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Abuse Impedes Prevention: The Intersection of Intimate Partner Violence and HIV/STI Risk Among Young African American Women

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Abstract

Intimate partner violence (IPV) is associated with risky sexual behavior and STIs among diverse groups of women. IPV was examined as a moderator of efficacy for an HIV/STI intervention. 848 African American women, 18–29, were randomly assigned to an HIV/STI intervention or control condition. Participants completed measures on sociodemographics, IPV, risky sexual behavior and received STI testing. IPV predicted inconsistent condom use and a risky sexual partner over 12-month follow-up. A significant interaction indicated that among women who experienced IPV, those in the intervention were more likely to test positive for Trichomonas vaginalis (TV). Among intervention participants, those who experienced IPV were more likely to test TV-positive than those who did not. In an HIV intervention that did not specifically address IPV, women in the control condition were less likely to acquire TV than those in the intervention. Consideration of contextual/interpersonal factors is essential when developing HIV intervention programs.

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Acknowledgments

This study was supported by Grant R01-MH062717 from the National Institutes of Health awarded to Dr. Gina Wingood. The authors also would like to acknowledge the statistical consultation from Dr. James Hardin of the University of South Carolina.

CDC Disclaimer

The findings and conclusions in this paper are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

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Authors and Affiliations

  1. Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, 1600 Clifton Rd NE; MS E-59, Atlanta, GA, 30333, USA

    Puja Seth & Jerris L. Raiford

  2. Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA, USA

    Gina M. Wingood, LaShun S. Robinson & Ralph J. DiClemente

  3. Emory Center for AIDS Research, Atlanta, GA, USA

    Gina M. Wingood & Ralph J. DiClemente

  4. Department of Pediatrics, Division of Infectious Diseases, Epidemiology and Immunology, Emory University School of Medicine, Atlanta, GA, USA

    Ralph J. DiClemente

Authors
  1. Puja Seth
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  2. Gina M. Wingood
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  3. LaShun S. Robinson
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  4. Jerris L. Raiford
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  5. Ralph J. DiClemente
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Correspondence to Puja Seth.

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Seth, P., Wingood, G.M., Robinson, L.S. et al. Abuse Impedes Prevention: The Intersection of Intimate Partner Violence and HIV/STI Risk Among Young African American Women. AIDS Behav 19, 1438–1445 (2015). https://doi.org/10.1007/s10461-014-0940-7

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  • DOI: https://doi.org/10.1007/s10461-014-0940-7

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