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Relationship Factors and Condom Use Among Women with a History of Intimate Partner Violence

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Abstract

Women who experience intimate partner violence (IPV) are at increased risk for HIV infection. To further the understanding of the dyadic factors that impact condom use among women, we investigated the impact of three relationship factors (i.e., power, fear, and dependence) on the association between HIV-related information, motivation, and behavioral skills [constructs from the information-motivation-behavioral skills (IMB) model] and condom use among abused women. Data from 133 urban, low-income women recruited from several community-based agencies (e.g., domestic violence agencies, women’s health organizations, hospitals, Department of Health and Human Services, and Family Court) showed that these women experienced high levels of IPV and that relationship power, fear of abuse, and partner dependence were all associated with condom use. Multivariable models revealed that fear of abuse and partner dependence moderated the association between IMB constructs and condom use but relationship power did not. Results highlight the critical need to incorporate strategies to address relationship factors in HIV prevention programs with abused women.

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Acknowledgments

We thank the participants who took part in this research and members of the research team. We also gratefully acknowledge Natalie Bea Slopen, ScD, for her review and comments on the manuscript and Xueya Cai, PhD and Kelly Thevenet-Morrison, MS, for their statistical guidance. This research was supported by NIH Grant # K01-MH080660.

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Authors and Affiliations

  1. Department of Public Health Sciences, University of Rochester, Rochester, NY, USA

    Heather A. McGrane Minton & Heather Elder

  2. Department of Family Science, University of Maryland, 1142 School of Public Health, Room 1142EE, College Park, MD, 20742, USA

    Mona Mittal

  3. Centers for Behavioral and Preventive Medicine, The Miriam Hospital and Brown University, Providence, RI, USA

    Michael P. Carey

Authors
  1. Heather A. McGrane Minton
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  2. Mona Mittal
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  3. Heather Elder
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  4. Michael P. Carey
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Correspondence to Mona Mittal.

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McGrane Minton, H.A., Mittal, M., Elder, H. et al. Relationship Factors and Condom Use Among Women with a History of Intimate Partner Violence. AIDS Behav 20, 225–234 (2016). https://doi.org/10.1007/s10461-015-1189-5

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  • DOI: https://doi.org/10.1007/s10461-015-1189-5

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