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HIV Sexual Risk Behavior Among Low-Income Women Experiencing Intimate Partner Violence: The Role of Posttraumatic Stress Disorder
Open accessAbstract
Posttraumatic stress disorder resulting from intimate partner violence (IPV-related PTSD), drug problems, and alcohol problems were tested as correlates of women's sexual risk behavior. Participants were 136 low-income women experiencing physical violence by a male partner during the past 6 months. Sexual risk behavior was assessed by whether women had unprotected sex with a risky primary partner (i.e., HIV-positive, injection drug user, and/or nonmonogamous), unprotected sex with a risky nonprimary partner (i.e. HIV-positive or unknown status), or traded sex during the past 6 months. Nearly one in five women engaged in these recent sexual risk behaviors. Simultaneous logistic regression results revealed IPV-related PTSD, but not drug or alcohol problems, was significantly associated with sexual risk behavior while controlling for childhood abuse and demographic covariates. Women with IPV-related PTSD had four times greater odds of recent sexual risk behavior compared to women without IPV-related PTSD. Implications for HIV prevention interventions are discussed.
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“In a predominantly African American sample of women with IPV-related PTSS, avoidance and numbing were uniquely associated with sexual risk behavior (Cavanaugh et al., 2010), one correlate of AS traits.”
From Childhood Physical Abuse and Antisocial Traits: Mediating Role of Posttraumatic Stress Symptom Clusters (2022) · cites this paper as Cavanaugh et al., 2010
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Metadata
- Authors
- Cavanaugh, C. E., Hansen, N. B., & Sullivan, T. P.
- Affiliations
- Johns Hopkins University (US)
- Yale University (US)
- Corresponding author
- Cavanaugh, Courtenay E.
- Venue
- AIDS and Behavior
- Published
- 2009-10-24
- Volume
- 14
- Issue
- 2
- Pages
- 318-327
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC2866623
- OpenAlex
- W2092302091
- Cited by
- 124
- References
- 52
- Citations by year
- 2025: 4 · 2024: 8 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 8 · 2018: 12 · 2017: 10 · 2016: 15 · 2015: 12 · 2014: 10 · 2013: 14 · 2012: 8
- FWCI
- 5.49
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Rutgers University Community Repository (Rutgers University) (submittedVersion)
- Funders
- American Psychological Association
- National Institutes of Health
- National Institute of Mental Health (K23MH076671)
- National Institute on Drug Abuse (R03DA017668, K23DA019561, T32DA019426, T32DA007292)
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- HIV sexual risk behavior, intimate partner violence, post-traumatic stress disorder, low-income women, unprotected sex, transactional sex, substance use, childhood abuse, HIV prevention, intimate partner violence survivors
- MeSH terms
- Adolescent, Adult, Female, Humans, Male, Middle Aged, Poverty, Risk-Taking, Sexual Behavior, Sexual Partners, Stress Disorders, Post-Traumatic, HIV Infections, Logistic Models, Domestic Violence, Young Adult
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