Victimization and sexual risk behavior in young, HIV positive women: exploration of mediators.

TitleVictimization and sexual risk behavior in young, HIV positive women: exploration of mediators.
Publication TypePublication
Year of Publication2012
AuthorsClum GA, Chung S-E, Ellen JM, Perez LV, Murphy DA, Harper GW, Hamvas L
JournalAIDS Behav
Volume16
Issue4
Pagination999-1010
Date Published2012 May
ISSN1573-3254
KeywordsAdolescent, Anxiety, Crime Victims, Cross-Sectional Studies, Depression, Female, Follow-Up Studies, HIV Seropositivity, Humans, Risk-Taking, Sexual Behavior, Sexual Partners, Unsafe Sex, Young Adult
Abstract

<p>In this study we explore associations between child and adult victimization and sexual risk behavior in 118 young, HIV positive women. Prior research has demonstrated associations between victimization and engagement in sexual risk behavior. Victimization sequelae can include disrupted assertiveness and communication, as well as increased association with risky partners, both of which are also linked with engagement in sexual risk behavior. Thus, we propose a model wherein victimization is linked to sexual risk behavior through two mediating pathways, sexual communication and affiliation with risky partners. We also examine the moderating effects of the presence of an anxiety or depressive disorder on the path from child to adult victimization. Results suggested that adult victimization was associated with unprotected sex with a main partner; however, this association was mediated by less sexual communication and having a risky partner. Trends toward significance were found for depression and anxiety as a moderator of the relationship between child and adult victimization. Child victimization did not have direct effects on unprotected sex. Implications for secondary prevention of HIV and healthy intimate relationships are discussed.</p>

DOI10.1007/s10461-011-9931-0
Alternate JournalAIDS Behav
PubMed ID21452050
PubMed Central IDPMC3338894
Grant ListU01 HD040533 / HD / NICHD NIH HHS / United States
K01 MH070278 / MH / NIMH NIH HHS / United States
U01 HD040474 / HD / NICHD NIH HHS / United States
5-K01MH070278 / MH / NIMH NIH HHS / United States
K01 MH070278-04 / MH / NIMH NIH HHS / United States
U01 HD40533 / HD / NICHD NIH HHS / United States