The Association Between Childhood Sexual Abuse and Prevalence of HIV-Related Risk Behaviors

Lodico, Mark; DiClemente, Ralph J.

doi:10.1177/000992289403300810

Cited by 98 publications

(64 citation statements)

References 6 publications

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“…Our results support earlier suggestions that IPV is also associated with injection-related risk for blood-borne infections in the form of syringe sharing (Braitstein et al 2003;Lodico and DiClemente 1994;Strathdee et al 1997). While some investigations have found that women's syringe sharing is associated with feelings of support (Sherman et al 2001) and closeness or trust between partners (MacRae and Aalto 2000), our findings suggest that another reason for syringe sharing may be the negative or controlling features of a relationship characterized by IPV.…”

Section: Discussionsupporting

confidence: 90%

“…In one study of injection drug users (IDUs) in Vancouver, Canada 68% of women had a lifetime history of sexual violence, which was significantly associated with syringe sharing (Braitstein et al 2003). An earlier study in the same city showed that a history of lifetime sexual abuse was independently associated with syringe sharing among male and female IDUs (Strathdee et al 1997), which has been reported in other settings (Lodico and DiClemente 1994). However, these studies focused on lifetime history of sexual violence, which included abuse that occurred both in childhood and adulthood.…”

Section: Introductionmentioning

confidence: 97%

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The Effect of Intimate Partner Violence on Receptive Syringe Sharing Among Young Female Injection Drug Users: An Analysis of Mediation Effects

et al. 2007

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This study sought to explore the relationship between intimate partner violence (IPV) and receptive syringe sharing (RSS) among young female injection drug users (IDUs) and to examine mediating variables. Cross-sectional behavioral assessments were completed by 797 female IDUs in five U.S. cities who reported having at least one main sexual partner in the past three months. Linear regression was used to estimate direct and mediated effects. The product of coefficients method was used to statistically evaluate mediation. Respondents were predominantly white (70%) and mean age was 23 years. Sixty percent reported RSS in the past three months and 33% reported IPV in the past year. The association between IPV and RSS was independently mediated by self-esteem and depression, but not by self-efficacy for safer drug injection. Findings suggest that interventions focused on improving victimized women's self-esteem and depression may help mitigate some of the negative health effects of IPV.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 97%

The Effect of Intimate Partner Violence on Receptive Syringe Sharing Among Young Female Injection Drug Users: An Analysis of Mediation Effects

et al. 2007

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“…There is growing recognition that HIV is linked to violence through a wide range of proposed pathways such as serostatus disclosure (Gielen et al, 1997;Rothenberg et al, 1995;Temmerman et al, 1995), childhood sexual abuse or exposure to violence leading to risky sexual behavior (Dunkle et al, 2004;Handwerker, 1993;Lodico and DiClemente, 1994;Wingood and DiClemente, 1997;Zierler et al, 1991Zierler et al, , 1996, increased risk of HIV infection from forced sexual intercourse (Van der Straten et al, 1995;Zierler et al, 1996), and gender inequality (Dunkle et al, 2004). Researchers agree that much more empirical literature is needed in this area, particularly in developing countries where the HIV epidemic continues to grow.…”

Section: Discussionmentioning

confidence: 99%

Violence and Abuse Among HIV-Infected Women and Their Children in Zambia

Murray¹,

Haworth²,

Semrau³

et al. 2006

Journal of Nervous &Amp; Mental Disease

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HIV and violence are two major public health problems increasingly shown to be connected and relevant to international mental health issues and HIV-related services. Qualitative research is important due to the dearth of literature on this association in developing countries, cultural influences on mental health syndromes and presentations, and the sensitive nature of the topic. The study presented in this paper sought to investigate the mental health issues of an HIV-affected population of women and children in Lusaka, Zambia, through a systematic qualitative study. Two qualitative methods resulted in the identification of three major problems for women: domestic violence (DV), depression-like syndrome, and alcohol abuse; and children: defilement, DV, and behavior problems. DV and sexual abuse were found to be closely linked to HIV and alcohol abuse. This study shows the local perspective of the overlap between violence and HIV. Results are discussed in relation to the need for violence and abuse to be addressed as HIV services are implemented in sub-Saharan Africa. KeywordsViolence/abuse; HIV/AIDS; qualitative; women; children There is growing evidence of the connection between HIV infection and domestic violence (DV) or interpersonal violence toward women and children (Dunkle et al., 2004;Koenig and Moore, 2000;Maman et al., 2000;Zierler and Krieger, 1997). Studies have reported that violence is highly prevalent in HIV-infected women (Cohen et al., 2000;Vlahov et al., 1998;Zierler et al., 1996). Researchers have proposed several hypotheses around this association. Some studies from the US and sub-Saharan Africa suggest that women who disclose HIV serostatus to partners may be at increased risk for violence (Gielen et al., 1997;Rothenberg et al., 1995;Temmerman et al., 1995 HIV were significantly more likely to have had a physically violent partner at some time, and to have experienced physical and/or sexual violence with a current partner (Maman et al., 2002). Another act of violence associated with increased HIV risk is child sexual abuse (CSA), where a higher proportion of CSA was found in HIV-positive women than in the general population (Koenig and Clark, 2004). Child sexual abuse often leads to substance use, multiple sexual partners, and/or a lack of self-protective behaviors, which are all risk factors for HIV infection (Wingood and DiClemente, 1997;Zierler et al., 1991). A review paper on the intersection between HIV and violence discusses the directions for future research, suggesting that qualitative research is needed to help describe the contextual factors that connect HIV and violence experienced in adulthood and childhood (Maman et al., 2000).This study investigates the mental health issues of an HIV-affected population of women and children in Lusaka, Zambia. This was designed as a systematic qualitative study for a number of reasons. First, there is a dearth of knowledge on cross-cultural conceptualization of mental health problems in sub-Saharan Africa in general, and specifically rel...

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“…Overall, 8% of the sample reported that they had been physically forced to have intercourse when they did not want to. CSA was associated with having more than one recent sexual partner, not using a condom at the most recent sexual experience, and using alcohol or drugs at the most recent sexual experience (Howard & Wang, 2005).Other studies utilizing student samples have found that those who were sexually abused as children were more likely to be sexually active, have begun sexual activity at an earlier age, and were more likely to have unprotected sex than those who were not sexually abused (Erickson & Rapkin, 1991;Lodico & DiClemente, 1994;Riggs, Alario, & McHorney, 1990).At-risk samples of children and adolescents also have been investigated, including homeless adolescents, adolescents who were HIV positive or had engaged in sexual behavior that put them at risk for HIV, children and adolescents in psychiatric treatment, and incarcerated adolescents. Among homeless or adolescent runaways, CSA was associated with being sexually active, more lifetime sexual partners, engaging in sex work, less frequent condom use, ever having anal sex, and ever having been diagnosed with an STD (Johnson, Aschkenasy, Herbers, & Gillenwater, 1996;Rotheram-Borus, Mahler, Koopman, & Langabeer, 1996;Yates, MacKenzie, Pennbridge, & Swofford, 1991).…”

mentioning

confidence: 97%

“…However, some studies have found slightly different results for males and females. In some studies, CSA has been associated with more alcohol use before sex, less likelihood of condom use at last intercourse, and being infected with HIV for males, but not for females (Futterman et al, 1993;Lodico & DiClemente, 1994;Raj et al, 2000;Zierler et al, 1991). However, Mason et al (1998) found that CSA was associated with a younger age of first intercourse for females, but not for males.…”

mentioning

confidence: 99%

Childhood and adolescent sexual abuse and subsequent sexual risk behavior: Evidence from controlled studies, methodological critique, and suggestions for research

Senn¹,

Carey²,

Vanable³

2008

Clinical Psychology Review

289

309

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Childhood and adolescent sexual abuse (CSA) is associated with a wide variety of adverse psychological and health outcomes, including negative sexual health outcomes. In this paper, we review the literature investigating the relation between CSA and subsequent sexual risk behaviors among men and women. Previous research has found a relatively consistent association between CSA and higher rates of sexual risk behaviors, particularly sex trading, more sexual partners, and an earlier age of first intercourse. However, there are a number of limitations to this research, including lack of a consistent definition of CSA, failure to investigate gender as a moderator, and possible confounding of the CSA experience with some of the sexual behavior outcome variables. Further, although there appears to be an association between CSA and later sexual risk behavior, researchers have not established whether this association is causal. Suggestions for future research and implications for clinical practice are discussed.The association between childhood and adolescent sexual abuse (CSA) and adverse psychological functioning has been well-documented, in both literature reviews (e.g., Beitchman, Zucker, Hood, daCosta, & Akman, 1991;Beitchman et al., 1992) and metaanalyses (e.g., Jumper, 1995;Paolucci, Genuis, & Violato, 2001). Recently, researchers have also documented an association between CSA and adverse health outcomes, including sexual health outcomes (e.g., Bartholow et al., 1994;Senn, Carey, Vanable, Coury-Doniger, & Urban, 2006). However, few systematic reviews of this literature have been undertaken. Thus, the purpose of this paper is to review the literature investigating the relation between CSA and subsequent sexual risk behavior, and to provide researchers with directions for future studies in this area. In this paper, we first review how CSA has been defined, and then review measures used to assess CSA. Next, we briefly summarize the mental health outcomes of CSA. The bulk of the paper examines findings from previous studies investigating the association between CSA and subsequent sexual behavior. Finally, we conclude by suggesting directions for future studies, and discussing practice implications. Definition of CSAThe definition of CSA has varied widely across studies. First, researchers have used different age criteria for "childhood sexual abuse." Often, this term is used to refer to sexual abuse that Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Author ManuscriptClin Psychol Rev. Author manuscript; available in PMC 2009 June 1. NIH-PA Author M...

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The Association Between Childhood Sexual Abuse and Prevalence of HIV-Related Risk Behaviors

Cited by 98 publications

References 6 publications

The Effect of Intimate Partner Violence on Receptive Syringe Sharing Among Young Female Injection Drug Users: An Analysis of Mediation Effects

The Effect of Intimate Partner Violence on Receptive Syringe Sharing Among Young Female Injection Drug Users: An Analysis of Mediation Effects

Violence and Abuse Among HIV-Infected Women and Their Children in Zambia

Childhood and adolescent sexual abuse and subsequent sexual risk behavior: Evidence from controlled studies, methodological critique, and suggestions for research

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