whole, our findings indicated that experience of forced sex among the women in our study, regardless of the age at which the event first occurred and regardless of the women’s age at enrollment (younger than 35 years vs. 35 years or older), was associated with wide-ranging behavioral and psychological outcomes later in life. Our findings are consistent with, and expand upon, previous studies of the associations between forced sex and risk outcomes (El-Bassel, Gilbert, Witte, Wu, & Chang, 2011; El-Bassel et al, 2010; Senn, Carey, & Vanable, 2008; Stockman et al, 2010; H. W. Wilson & Widom, 2011).…”

Section: Discussionsupporting

confidence: 92%

Experience of Forced Sex and Subsequent Sexual, Drug, and Mental Health Outcomes: African American and Hispanic Women in the Southeastern United States

Jones

Marks

Villar-Loubet

et al. 2015

International Journal of Sexual Health

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Objectives This cross-sectional study examined African American and Hispanic women’s (N = 1,509) self-reports of unwanted forced sex and its association with behavioral and mental health outcomes after the event. Methods Twenty percent of the women had experienced forced sex (1st occurrence at age 15 years or younger for 10%, 1st occurrence at older than 15 years of age for 10%). Results Regardless of when forced sex 1st occurred, women were more likely to have engaged in unprotected vaginal and anal sex, to have had multiple unprotected sex partners, to have sexually transmitted infections, to have reported binge drinking and illicit drug use, and to exhibit distress and have received mental health counseling. Conclusions Forced sex may have wide-ranging behavioral and mental health consequences years later.

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Section: Discussionsupporting

confidence: 92%

Experience of Forced Sex and Subsequent Sexual, Drug, and Mental Health Outcomes: African American and Hispanic Women in the Southeastern United States

Jones

Marks

Villar-Loubet

et al. 2015

International Journal of Sexual Health

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“…The extent to which reliance upon self-reported data may have affected this study’s findings cannot be assessed with the available data. In all likelihood, the self-reported data can be trusted, as numerous authors have noted that persons in their research studies (which, like the present study, have included fairly large numbers of substance abusers and/or persons at risk for contracting or transmitting HIV) have provided accurate information about their behaviors [37–39]. …”

Section: Discussionmentioning

confidence: 98%

Knowledge about HIV in a Community Sample of Urban African Americans in the South

Klein

2016

J AIDS Clin Res

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Purpose Race and HIV are intertwined in complex ways. African Americans, particularly those residing in the southern United States, are at great risk for contracting and subsequently transmitting HIV. Research on the extent to which members of this population understand the risks associated with engaging in specific behaviors is limited. This paper examines HIV knowledge among at-risk adult African American men and women and the factors associated with levels of HIV knowledge. Methods Based on a conceptual model derived from Social Disorganization Theory and Syndemics Theory, interviews were conducted between 2009 and 2011. Questionnaire-based interviews were conducted with 1,864 respondents from 80 strategically-chosen census block groups in Atlanta, Georgia. An innovative approach to assessing amount of HIV knowledge was implemented, to derive better estimates of the extent of knowledge. Results Overall, HIV knowledge was low (average=43.5% correct answers). Seven factors were identified as contributing uniquely to having higher levels of knowledge about HIV transmission: (1) younger age, (2) being educated beyond the high school level, (3) being gay, lesbian or bisexual, (4) experiencing sexual abuse during childhood and/or adolescence, (5) drinking alcohol less frequently, (6) knowing a larger number of HIV-infected persons and (7) knowing anyone currently living with “full blown” AIDS. Conclusion HIV educational and intervention programs targeting at-risk African American adults need to develop effective ways of bolstering a solid understanding of how HIV is/not transmitted. In particular, efforts need to be targeted toward older adults, those with lower levels of educational attainment and persons who are not acquainted with anyone who is HIV-infected.

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“…Although research has shown that experiencing violence impairs a woman's ability to successfully negotiate condom use with future male sexual partners, there were mixed results in studies that examined the relationship between unprotected sex and violence. 6,64 These results might be because of a failure to separate anal and vaginal sex. Future research that examines condom use among survivors of violence should specify type of sex, especially because anal sex is associated with greater risk of HIV transmission.…”

Section: Discussionmentioning

confidence: 99%

Violence Against Women in Selected Areas of the United States

et al. 2015

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Objectives We determined the prevalence of recent emotional, physical, and sexual violence against women and their associations with HIV-related risk factors in women living in the United States. Methods We performed an assessment of women ages 18 to 44 years with a history of unprotected sex and 1 or more personal or partner HIV risk factors in the past 6 months from 2009 to 2010. We used multivariable logistic regression to examine the association of experiencing violence. Results Among 2099 women, the prevalence of emotional abuse, physical violence, and sexual violence in the previous 6 months was 31%, 19%, and 7%, respectively. Nonmarried status, food insecurity, childhood abuse, depression symptomology, and posttraumatic stress disorder were significantly associated with multiple types of violence. All types of violence were associated with at least 3 different partner or personal HIV risk behaviors, including unprotected anal sex, previous sexually transmitted infection diagnosis, sex work, or partner substance abuse. Conclusions Our data suggested that personal and partner HIV risk behaviors, mental illness, and specific forms of violence frequently co-occurred in the lives of impoverished women. We shed light on factors purported to contribute to a syndemic in this population. HIV prevention programs in similar populations should address these co-occurring issues in a comprehensive manner.

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Prevalence of Child and Adult Sexual Abuse and Risk Taking Practices Among HIV Serodiscordant African-American Couples

Cited by 15 publications

References 64 publications

Experience of Forced Sex and Subsequent Sexual, Drug, and Mental Health Outcomes: African American and Hispanic Women in the Southeastern United States

Experience of Forced Sex and Subsequent Sexual, Drug, and Mental Health Outcomes: African American and Hispanic Women in the Southeastern United States

Knowledge about HIV in a Community Sample of Urban African Americans in the South

Violence Against Women in Selected Areas of the United States

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