AIDS and Behavior

, Volume 9, Issue 2, pp 177–186 | Cite as

Intimate Partner Violence and Monogamy among Women in Methadone Treatment

  • Kimberly D. Hearn
  • Lucia F. O’Sullivan
  • Nabila El-Bassel
  • Louisa Gilbert


It is now becoming clear how important it is to understand women’s HIV risk in the context of their sexual relationships with male partners, particularly among more vulnerable populations of women such as drug-involved women and women with physically abusive partners. Drawing from in-depth interviews with a sample of 38 ethnically diverse women, this study explores the meanings of monogamy and concurrent sexual partnerships in the relationships of women in methadone treatment with a history of physical abuse. Moreover, the ways in which having a history of intimate partner violence influences women’s desire and ability to insist on monogamy is addressed. The women’s narratives indicated that the majority valued monogamy and reported practicing it; however, many women were indifferent to this ideal or were unable to challenge non-monogamous partners for fear of severe reprisals. In addition, men’s suspicions about violations of monogamy on the part of the women often resulted in extreme violence.

Key words

monogamy sexual risk behavior HIV prevention domestic violence methadone 


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  1. Afifi, W. A. (1999). Harming the one’s we love: Relational attachment and perceived consequences as predictors of safe-sex behavior. The Journal of Sex Research, 36, 198–206.Google Scholar
  2. Amaro, H. (1995). Love, sex, and power: Considering women’s realities in HIV prevention. American Psychologist, 50, 437–447.PubMedGoogle Scholar
  3. Amaro, H., and Raj, A. (2000). On the margin: Power and women’s HIV risk reduction strategies. Sex Roles, 42, 723–749.Google Scholar
  4. Barnett, O. W. (2001). Why battered women do not leave, part 2: External inhibiting factors—social support and internal inhibiting factors. Trauma Violence and Abuse, 2, 3–35.Google Scholar
  5. Beadnell, B., Baker, S. A., Morrison, D. M., and Knox, K. (2000). HIV/STD risk factors for women with violent male partners. Sex Roles, 42, 661–689.Google Scholar
  6. Brimlow, D. L., and Ross, M. W. (1998). HIV-related communication and power in women injecting drug users. In N. L. Roth and L. K. Fuller (Eds.), Women and AIDS: Negotiating safer sex practices, care and representation (pp. 71–80). New York: Haworth Press.Google Scholar
  7. Buss, D. M., Shackelford, T. K., Kirkpatrick, L. A., Choe, J. C., Lim, H. K., Hasegawa, M., Hasegawa, T., and Bennett, K. (1999). Jealousy and the nature of beliefs about infidelity: Tests of competing hypotheses about sexual differences in the United States, Korea, and Japan. Personal Relationships, 6, 125–150.Google Scholar
  8. Cann, A., Mangum, J. L., and Wells, M. (2001). Distress in response to relationship infidelity: The roles of gender and attitudes about relationships. The Journal of Sex Research, 38, 185–190.Google Scholar
  9. Dey, I. (1993). Qualitative data analysis: A user-friendly guide for social scientists. London: Routledge.Google Scholar
  10. Dolcini, M. M., Coates, T. J., Catania, J. A., Kegeles, S. M., and Hauck, W. W. (1995). Multiple sexual partners and their psychosocial correlates: The population-based AIDS in multiethnic neighborhoods (AMEN) study. Health Psychology, 14(1), 22–31.PubMedGoogle Scholar
  11. El-Bassel, N., Gilbert, L., Krishnan, S., Schilling, R., Gaeta, T., Purpura, S., and Witte, S. (1998). Partner violence and sexual HIV risk behaviors among women in an inner-city emergency department. Violence and Victims, 13, 377–393.PubMedGoogle Scholar
  12. El-Bassel, N., Gilbert, L., Rajah, V., Foleno, A., and Frye, V. (2000). Fear and violence: Raising the HIV stakes. AIDS Education and Prevention, 12, 154–170.PubMedGoogle Scholar
  13. El-Bassel, N., Gilbert, L., Rajah, V., Foleno, A., and Frye, V. (2001). Social support among women in methadone treatment who experience partner violence. Violence Against Women, 7, 246–274.Google Scholar
  14. El-Bassel, N., Krishnan, S., Schilling, R., Witte, S., and Gilbert, L. (1998). Acceptability of the female condom among men and women attending STD clinics. AIDS Education, 105, 465–480.Google Scholar
  15. Gilbert, L., El-Bassel, N., Schilling, R. F., Wada, T., and Bennet, B. (2000). Partner violence and sexual HIV risk behaviors among women in methadone treatment. AIDS and Behavior, 4, 261–269.Google Scholar
  16. Gupta, G. R. (2000, July). Gender, sexuality, and HIV/AIDS: The what, the why, and the how. Plenary address at the XIIIth International AIDS Conference, Durban, South Africa.Google Scholar
  17. Mechanic, M. B., Weaver, T. L., and Resick, P. A. (2002). Intimate partner violence and stalking behavior: Exploration of patterns and correlates in a sample of acutely battered women. In K. E. Davis and I. H. Frieze (Eds.), Stalking: Perspectives on victims and perpetrators (pp. 62–88). New York, NY: Springer.Google Scholar
  18. Melendez, R. M., Hoffman, S., Exner, T., Leu, C., and Ehrhardt, A. A. (2003). Intimate partner violence and safer sex negotiation: Effects of a gender-specific intervention. Archives of Sexual Behavior, 32, 499–511.PubMedGoogle Scholar
  19. O’Sullivan, L. F., and Byers, E. S. (1995). Gender differences in responses to discrepancies in desired level of sexual intimacy. Journal of Psychology and Human Sexuality, 8, 49–67.Google Scholar
  20. Roberts, A. C., Wechsberg, W. M., Zule, W., and Burroughs, A. R. (2003). Contextual factors and other correlates of sexual risk of HIV among African-American crack-abusing women. Addictive Behaviors, 28, 523–536.PubMedGoogle Scholar
  21. Saul, J., Moore, J., Murphy, S. T., and Miller, L. C. (2004). Relationship violence and women’s reactions to male- and female-controlled HIV prevention methods. AIDS and Behavior, 8, 207–214.PubMedGoogle Scholar
  22. Sikkema, K. J., Heckman, T. G., Kelly, J. A., and Eileen, S. (1996). HIV risk behaviors among women living in low-income, inner-city housing developments. American Journal of Public Health, 86, 1123–1128.PubMedGoogle Scholar
  23. Smith, M. E. (2003). Recovery from intimate partner violence: A difficult journey. Issues in Mental Health Nursing, 24, 543–573.PubMedGoogle Scholar
  24. Sobo, E. J. (1995). Choosing unsafe sex: AIDS-Risk denial among disadvantaged women. Philadelphia: University of Pennsylvania Press.Google Scholar
  25. St. Lawrence, J. S., Eldridge, G. D., Reitman, D., Little, C. E., Shelby, M. C., and Brasfield, T. L. (1998). Factors influencing condom use among African American women: Implications for risk reduction interventions. American Journal of Community Psychology, 26, 7–28.PubMedGoogle Scholar
  26. Straus, M., Hamby, S. L., Boney-McCoy, S., and Sugarman, D. B. (1996). The Revised Conflict Tactics Scales (CTS2): Development and preliminary psychometric data. Journal of Family Issues, 17, 283–316.Google Scholar
  27. Susser, I., and Stein, Z. (2000). Culture, sexuality, and women’s agency in the prevention of HIV/AIDS in Southern Africa. American Journal of Public Health, 90, 1042–1048.PubMedGoogle Scholar
  28. Weeks, M. R., Grier, M., Radda, K., and McKinley, D. (1999). AIDS and social relations of power: Urban African-American women’s discourse on the contexts of risk and prevention. In W. N. Elwood (Ed.), Power in the blood: A handbook on AIDS, politics, and communication (pp. 181–197). Mahwah, NJ: Lawrence Earlbaum Associates.Google Scholar
  29. Wiederman, M. W. (1997). Extramarital sex: Prevalence and correlates in a national survey. The Journal of Sex Research, 34, 167–174.Google Scholar
  30. Wingood, G. M., and DiClemente, R. J. (1997). The effects of an abusive primary partner on the condom use and sexual negotiation practices of African-American women. American Journal of Public Health, 87, 1016–1018.PubMedGoogle Scholar
  31. Wingood, G. M., and DiClemente, R. J. (1998). Partner influences and gender-related factors and gender-related factors associated with noncondom use among young adult African American women. American Journal of Community Psychology, 26, 29–51.PubMedGoogle Scholar
  32. Wu, E., El-Bassel, N., Witte, S., Gilbert, L., and Chang, M. (2003). Intimate partner violence and HIV risk among urban minority women in primary health care settings. AIDS and Behavior, 7, 291–301.PubMedGoogle Scholar
  33. Zierler, S., and Krieger, N. (1997). Reframing women’s risk: Social inequalities and HIV infection. Annual Review of Public Health, 18, 401–436.PubMedGoogle Scholar

Copyright information

© Springer Science + Business Media, Inc. 2005

Authors and Affiliations

  • Kimberly D. Hearn
    • 1
  • Lucia F. O’Sullivan
    • 2
    • 4
  • Nabila El-Bassel
    • 3
  • Louisa Gilbert
    • 3
  1. 1.Borough of Manhattan Community CollegeThe City University of New YorkNY
  2. 2.HIV Center for Clinical and Behavioral StudiesNew York State Psychiatric Institute and Columbia UniversityNew York
  3. 3.Social Invervention Group (SIG)Columbia University School of Social WorkNew York
  4. 4.HIV Center for Clinical and Behavioral StudiesNew York

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