Violence and HIV Sexual Risk Behaviors Among Female Sex Partners of Male Drug Users

He, Haiou; McCoy, H. Virginia; Stevens, Sally J.; Stark, Michael J.

doi:10.1300/j013v27n01_10

Cited by 78 publications

(47 citation statements)

References 14 publications

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“…He et al (1998) found that women who had been raped or threatened with assault were more likely to have multiple partners and to engage in unprotected sex than women without such experiences. Littleton et al (2007) found that a history of physical abuse by a romantic partner was associated with an increased likelihood of both having sex after drinking alcohol and having multiple sexual partners in the past year.…”

Section: The Influence Of Adult Victimizationmentioning

confidence: 98%

Women's condom use assertiveness and sexual risk-taking: Effects of alcohol intoxication and adult victimization

Stoner

Norris

George

et al. 2008

Addictive Behaviors

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This experiment examined relationships among adulthood victimization, sexual assertiveness, alcohol intoxication, and sexual risk-taking in female social drinkers (N = 161). Women completed measures of sexual assault and intimate partner violence history and sexual assertiveness before random assignment to 1 of 4 beverage conditions: control, placebo, low dose (.04%), or high dose (.08%). After drinking, women read a second-person story involving a sexual encounter with a new partner. As protagonist of the story, each woman rated her likelihood of condom insistence and unprotected sex. Victimization history and self-reported sexual assertiveness were negatively related. The less sexually assertive a woman was, the less she intended to insist on condom use, regardless of intoxication. By reducing the perceived health consequences of unprotected sex, intoxication indirectly decreased condom insistence and increased unprotected sex. Findings extend previous work by elucidating possible mechanisms of the relationship between alcohol and unprotected sex -perceived health consequences and situational condom insistence -and support the value of sexual assertiveness training to enhance condom insistence, especially since the latter relationship was robust to intoxication.Correspondence to: Susan A. Stoner. 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. Control and Prevention, 2007). Because the risk of heterosexual transmission of HIV can be greatly reduced through consistent use of latex condoms (National Institute of Allergy and Infectious Diseases, 2006), a major focus of HIVprevention efforts directed toward heterosexual women has been to strengthen sexual assertiveness, particularly condom negotiation and refusal of unprotected sex (Sikkema et al., 1995; Weinhardt et al., 1998). Survey research has suggested that higher sexual assertiveness is associated with lower sexual risk behavior (Noar, Morokoff, & Redding, 2002;Zamboni, Crawford, & Williams, 2000;Somlai et al., 1998) NIH Public Access Alcohol Intoxication and Condom UseA large number of studies have found a relationship between alcohol use and sexual risk-taking, particularly nonuse of condoms (Cooper, 2002). Most studies finding such a relationship have used survey methodologies assessing the global association between these variables. For example, in one study, level of alcohol consumption was found to be correlated with inconsistent condom use in HIV-infected injection drug users with a history of alcohol problems, and inconsistent condom use was more common for women than for men, statistically control...

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Section: The Influence Of Adult Victimizationmentioning

confidence: 98%

Women's condom use assertiveness and sexual risk-taking: Effects of alcohol intoxication and adult victimization

Stoner

Norris

George

et al. 2008

Addictive Behaviors

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“…To date this research has primarily been limited to studies of female IPV victims, only very rarely including reports from male perpetrators. While research including women and girls' reports of male partner behavior points to a potential link between high rates of IPV perpetration and sexual risk among young adult men, 3,[18][19][20][21][22][23][24][25][26] there has been little direct study of whether abusive partners pose greater sexual risk to women due to their own risky sexual or controlling behaviors. Within qualitative studies, battered women have reported forced pregnancy and prevention of contraception from their abusive male partners.…”

Section: Ipv Against Women and Sexual Risk For Hiv/aids In Heterosexumentioning

confidence: 99%

Masculine Gender Roles Associated with Increased Sexual Risk and Intimate Partner Violence Perpetration among Young Adult Men

Santana

Raj²,

Decker³

et al. 2006

J Urban Health

310

236

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This study sought to assess the association between traditional masculine gender role ideologies and sexual risk and intimate partner violence (IPV) perpetration behaviors in young men's heterosexual relationships. Sexually active men age 18-35 years attending an urban community health center in Boston were invited to join a study on men's sexual risk; participants (N = 307) completed a brief self-administered survey on sexual risk (unprotected sex, forced unprotected sex, multiple sex partners) and IPV perpetration (physical, sexual and injury from/need for medical services due to IPV) behaviors, as well as demographics. Current analyses included men reporting sex with a main female partner in the past 3 months (n = 283). Logistic regression analyses adjusted for demographics were used to assess significant associations between male gender role ideologies and the sexual risk and IPV perpetration behaviors. Participants were predominantly Hispanic (74.9%) and Black (21.9%); 55.5% were not born in the continental U.S.; 65% had been in the relationship for more than 1 year. Men reporting more traditional ideologies were significantly more likely to report unprotected vaginal sex in the past 3 months (OR adj = 2.3, 95% CI = 1.2-4.6) and IPV perpetration in the past year (OR adj = 2.1, 95% CI = 1.2-3.6). Findings indicate that masculine gender role ideologies are linked with young men's unprotected vaginal sex and IPV perpetration in relationships, suggesting that such ideologies may be a useful point of sexual risk reduction and IPV prevention intervention with this population.

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“…The majority of these studies have focused on the past traumatic experiences and current social-and individual-level factors that result in a concomitant relationship between violence and HIV risk among marginalized, injection drug using women. For example, one study examining violence and HIV risk behaviours among female partners of male IDU observed that almost half had been physically assaulted by their sex partners; furthermore, those who had experienced physical violence were more likely to engage in unprotected anal intercourse (He et al, 1998). A study of IDU living in Vancouver found historical sexual abuse to be associated with sex trade work, sharing syringes with HIV-positive people, and other health-related harms such as accidental overdose (Braitstein et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

Physical violence among a prospective cohort of injection drug users: A gender-focused approach

Marshall

Fairbairn

et al. 2008

Drug and Alcohol Dependence

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Although dramatically heightened rates of violence have been observed among injection drug users (IDU), little is known about the gender differences associated with violence among this population. Employing a risk environment framework, we performed an analysis of the factors associated with experiencing violence among participants enrolled in a prospective cohort study of IDU during the years 1996-2005 using generalized estimating equations (GEE). Among 1114 individuals, 291 (66%) of females and 470 (70%) of males reported experiencing violence during the study period. In multivariate analyses, mental illness, frequent alcohol use, frequent crack use, homelessness, Downtown Eastside residency, and requiring help injecting were positively associated with experiencing violence for both sexes (all p < 0.05). For females, binge drug use (AOR = 1.30) and drug dealing (AOR = 1.42) were positively associated with violence, while younger age (AOR = 1.02), frequent heroin injection (AOR = 1.24), and incarceration (AOR = 1.50) were significant for males. Women were more likely to be attacked by acquaintances, partners, and sex trade clients, while men were more likely to experience violence from strangers and the police. These findings indicate that susceptibility to violence among IDU is structured by environmental factors such as homelessness and drug-related factors such as frequent alcohol use and involvement in drug economies. Furthermore, important gender differences with respect to the predictors and characteristics of violent attacks do exist. These findings indicate an urgent need for the development of comprehensive programs and structural interventions that take a gender-focused approach to violence among IDU.

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Violence and HIV Sexual Risk Behaviors Among Female Sex Partners of Male Drug Users

Cited by 78 publications

References 14 publications

Women's condom use assertiveness and sexual risk-taking: Effects of alcohol intoxication and adult victimization

Women's condom use assertiveness and sexual risk-taking: Effects of alcohol intoxication and adult victimization

Masculine Gender Roles Associated with Increased Sexual Risk and Intimate Partner Violence Perpetration among Young Adult Men

Physical violence among a prospective cohort of injection drug users: A gender-focused approach

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