Domestic violence and childhood sexual abuse in HIV-infected women and women at risk for HIV.

Abstract:

OBJECTIVES:The purpose of this study was to determine the prevalence and effect of domestic violence and childhood sexual abuse in women with HIV or at risk for HIV infection. METHODS:Participants with HIV or at risk for HIV infection enrolled in the Women's Interagency HIV Study. Childhood sexual abuse; all physical, sexual, and coercive violence by a partner; HIV serostatus; demographic data; and substance use and sexual habits were assessed. RESULTS:The lifetime prevalence of domestic violence was 66% and 67%, respectively, in 1288 women with HIV and 357 uninfected women. One quarter of the women reported recent abuse, and 31% of the HIV-seropositive women and 27% of the HIV-seronegative women reported childhood sexual abuse. Childhood sexual abuse was strongly associated with a lifetime history of domestic violence and high-risk behaviors, including using drugs, having more than 10 male sexual partners and having male partners at risk for HIV infection, and exchanging sex for drugs, money, or shelter. CONCLUSIONS:Our data support the hypothesis of a continuum of risk, with early childhood abuse leading to later domestic violence, which may increase the risk of behaviors leading to HIV infection.

journal_name

Am J Public Health

authors

Cohen M,Deamant C,Barkan S,Richardson J,Young M,Holman S,Anastos K,Cohen J,Melnick S

doi

10.2105/ajph.90.4.560

subject

Has Abstract

pub_date

2000-04-01 00:00:00

pages

560-5

issue

4

eissn

0090-0036

issn

1541-0048

journal_volume

90

pub_type

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