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Batra K, Pharr J, Olawepo JO, Cruz P. Understanding the multidimensional trajectory of psychosocial maternal risk factors causing preterm birth: A systematic review. Asian J Psychiatr 2020; 54:102436. [PMID: 33271716 DOI: 10.1016/j.ajp.2020.102436] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 09/23/2020] [Accepted: 10/03/2020] [Indexed: 02/01/2023]
Abstract
OBJECTIVES Among all known risk factors of preterm birth, psychosocial factors form an intricate collection, which includes a multidimensional spectrum of interrelated mediating mechanisms. The understanding of these interconnected mechanisms is vital for designing targeted interventions to reduce preterm births. The objective of this systematic review was to investigate potential psychosocial maternal factors and their interactions to cause preterm birth. METHODS PubMed, CINAHL, Scopus, Medline, and Cochrane Database of Systematic Reviews were searched for U.S.-based English language studies published between 1989 and 2019. Titles, abstracts, and full-texts were screened to determine eligibility for inclusion. Data were extracted from eligible studies using a customized data collection form. The National Institutes of Health assessment tool was utilized for quality assessment. RESULTS Among the 76 full texts that were reviewed, 9 records met the eligibility criteria, and were included in the final review. The included publications addressed psychosocial factors including racial disparity, lifetime racism, neighborhood disadvantage, lack of partner support, childhood maltreatment and life-course variations, including homelessness and marital status. Antenatal stress was identified as a common mechanism through which psychosocial mediators may act to cause preterm birth. CONCLUSIONS This review highlights the need for controlling potential risk factors of maternal stress by improving prenatal care, providing proper housing, and establishing conducive social environments for pregnant women. The review also suggests the importance of maternal psychological counselling and extensive maternal health monitoring among minority groups during the pregnancy period.
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Affiliation(s)
- Kavita Batra
- Department of Environmental and Occupational Health, University of Nevada, Las Vegas, Nevada, USA; Office of Research, School of Medicine, University of Nevada, Las Vegas, Nevada, USA.
| | - Jennifer Pharr
- Department of Environmental and Occupational Health, University of Nevada, Las Vegas, Nevada, USA
| | - John O Olawepo
- Department of Environmental and Occupational Health, University of Nevada, Las Vegas, Nevada, USA; Department of Health Sciences, Bouve College of Health Sciences, North Eastern University, Boston, Massachusetts, USA
| | - Patricia Cruz
- Department of Environmental and Occupational Health, University of Nevada, Las Vegas, Nevada, USA
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Brown NL, Wilson SR, Kao YM, Luna V, Kuo ES, Rodriguez C, Lavori PW. Correlates of Sexual Abuse and Subsequent Risk Taking. HISPANIC JOURNAL OF BEHAVIORAL SCIENCES 2016. [DOI: 10.1177/0739986303257147] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Correlates of sexual abuse among female participants in the California Latino Couples Study were examined in two sets of comparisons: (a) nonabused women versus women reporting any sexual abuse and (b) among sexually abused women, those reporting forced intercourse versus those with no forced intercourse. Women who reported any sexual abuse (n = 208) differed from women who reported no abuse (n = 363) in their age at first voluntary sexual intercourse, risk-taking scores, and sexually transmitted infection (STI) history. Among the abused women, those who experienced forced intercourse (n = 101) were more likely to report sexual intercourse with an injection drug user, a history of STIs, unhappy intimate relationships, depression, and elevated stress scores compared wth women who had been touched inappropriately but not forced to have sexual intercourse.
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Affiliation(s)
| | | | - Ya-Min Kao
- Palo Alto Medical Foundation Research Institute
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3
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Nusbaum MR, Frasier PY, Zimmerman SP, Pyles AA. Do Sexual Health Care Needs Differ for Women with and without Histories of Abuse? Violence Against Women 2016. [DOI: 10.1177/1077801203262517] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Information is limited regarding sexual concerns and sexual health care needs of women who have experienced abuse. This study compares sexual concerns as well as interest and experience in discussing these concerns with physicians for women with and without a history of abuse. Nearly all women reporting abuse had sexual concerns and, specifically, a significantly higher intensity of decreased sexual interest than women not experiencing abuse. Women reporting abuse see physicians as a resource for their sexual health needs. Although they were more likely to raise the topic than women not reporting abuse, they clearly prefer that physicians initiate the topic.
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Selk SC, Rich-Edwards JW, Koenen K, Kubzansky LD. An observational study of type, timing, and severity of childhood maltreatment and preterm birth. J Epidemiol Community Health 2016; 70:589-95. [DOI: 10.1136/jech-2015-206304] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2015] [Accepted: 11/20/2015] [Indexed: 01/25/2023]
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Brown JL, Young AM, Sales JM, DiClemente RJ, Rose ES, Wingood GM. Impact of Abuse History on Adolescent African-American Women's Current HIV/STD-associated Behaviors and Psychosocial Mediators of HIV/STD Risk. JOURNAL OF AGGRESSION, MALTREATMENT & TRAUMA 2014; 23:151-167. [PMID: 25505369 PMCID: PMC4258877 DOI: 10.1080/10926771.2014.873511] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
This study examined if relationship power, sex refusal self-efficacy, and/or fear of condom negotiation mediated the relationship between abuse history and consistent condom use (CCU) among African-American female adolescents (n=593). Participants with an abuse history (58%) were less likely to report CCU (p=.003). Women with an abuse history reported less relationship power (p=.006) and self-efficacy for refusing sex (p<.001), and more fear of condom negotiation (p=.003), none of which independently or jointly mediated the association between abuse and CCU. Notably, history of abuse was associated with CCU across mediator models (p=.037 to p=.067), despite inclusion of psychosocial mediators. This study demonstrates the importance of understanding adolescents' condom use behaviors within the context of their life experiences, especially past abuse history.
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Affiliation(s)
- Jennifer L. Brown
- Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta GA 30322
- Emory University Center for AIDS Research
| | - April M. Young
- Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta GA 30322
| | - Jessica M. Sales
- Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta GA 30322
- Emory University Center for AIDS Research
| | - Ralph J. DiClemente
- Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta GA 30322
- Emory University Center for AIDS Research
- Department of Pediatrics, Division of Infectious Diseases, Epidemiology, and Immunology, Emory University, Atlanta, GA
| | - Eve S. Rose
- Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta GA 30322
- Emory University Center for AIDS Research
| | - Gina M. Wingood
- Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta GA 30322
- Emory University Center for AIDS Research
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Pack AP, L'engle K, Mwarogo P, Kingola N. Intimate partner violence against female sex workers in Mombasa, Kenya. CULTURE, HEALTH & SEXUALITY 2013; 16:217-230. [PMID: 24329103 DOI: 10.1080/13691058.2013.857046] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
Female sex workers are known to be at risk of intimate partner violence (IPV) from numerous sources including clients, pimps, boyfriends and husbands. Better understanding the factors associated with IPV in this population will enhance prevention efforts. This work examines baseline survey data collected as part of a randomised controlled trial for an alcohol-harm reduction intervention. The study sample included 619 sex workers. IPV was common in this sample, with 78.7% of women reporting any IPV in the last 30 days. Multivariate logistic regression results indicated that supporting one to two other people, experiencing child abuse, witnessing mother abuse, and greater alcohol consumption were risk factors for IPV in our sample. Women who frequented Population, Health and Integrated Assistance (APHIA) II drop-in centres located along transport corridors were also at greater risk of recent IPV, as compared with those who frequented other drop-in centres. Only one protective effect was identified in this study: condom use at last sex with a non-paying partner was associated with less recent IPV. Health programmes for women sex workers in Mombasa and elsewhere need to expand beyond HIV prevention - they need to incorporate information on violence prevention and treatment referrals, as well as information on alcohol harm reduction.
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Wu ZH, Grady JJ, Rosales S, Berenson AB. Ecstasy use and its correlates among young, low-income women. Subst Use Misuse 2011; 46:404-10. [PMID: 20735212 DOI: 10.3109/10826084.2010.501680] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
We examined the association of illicit drug use with stress and sexual behaviors among 407 women, aged 18?31, who attended family-planning clinics in southeast Texas between June 2002 and May 2003 (n = 407). Paired comparisons of each of three types of drug users (of ecstasy, marijuana only, and other illicit drugs except ecstasy) with nonusers were assessed by logistic regressions. After controlling for demographics, both ecstasy users and marijuana-only users had a higher score on the stress scale than nonusers. All drug users were at higher risk of more lifetime sexual partners than those who had never used drugs, while those who had used ecstasy were more than twice as likely to have had prior sexually transmitted infections as those who had never used drugs. This study demonstrates that young, low-income women who use ecstasy experience higher levels of stress than nonusers. Stress level is correlated with drug use and participation in risky sexual behaviors. If stress is associated with drug use and risky sexual behavior, interventions designed to reduce substance use and risky sexual behavior in these women may need to also address factors that lead to increased stress. The study's limitations were noted.
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Affiliation(s)
- Zhao Helen Wu
- Department of Obstetrics and Gynecology, University of Texas Medical Branch, Galveston, Texas 77555-0587, USA.
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Senn TE, Carey MP, Vanable PA. The intersection of violence, substance use, depression, and STDs: testing of a syndemic pattern among patients attending an urban STD clinic. J Natl Med Assoc 2010; 102:614-20. [PMID: 20690325 DOI: 10.1016/s0027-9684(15)30639-8] [Citation(s) in RCA: 64] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
OBJECTIVES High rates of psychosocial and health problems have been identified among patients attending sexually transmitted disease (STD) clinics, who are disproportionately urban, have low income, and are racial/ethnic minorities. This study sought to determine whether these problems co-occurred and whether they indicated the presence of a syndemic. METHODS Patients (N = 1557, 46% female, 64% African American) attending an urban STD clinic completed a computerized survey assessing childhood sexual abuse (CSA), depressive symptoms, binge drinking, marijuana use, intimate partner violence (IPV), and sexual risk behavior. Medical records were reviewed to determine incident STD diagnosis. RESULTS The psychosocial and health problems were interrelated. Endorsing more psychosocial problems was associated with a greater likelihood of having multiple sexual partners and STD diagnosis. Interactions between CSA and marijuana use and between CSA and IPV predicted STD diagnosis. CONCLUSIONS Numerous psychosocial and health problems co-occur among urban STD clinic patients. There was some evidence of a syngergistic relationship (i.e., a syndemic) between these conditions, resulting in worsened sexual health outcomes. Health care needs to be multidisciplinary to address the multiple psychosocial and health problems faced by STD clinic patients. Research needs to identify factors that may underlie these comorbid conditions.
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Affiliation(s)
- Theresa E Senn
- Center for Health and Behavior, 430 Huntington Hall, Syracuse University, Syracuse, NY 13244, USA.
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Bockting WO, Robinson BE, Forberg J, Scheltema K. Evaluation of a sexual health approach to reducing HIV/STD risk in the transgender community. AIDS Care 2010; 17:289-303. [PMID: 15832877 DOI: 10.1080/09540120412331299825] [Citation(s) in RCA: 72] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Despite reports of high prevalence of human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs) among the transgender community, very little prevention education has targeted this population. To fill this gap, we developed and evaluated a transgender-specific intervention, All Gender Health, which incorporates prevention strategies into comprehensive sexuality education. Transgender participants (N=181) attended the two-day seminar in community-based venues. The curriculum was delivered via lectures, panel discussions, videos, music, exercises and small group discussions. Attitudes toward condom use, safer sex self-efficacy and sexual risk behaviour were evaluated before participation in the intervention (pre-test), immediately after participation (post-test) and at three-month follow-up. Compared to pre-test values, significant improvements were seen in attitudes toward condom use and in safer sex self-efficacy at post-test, and in attitudes toward condom use, increased monogamy and decreased sexual risk behaviour at three-month follow-up. Pre-test data identified unprotected anal, vaginal and oral sex as the most commonly reported risk behaviours. Many respondents also indicated problems with social discrimination, depression, suicidal ideation and sexual functioning. Future interventions should address these risk co-factors. Alternative interventions need to be developed to target those who, as a result of social marginalization, are less likely to be reached with an intensive seminar-based intervention.
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Affiliation(s)
- W O Bockting
- Program in Human Sexuality, Department of Family Medicine and Community Health, Medical School, University of Minnesota, Minneapolis 55454, USA.
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Hamelin C, Salomon C, Cyr D, Gueguen A, Lert F. Childhood sexual abuse and adult sexual health among indigenous Kanak women and non-Kanak women of New Caledonia. CHILD ABUSE & NEGLECT 2010; 34:677-688. [PMID: 20663555 DOI: 10.1016/j.chiabu.2010.02.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/02/2008] [Revised: 02/03/2010] [Accepted: 02/11/2010] [Indexed: 05/29/2023]
Abstract
OBJECTIVES Few studies have addressed the long-term consequences of adverse childhood experiences among women in Oceania, in particular among indigenous women. This paper aims to report prevalences of childhood sexual abuse (CSA) and to asses the negative sexual health consequences in adulthood by comparing indigenous Kanak to non-Kanak women in New Caledonia. METHODS Data come from a population survey on violence against women and health. Face-to-face interviews were conducted in 2002-2003 with adult women randomly selected from the electoral list. Separate models for Kanak (n=329) and non-Kanak women (n=426) were performed. Regression models adjusted for relevant socio-demographics factors were conducted to estimate the odds ratios for the associations between childhood sexual abuse and adult sexual health outcomes. RESULTS A non-significant difference between Kanak (11.8%) and non-Kanak women (14.4%) was found for the prevalence of CSA. Among Kanak women, CSA increases the risk of sexually transmitted infections, of non-desired sexual intercourse with an intimate partner and of experience of adult sexual violence. However, use of modern contraception as an adult was more frequent among CSA Kanak victims, as compared to other Kanak women. Among non-Kanak women, only abortion appeared significantly associated with CSA. CONCLUSIONS AND PRACTICE IMPLICATIONS The findings show that in all ethnic communities of New Caledonia, a history of child sexual abuse is not rare among women. They also shed light on the long-term consequences of CSA, suggesting that the effect of CSA may differ according to ethnic membership and subsequent social stratification and gender norms. Efforts to break the silence around violence against girls and establish a stronger foundation are required in New Caledonia. Prevention programs on violence against women and sexual health that take into account the cultural and social heterogeneity are needed.
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Affiliation(s)
- Christine Hamelin
- INSERM, UMRS 1018, CESP, Epidemiology of Occupational and Social Determinants of Health, Hôpital Paul Brousse, 16 Av. Paul Vaillant-Couturier, Villejuif Cedex, France
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Schacht RL, George WH, Davis KC, Heiman JR, Norris J, Stoner SA, Kajumulo KF. Sexual abuse history, alcohol intoxication, and women's sexual risk behavior. ARCHIVES OF SEXUAL BEHAVIOR 2010; 39:898-906. [PMID: 19728070 PMCID: PMC3159520 DOI: 10.1007/s10508-009-9544-0] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/26/2008] [Revised: 06/16/2009] [Accepted: 08/13/2009] [Indexed: 05/09/2023]
Abstract
We examined potential differences in women's likelihood of sexual risk taking in a laboratory setting based on alcohol intoxication and sexual abuse history. Participants (n = 64) were classified as non-sexually abused (NSA) or as having experienced sexual abuse in childhood only (CSA) or adulthood only (ASA) and randomly assigned to consume alcoholic (.06, .08, or .10% target blood alcohol content) or non-alcoholic drinks, after which participants read and responded to a risky sex vignette. Dependent measures included vaginal pulse amplitude, self-reported sexual arousal, likelihood of engaging in condom use and risky sexual behaviors described in the vignette, and mood. NSA and ASA women did not differ significantly on any dependent measures. CSA women reported significantly lower likelihood of condom use and unprotected intercourse relative to NSA and ASA women. Intoxicated women reported significantly greater sexual arousal, positive mood, and likelihood of risky sex relative to sober women. Intoxicated CSA women reported significantly more likelihood of unprotected oral sex and less likelihood of condom use relative to intoxicated NSA and ASA and sober CSA women. CSA women's increased risk of sexually transmitted infections (STIs) may be driven by non-condom use and behavioral changes while intoxicated. These findings provide preliminary insight into situational influences affecting CSA women's increased STI risk.
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Affiliation(s)
- Rebecca L Schacht
- Department of Psychology, University of Washington, Seattle, WA 98195, USA.
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The impact of multiple types of child maltreatment on subsequent risk behaviors among women during the transition from adolescence to young adulthood. J Youth Adolesc 2009; 39:528-40. [PMID: 20020190 DOI: 10.1007/s10964-009-9490-0] [Citation(s) in RCA: 97] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2009] [Accepted: 12/01/2009] [Indexed: 10/20/2022]
Abstract
The purpose of this study was to investigate how different types of child maltreatment, independently and collectively, impact a wide range of risk behaviors that fall into three domains: sexual risk behaviors, delinquency, and suicidality. Cumulative classification and Expanded Hierarchical Type (EHT) classification approaches were used to categorize various types of maltreatment. Data were derived from Wave III of the National Longitudinal Study of Adolescent Health (Add Health). Our sample consisted of White, Black, Hispanic, and Asian females ages 18 to 27 (n = 7,576). Experiencing different kinds of maltreatment during childhood led to an extensive range of risk behaviors within the three identified domains. Women experiencing sexual abuse plus other maltreatment types had the poorest outcomes in all three domains. These findings illustrate that it may no longer be appropriate to assume that all types of maltreatment are equivalent in their potential contribution to negative developmental sequelae.
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Evidence of underreporting of adverse childhood experiences, San Francisco municipal STD clinic, 2007. Sex Transm Dis 2009; 36:422-4. [PMID: 19390496 DOI: 10.1097/olq.0b013e31819d72ad] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Mark H, Gilbert L, Nanda J. Psychosocial well-being and quality of life among women newly diagnosed with genital herpes. J Obstet Gynecol Neonatal Nurs 2009; 38:320-6. [PMID: 19538620 DOI: 10.1111/j.1552-6909.2009.01026.x] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE To assess the psychosocial well-being and quality of life among women with a new genital herpes simplex virus diagnosis. DESIGN Data were collected by a cross-sectional survey. PARTICIPANTS Eighty-three women diagnosed with genital herpes simplex virus by culture, visual exam and/or a description of symptoms within the last 3 months were recruited from primary health care clinics by their provider. MEASURES Participants completed the Hospital Anxiety and Depression Scale and the Recurrent Genital Herpes Quality of Life scale. RESULTS Thirty-four percent of the women qualified as "clinical cases" for depression, and 64% were designated as "anxiety cases" based on Hospital Anxiety and Depression Scale scoring methods. A majority of participants reported feeling ashamed about having herpes and worried about having an outbreak or giving herpes to someone else. CONCLUSIONS Despite substantial progress toward understanding genital herpes simplex virus epidemiology and transmission, a diagnosis of genital herpes continues to cause considerable psychosocial morbidity and to impact quality of life. There is a dearth of good evidence on how best to intervene to minimize the psychological impact of a diagnosis. Experts recommend addressing both the medical and psychological aspects of infection by providing antiviral therapy, written material, and resources.
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Affiliation(s)
- Hayley Mark
- Department of Community-Public Health, Johns Hopkins University, School of Nursing, 525 North Wolfe Street, Room 449 Baltimore, MD 21205-2110, USA.
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Wilson HW, Widom CS. Sexually transmitted diseases among adults who had been abused and neglected as children: a 30-year prospective study. Am J Public Health 2009; 99 Suppl 1:S197-203. [PMID: 19218173 PMCID: PMC2724945 DOI: 10.2105/ajph.2007.131599] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/12/2008] [Indexed: 11/04/2022]
Abstract
OBJECTIVES We examined associations between childhood abuse and neglect and the risk in adulthood for sexually transmitted diseases. METHODS In a prospective cohort design, we matched children aged 0 to 11 years with documented cases of abuse or neglect during 1967 to 1971 with a control group of children who had not been maltreated (754 participants in all) and followed them into adulthood. Information about lifetime history of sexually transmitted diseases was collected as part of a medical status examination when participants were approximately 41 years old. RESULTS Childhood sexual abuse increased risk for any sexually transmitted disease (odds ratio [OR] = 1.94; 95% confidence interval [CI] = 1.00, 3.77; P = .05) and more than 1 type of sexually transmitted disease (OR = 3.33; 95% CI = 1.33, 8.22; P = .01). Physical abuse increased risk for more than 1 type of sexually transmitted disease (OR = 3.61; 95% CI = 1.39, 9.38; P = .009). CONCLUSIONS Our results provided the first prospective evidence that child physical and sexual abuse increases risk for sexually transmitted diseases. Early screening and interventions are needed to identify and prevent sexually transmitted diseases among child abuse victims.
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Affiliation(s)
- Helen W Wilson
- Department of Psychology, John Jay College of Criminal Justice, City University of New York, New York, NY, USA.
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Morokoff PJ, Redding CA, Harlow LL, Cho S, Rossi JS, Meier KS, Mayer KH, Koblin B, Brown-Peterside P. Associations of Sexual Victimization, Depression, and Sexual Assertiveness with Unprotected Sex: A Test of the Multifaceted Model of HIV Risk Across Gender. JOURNAL OF APPLIED BIOBEHAVIORAL RESEARCH 2009; 14:30-54. [PMID: 25018617 PMCID: PMC4091996 DOI: 10.1111/j.1751-9861.2009.00039.x] [Citation(s) in RCA: 39] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
This study examined whether the Multifaceted Model of HIV Risk (MMOHR) would predict unprotected sex based on predictors including gender, childhood sexual abuse (CSA), sexual victimization (SV), depression, and sexual assertiveness for condom use. A community-based sample of 473 heterosexually active men and women, aged 18-46 years completed survey measures of model variables. Gender predicted several variables significantly. A separate model for women demonstrated excellent fit, while the model for men demonstrated reasonable fit. Multiple sample model testing supported the use of MMOHR in both men and women, while simultaneously highlighting areas of gender difference. Prevention interventions should focus on sexual assertiveness, especially for CSA and SV survivors, as well as targeting depression, especially among men.
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Affiliation(s)
- Patricia J. Morokoff
- Department of Psychology and/or the Cancer Prevention Research Center at the University of Rhode Island
| | - Colleen A. Redding
- Department of Psychology and/or the Cancer Prevention Research Center at the University of Rhode Island
| | - Lisa L. Harlow
- Department of Psychology and/or the Cancer Prevention Research Center at the University of Rhode Island
| | - Sookhyun Cho
- Department of Psychology and/or the Cancer Prevention Research Center at the University of Rhode Island
| | - Joseph S. Rossi
- Department of Psychology and/or the Cancer Prevention Research Center at the University of Rhode Island
| | - Kathryn S. Meier
- Department of Psychology and/or the Cancer Prevention Research Center at the University of Rhode Island
| | - Kenneth H. Mayer
- Brown University, the Miriam Hospital, and Fenway Community Health
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Pathways from Interpersonal Violence to Sexually Transmitted Infections: A Mixed-Method Study of Diverse Women. J Womens Health (Larchmt) 2008; 17:1591-603. [DOI: 10.1089/jwh.2008.0885] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Abrams GB, Etkind P, Burke MC, Cram V. Sexual Violence and Subsequent Risk of Sexually Transmitted Disease Among Incarcerated Women. JOURNAL OF CORRECTIONAL HEALTH CARE 2008. [DOI: 10.1177/1078345807313797] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Gina Baral Abrams
- School of Social Work, Boston University
- Princeton University, Princeton, New Jersey
| | - Paul Etkind
- Division of STD Prevention, Massachusetts Department of Public Health, Boston
- Division of Public Health and Community Services, City of Nashua, New Hampshire
| | - M. Christine Burke
- Division of STD Prevention, Massachusetts Department of Public Health, Boston
- Massachusetts Department of Public Health, Boston
| | - Virginia Cram
- Division of STD Prevention, Massachusetts Department of Public Health, Boston
- Commonwealth Medicine, University of Massachusetts Medical School, Worcester
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Segurado AC, Batistella É, Nascimento V, Braga PE, Filipe E, Santos N, Paiva V. Sexual abuse victimisation and perpetration in a cohort of men living with HIV/AIDS who have sex with women from São Paulo, Brazil. AIDS Care 2008; 20:15-20. [DOI: 10.1080/09540120701459657] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- A. C. Segurado
- a AIDS Clinic, Department of Infectious Diseases , School of Medicine, University of São Paulo , Brazil
| | - É. Batistella
- a AIDS Clinic, Department of Infectious Diseases , School of Medicine, University of São Paulo , Brazil
| | - V. Nascimento
- a AIDS Clinic, Department of Infectious Diseases , School of Medicine, University of São Paulo , Brazil
| | - P. E. Braga
- b University of São Paulo , School of Public Health , Brazil
| | - E. Filipe
- c São Paulo State STD/AIDS Programme , University of São Paulo , Brazil
| | - N. Santos
- c São Paulo State STD/AIDS Programme , University of São Paulo , Brazil
| | - V. Paiva
- d University of São Paulo , Psychology Institute , Brazil
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Littleton H, Breitkopf CR, Berenson A. Sexual and physical abuse history and adult sexual risk behaviors: relationships among women and potential mediators. CHILD ABUSE & NEGLECT 2007; 31:757-68. [PMID: 17631958 PMCID: PMC2048655 DOI: 10.1016/j.chiabu.2006.12.015] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2005] [Revised: 11/22/2006] [Accepted: 12/21/2006] [Indexed: 05/16/2023]
Abstract
OBJECTIVE While research has supported associations between experiencing abuse and engaging in risky sexual behaviors during adolescence, research regarding these associations among adult women is much more equivocal. In addition, few studies have attempted to identify potential pathways from abuse experiences to sexual risk behaviors. The current study examined the associations between a history of physical or sexual abuse and recent sexual risk behaviors among adult women. Additionally, this study evaluated binge drinking and depressive symptomatology as potential mediators of any relationships between abuse history and sexual risk behaviors. METHODS A total of 1,428 women between 18 and 40 years of age attending family planning clinic appointments completed a self-report survey regarding their recent sexual behaviors and sexual and physical abuse history. Logistic regressions using backward elimination were conducted to identify factors associated with sexual risk behavior. RESULTS A history of physical abuse by a romantic partner was associated with several sexual risk behaviors. Few significant associations between intrafamilial physical or sexual abuse and recent sexual risk behaviors were found. Additionally, there was no evidence that these relationships were mediated by binge drinking or depressive symptomatology. CONCLUSIONS Familial abuse experiences are not necessarily associated with recent sexual risk behaviors among adults. In contrast, physical abuse experiences, particularly those perpetrated by a romantic partner, are associated with engaging in adult sexual risk behaviors among women. However, these associations are not mediated by alcohol use or depressive symptomatology.
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Affiliation(s)
- Heather Littleton
- Department of Obstetrics and Gynecology, Center for Interdisciplinary Research in Women's Health, University of Texas Medical Branch, Galveston, TX 77555-0587, USA
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21
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Braitstein P, Asselin JJ, Schilder A, Miller ML, Laliberté N, Schechter MT, Hogg RS. Sexual violence among two populations of men at high risk of HIV infection. AIDS Care 2007; 18:681-9. [PMID: 16971275 DOI: 10.1080/13548500500294385] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
This study sought to compare the prevalence of, and relationship between, age at first experience of sexual violence and HIV and other health risk behaviors in two populations of men at high risk of HIV infection. Data were drawn from two cohorts: Vanguard, a prospective study of young men who have sex with men (MSM), and VIDUS, the Vancouver Injection Drug Users Study. Controlling for fixed sociodemographics, multivariate logistic regression was used to assess the relationship between age at first sexual violence (vs. never experiencing it) and several health risk behaviors. There were 140/498 (28%) MSM from Vanguard and 173/932 (19%) injection drug users (IDU) from VIDUS who reported having experienced sexual violence. Among VIDUS men, 130/852 (15%) IDU-only and 43/80 (54%) who were both IDU and MSM reported a history of sexual violence. The prevalence of child sexual abuse was 13% in Vanguard MSM, and 11% among VIDUS IDU-only, but 26% among VIDUS MSM/IDU. The median age of onset was significantly lower among VIDUS IDU-only compared to the two other groups. Experiencing sexual violence first in childhood was strongly related to ever being in the sex trade in both IDU and MSM. MSM in Vanguard who experienced sexual violence in childhood were more likely to have attempted suicide, and have a diagnosed mood disorder. Non-MSM IDU in VIDUS who experienced sexual violence in childhood were more likely to have a diagnosed mental illness, to binge on alcohol, and to have ever accidentally overdosed. In conclusion, men who have ever had sex with men appear to have a higher lifetime prevalence of sexual violence, compared to non-MSM injection drug users. Sexual violence is differentially associated with different health risk behaviors, depending on the age at first occurrence and the primary HIV risk factor (i.e. MSM vs. IDU).
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Affiliation(s)
- Paula Braitstein
- British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, Canada.
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22
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Abstract
The death of a child is a sentinel event in a community, and a defining marker of a society's policies of safety and health. Child death as a result of abuse and neglect is a tragic outcome that occurs in all nations of the world. The true incidence of fatal child abuse and neglect is unknown. The most accurate incidence data of such deaths have been obtained from countries where multi-agency death review teams analyse the causes of child fatalities, as is done in the United States and Australia.
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Affiliation(s)
- C Jenny
- Division of Child Protection, Brown Medical School, Providence, Rhode Island, USA.
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23
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Ohene SA, Halcon L, Ireland M, Carr P, McNeely C. Sexual abuse history, risk behavior, and sexually transmitted diseases: the impact of age at abuse. Sex Transm Dis 2005; 32:358-63. [PMID: 15912082 DOI: 10.1097/01.olq.0000154505.68167.d1] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
OBJECTIVE The objective of this study was to examine the relationship between age at onset of sexual abuse, risk behaviors, and a diagnosis of sexually transmitted disease (STD) in a clinic-attending adolescent population. METHODS Bivariate analyses were used to test association among age at onset of sexual abuse, risk behaviors, and STD diagnosis (n = 2175). Relationship between sexual abuse and STD acquisition was assessed by regression analysis. RESULTS More females than males reported sexual abuse, 26.75% and 5.4%, respectively. Abuse at or before 10 years of age was associated with more lifetime and recent partners. History of abuse was associated with higher rates of STD tests. In regression analysis, for males and females, the odds of having an STD were 2.5 times greater if abuse occurred at 10 years or younger. CONCLUSION Sexual abuse at a younger age is associated with more sexual risk behaviors and is a risk factor for STDs.
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Affiliation(s)
- Sally-Ann Ohene
- Center for Adolescent Health and Development, University of Minnesota, Minneapolis 55455, USA.
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24
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Green G, Smith R. The psychosocial and health care needs of HIV-positive people in the United Kingdom: a review. HIV Med 2004; 5 Suppl 1:5-46. [PMID: 15113395 DOI: 10.1111/j.1468-1293.2004.00210.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- G Green
- Department of Health and Human Sciences, University of Essex, Colchester, UK.
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Braitstein P, Li K, Tyndall M, Spittal P, O'Shaughnessy MV, Schilder A, Johnston C, Hogg RS, Schechter MT. Sexual violence among a cohort of injection drug users. Soc Sci Med 2003; 57:561-9. [PMID: 12791497 DOI: 10.1016/s0277-9536(02)00403-3] [Citation(s) in RCA: 96] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
The objective of this study was to determine the prevalence of, and factors associated with, sexual violence in childhood, adolescence and adulthood, among injection drug using men and women. The Vancouver Injection Drug User Study is a prospective cohort of injection drug users (IDU) begun in 1996. The analysis included all individuals who completed the baseline questionnaire who responded to a question about sexual assault. Multivariate modeling was used to determine and to what extent a history of sexual violence at different ages is predictive of HIV risk and other health risk behaviors. HIV prevalence was calculated as the total current number of HIV-positive individuals in the cohort. Of the 1437 eligible individuals, 36% reported a lifetime history of sexual violence; 68% of women, and 19% of men (p<0.001). After adjusting for fixed sociodemographics, these individuals were more likely to have ever been in the sex trade, to knowingly share needles/rigs with HIV-positive people, to have attempted suicide, to have ever accidentally overdosed, to binge on alcohol, and to have been diagnosed with a mental disorder/disability. The prevalence of child sexual abuse in this cohort is 21%; 33% for women, and 13% for men. The data show a dose-response relationship between age at first sexual violence and most risk behaviors examined. These relationships are further mediated by gender. The prevalence of HIV among individuals who ever experienced sexual violence was 25%, compared to 19% among those who never experienced sexual violence (p=0.006). Sexual violence, and especially child sexual abuse, is highly prevalent among this cohort, particularly among women. Child sexual abuse has worse consequences for both genders than sexual violence later in life. Nevertheless, women and men are affected differently by sexual violence at different ages, and this has significant implications for health promotion programs, and specifically HIV prevention.
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Affiliation(s)
- Paula Braitstein
- British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada
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