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Deconstructing the Relationship Between Intimate Partner Violence and Sexual HIV Risk Among Drug-Involved Men and Their Female Partners

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Abstract

This study, based on data from a random sample of 322 men on methadone, examines whether traditional male gender role beliefs, male substance use, and couple drug-involvement lead to male psychological dominance, which in turn leads to perpetration of intimate partner violence (IPV) and sexual HIV risk behavior. Structural equation modelingindicated that male psychological dominance is directly associated with perpetrating both physical IPV and sexual HIV risk; however, physical IPV did not lead to sexual HIV risk as predicted originally. Stronger endorsement of traditional male gender role beliefs was associated with male psychological dominance. Couple drug-involvement was also directly associated with male psychological dominance as well as sexual HIV risk. Male substance use led to couple drug-involvement, but not to physical or sexual HIV risk as hypothesized. Study findings highlight the significance of couple drug-involvement and male psychological dominance as pathways leading to physical IPV and sexual HIV risk behavior. Implications for HIV prevention efforts targeting drug-involved men and their sexual partners are discussed.

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Authors and Affiliations

  1. Social Intervention Group, Columbia University, School of Social Work, New York

    Nabila El-Bassel, Louisa Gilbert, Elwin Wu & Mingway Chang

  2. University of Kentucky at Louisville, Louisville, Kentucky

    Seana Golder

  3. Center for AIDS Prevention Studies, University of California at San Francisco, San Francisco, California

    Jorge Fontdevila

  4. Beth Israel Medical Center Methadone Maintenance Treatment Program, New York

    Glorice Sanders

  5. Social Intervention Group, Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, New York, 10027

    Nabila El-Bassel

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  1. Nabila El-Bassel
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  2. Louisa Gilbert
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  3. Seana Golder
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  4. Elwin Wu
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  5. Mingway Chang
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  6. Jorge Fontdevila
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  7. Glorice Sanders
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Correspondence to Nabila El-Bassel.

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El-Bassel, N., Gilbert, L., Golder, S. et al. Deconstructing the Relationship Between Intimate Partner Violence and Sexual HIV Risk Among Drug-Involved Men and Their Female Partners. AIDS Behav 8, 429–439 (2004). https://doi.org/10.1007/s10461-004-7327-0

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