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Erschienen in: AIDS and Behavior 3/2016

01.03.2016 | Original Paper

History of Childhood Abuse, Drinking Motives, Alcohol Use, and Sexual Risk Behavior Among STD Clinic Patients in St. Petersburg, Russia: A Cross-Sectional Study

verfasst von: Nadia Abdala, Fangyong Li, Alla V. Shaboltas, Roman V. Skochilov, Tatiana V. Krasnoselskikh

Erschienen in: AIDS and Behavior | Ausgabe 3/2016

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Abstract

The relationship between level of childhood abuse (physical and emotional) and sexual risk behavior of sexually transmitted disease clinic patients in St. Petersburg, Russia was examined through path analyses. Mediating variables investigated were: Alcohol Use Disorder Identification Test (AUDIT), drinking motives (for social interaction, to enhance mood, to facilitate sexual encounters), intimate partner violence (IPV), anxiety, and depression symptoms. Results showed a significant indirect effect of childhood abuse on women’s sexual risk behavior: higher level of childhood abuse was associated with a greater likelihood of IPV, motivations to drink, leading to higher AUDIT scores and correlated to higher likelihood of having multiple, new or casual sexual partner(s). No significant effect was identified in paths to condom use. Among men, childhood abuse had no significant effect on sexual risk behavior. Reduction in alcohol-related sexual risk behavior may be achieved by addressing the effects of childhood abuse among female participants.
Literatur
1.
Zurück zum Zitat UNAIDS: Country progress report of the russian federation on the implementation of the declaration of commitment on HIV/AIDS: Moscow, 2008. UNAIDS: Country progress report of the russian federation on the implementation of the declaration of commitment on HIV/AIDS: Moscow, 2008.
2.
Zurück zum Zitat UNAIDS: Regional fact sheet on HIV/AIDS: Geneva, 2012. UNAIDS: Regional fact sheet on HIV/AIDS: Geneva, 2012.
3.
Zurück zum Zitat UNAIDS: Global report: Unaids report on the global AIDS epidemic 2012. Geneva, 2012. UNAIDS: Global report: Unaids report on the global AIDS epidemic 2012. Geneva, 2012.
5.
Zurück zum Zitat Butchart A, Harvey AP, Mian M, Furniss T. Preventing child maltreatment: a guide to taking action and generating evidence in WHO & International Society for Preventoin of Child Abuse and Neglect. Geneva: WHO Press; 2006. Butchart A, Harvey AP, Mian M, Furniss T. Preventing child maltreatment: a guide to taking action and generating evidence in WHO & International Society for Preventoin of Child Abuse and Neglect. Geneva: WHO Press; 2006.
6.
Zurück zum Zitat Child Welfare Information Gateway: Child maltreatment. Child maltreatment 2012: Summary of key findings. Washington, DC: Department of Health and Human Services, Children’s Bureau; 2014. Child Welfare Information Gateway: Child maltreatment. Child maltreatment 2012: Summary of key findings. Washington, DC: Department of Health and Human Services, Children’s Bureau; 2014.
11.
Zurück zum Zitat The NIMH Multisite HIV/STD Prevention Trial for African. American Couples Group: prevalence of child and adult sexual abuse and risk taking practices among HIV serodiscordant african-american couples. AIDS Behav. 2010;2010(14):1032–44. doi:10.1007/s10461-010-9700-5.CrossRef The NIMH Multisite HIV/STD Prevention Trial for African. American Couples Group: prevalence of child and adult sexual abuse and risk taking practices among HIV serodiscordant african-american couples. AIDS Behav. 2010;2010(14):1032–44. doi:10.​1007/​s10461-010-9700-5.CrossRef
15.
Zurück zum Zitat Senn TE, Carey MP, Vanable PA, Coury-Doniger P, Urban MA. Childhood sexual abuse and sexual risk behavior among men and women attending a sexually transmitted disease clinic. J Consult Clin Psychol. 2006;74:720–31.CrossRefPubMedPubMedCentral Senn TE, Carey MP, Vanable PA, Coury-Doniger P, Urban MA. Childhood sexual abuse and sexual risk behavior among men and women attending a sexually transmitted disease clinic. J Consult Clin Psychol. 2006;74:720–31.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat WHO/Europe. Global status report on alcohol and health. Geneva: WHO Press; 2011. WHO/Europe. Global status report on alcohol and health. Geneva: WHO Press; 2011.
17.
Zurück zum Zitat Abdala N, Zhan W, Shaboltas AV, Skochilov RV, Kozlov AP, Krasnoselskikh TV. Efficacy of a brief HIV prevention counseling intervention among STI clinic patients in russia: a randomized controlled trial. AIDS Behav. 2013;17(3):1016–24.CrossRefPubMedPubMedCentral Abdala N, Zhan W, Shaboltas AV, Skochilov RV, Kozlov AP, Krasnoselskikh TV. Efficacy of a brief HIV prevention counseling intervention among STI clinic patients in russia: a randomized controlled trial. AIDS Behav. 2013;17(3):1016–24.CrossRefPubMedPubMedCentral
18.
Zurück zum Zitat Leon DA, Saburova L, Tomkins S, et al. Hazardous alcohol drinking and premature mortality in Russia: a population based case-control study. Lancet. 2007;369:2001–9.CrossRefPubMed Leon DA, Saburova L, Tomkins S, et al. Hazardous alcohol drinking and premature mortality in Russia: a population based case-control study. Lancet. 2007;369:2001–9.CrossRefPubMed
19.
Zurück zum Zitat Toussova O, Shcherbakova I, Volkova G, Niccolai L, Heimer R, Kozlov A. Potential bridges of heterosexual HIV transmission from drug users to the general population in St. Petersburg, Russia: is it easy to be a young female? J Urban Health. 2009;86(Suppl 1):121–30.CrossRefPubMedPubMedCentral Toussova O, Shcherbakova I, Volkova G, Niccolai L, Heimer R, Kozlov A. Potential bridges of heterosexual HIV transmission from drug users to the general population in St. Petersburg, Russia: is it easy to be a young female? J Urban Health. 2009;86(Suppl 1):121–30.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Abdala N, White E, Toussova OV, et al. Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUS) and non-IDUS who report sexual partnerships with IDUS in St. Petersburg, Russia. BMC Public Health. 2010;10:676.CrossRefPubMedPubMedCentral Abdala N, White E, Toussova OV, et al. Comparing sexual risks and patterns of alcohol and drug use between injection drug users (IDUS) and non-IDUS who report sexual partnerships with IDUS in St. Petersburg, Russia. BMC Public Health. 2010;10:676.CrossRefPubMedPubMedCentral
21.
Zurück zum Zitat Abdala N, Zhan W, Shaboltas AV, Skochilov RV, Kozlov AP, Krasnoselskikh TV. Correlates of abortions and condom use among high risk women attending an STD clinic in St Petersburg, Russia. Reprod Health. 2011;8:28.CrossRefPubMedPubMedCentral Abdala N, Zhan W, Shaboltas AV, Skochilov RV, Kozlov AP, Krasnoselskikh TV. Correlates of abortions and condom use among high risk women attending an STD clinic in St Petersburg, Russia. Reprod Health. 2011;8:28.CrossRefPubMedPubMedCentral
22.
Zurück zum Zitat Kuntsche E, Rehm J, Gmel G. Characteristics of binge drinkers in Europe. Soc Sci Med. 2004;59:113–27.CrossRefPubMed Kuntsche E, Rehm J, Gmel G. Characteristics of binge drinkers in Europe. Soc Sci Med. 2004;59:113–27.CrossRefPubMed
23.
Zurück zum Zitat Stolle M, Sack PM, Thomasius R. Binge drinking in childhood and adolescence: epidemiology, consequences, and interventions. Dtsch Arztebl Int. 2009;106:323–8.PubMedPubMedCentral Stolle M, Sack PM, Thomasius R. Binge drinking in childhood and adolescence: epidemiology, consequences, and interventions. Dtsch Arztebl Int. 2009;106:323–8.PubMedPubMedCentral
24.
Zurück zum Zitat Pomerleau J, McKee M, Rose R, Haerpfer CW, Rotman D, Tumanov S. Drinking in the commonwealth of independent states—evidence from eight countries. Addiction. 2005;100:1647–68.CrossRefPubMed Pomerleau J, McKee M, Rose R, Haerpfer CW, Rotman D, Tumanov S. Drinking in the commonwealth of independent states—evidence from eight countries. Addiction. 2005;100:1647–68.CrossRefPubMed
25.
Zurück zum Zitat WHO. Alcohol use and sexual risk behaviour: a cross-cultural study in eight countries. Geneva: Department of Mental Health and Substance Abuse; 2005. WHO. Alcohol use and sexual risk behaviour: a cross-cultural study in eight countries. Geneva: Department of Mental Health and Substance Abuse; 2005.
26.
Zurück zum Zitat Dermen KH, Cooper ML, Agocha VB. Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents. J Stud Alcohol. 1998;59:71–7.CrossRefPubMed Dermen KH, Cooper ML, Agocha VB. Sex-related alcohol expectancies as moderators of the relationship between alcohol use and risky sex in adolescents. J Stud Alcohol. 1998;59:71–7.CrossRefPubMed
27.
Zurück zum Zitat Hendershot CS, Stoner SA, George WH, Norris J. Alcohol use, expectancies, and sexual sensation seeking as correlates of HIV risk behavior in heterosexual young adults. Psychol Addict Behav. 2007;21:365–72.CrossRefPubMedPubMedCentral Hendershot CS, Stoner SA, George WH, Norris J. Alcohol use, expectancies, and sexual sensation seeking as correlates of HIV risk behavior in heterosexual young adults. Psychol Addict Behav. 2007;21:365–72.CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Zhan W, Krasnoselskikh TV, Golovanov S, Kozlov AP, Abdala N. Gap between consecutive sexual partnerships and sexually transmitted infections among STI clinic patients in St Petersburg, Russia. AIDS Behav. 2012;16:334–9.CrossRefPubMedPubMedCentral Zhan W, Krasnoselskikh TV, Golovanov S, Kozlov AP, Abdala N. Gap between consecutive sexual partnerships and sexually transmitted infections among STI clinic patients in St Petersburg, Russia. AIDS Behav. 2012;16:334–9.CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat Zhan W, Krasnoselskikh TV, Niccolai LM, Golovanov S, Kozlov AP, Abdala N. Concurrent sexual partnerships and sexually transmitted diseases in Russia. Sex Transm Dis. 2011;38:543–7.PubMedPubMedCentral Zhan W, Krasnoselskikh TV, Niccolai LM, Golovanov S, Kozlov AP, Abdala N. Concurrent sexual partnerships and sexually transmitted diseases in Russia. Sex Transm Dis. 2011;38:543–7.PubMedPubMedCentral
31.
Zurück zum Zitat George WH, Frone MR, Cooper ML, Russell M, Skinner JB, Windle M. A revised alcohol expectancy questionnaire: factor structure confirmation, and invariance in a general population sample. J Stud Alcohol. 1995;56:177–85.CrossRefPubMed George WH, Frone MR, Cooper ML, Russell M, Skinner JB, Windle M. A revised alcohol expectancy questionnaire: factor structure confirmation, and invariance in a general population sample. J Stud Alcohol. 1995;56:177–85.CrossRefPubMed
32.
Zurück zum Zitat Grant VV, Stewart SH, O’Connor RM, Blackwell E, Conrod PJ. Psychometric evaluation of the five-factor modified drinking motives questionnaire—revised in undergraduates. Addict Behav. 2007;32:2611–32.CrossRefPubMed Grant VV, Stewart SH, O’Connor RM, Blackwell E, Conrod PJ. Psychometric evaluation of the five-factor modified drinking motives questionnaire—revised in undergraduates. Addict Behav. 2007;32:2611–32.CrossRefPubMed
33.
Zurück zum Zitat Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: evaluation of a short form of the CES-D (center for epidemiologic studies depression scale). Am J Prev Med. 1994;10:77–84.PubMed Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: evaluation of a short form of the CES-D (center for epidemiologic studies depression scale). Am J Prev Med. 1994;10:77–84.PubMed
34.
Zurück zum Zitat Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the gad-7. Arch Intern Med. 2006;166:1092–7.CrossRefPubMed Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the gad-7. Arch Intern Med. 2006;166:1092–7.CrossRefPubMed
35.
Zurück zum Zitat Hu L-T, Bentler P. Fit indices in covariance structure modeling: sensitivity to underparameterized model misspecification. Psychol Methods. 1998;3:424–53.CrossRef Hu L-T, Bentler P. Fit indices in covariance structure modeling: sensitivity to underparameterized model misspecification. Psychol Methods. 1998;3:424–53.CrossRef
37.
Zurück zum Zitat Muthen LK, Muthen BO. Mplus user’s guide. Los Angeles: Muthen & Muthen; 2010. Muthen LK, Muthen BO. Mplus user’s guide. Los Angeles: Muthen & Muthen; 2010.
40.
Zurück zum Zitat Dong M, Anda RF, Felitti VJ, et al. The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction. Child Abuse Negl. 2004;28:771–84.CrossRefPubMed Dong M, Anda RF, Felitti VJ, et al. The interrelatedness of multiple forms of childhood abuse, neglect, and household dysfunction. Child Abuse Negl. 2004;28:771–84.CrossRefPubMed
41.
Zurück zum Zitat Senn TE, Carey MP, Vanable PA. Childhood and adolescent sexual abuse and subsequent sexual risk behavior: evidence from controlled studies, methodological critique, and suggestions for research. Clin Psychol Rev. 2008;28:711–35.CrossRefPubMedPubMedCentral Senn TE, Carey MP, Vanable PA. Childhood and adolescent sexual abuse and subsequent sexual risk behavior: evidence from controlled studies, methodological critique, and suggestions for research. Clin Psychol Rev. 2008;28:711–35.CrossRefPubMedPubMedCentral
42.
Zurück zum Zitat Briere J. Treating adult survivors of severe childhood abuse and neglect: further development of an integrative model. 2nd ed. Newbury Park: SAGE; 2002. Briere J. Treating adult survivors of severe childhood abuse and neglect: further development of an integrative model. 2nd ed. Newbury Park: SAGE; 2002.
43.
Zurück zum Zitat Gore-Felton C, Rotheram-Borus MJ, Weinhardt LS, et al. The healthy living project: an individually tailored, multidimensional intervention for HIV-infected persons. AIDS Educ Prev. 2005;17:21–39.CrossRefPubMed Gore-Felton C, Rotheram-Borus MJ, Weinhardt LS, et al. The healthy living project: an individually tailored, multidimensional intervention for HIV-infected persons. AIDS Educ Prev. 2005;17:21–39.CrossRefPubMed
45.
Zurück zum Zitat Zhan W, Hansen NB, Shaboltas AV, et al. Partner violence perpetration and victimization and hiv risk behaviors in St. Petersburg, Russia. J Trauma Stress. 2012;25:1–8.CrossRef Zhan W, Hansen NB, Shaboltas AV, et al. Partner violence perpetration and victimization and hiv risk behaviors in St. Petersburg, Russia. J Trauma Stress. 2012;25:1–8.CrossRef
48.
Zurück zum Zitat Zhan W, Shaboltas AV, Skochilov RV, Kozlov AP, Krasnoselskikh TV, Abdala N. Gender differences in the relationship between alcohol use and depressive symptoms in St. Petersburg, Russia. J Addict Res Ther. 2012;3. Zhan W, Shaboltas AV, Skochilov RV, Kozlov AP, Krasnoselskikh TV, Abdala N. Gender differences in the relationship between alcohol use and depressive symptoms in St. Petersburg, Russia. J Addict Res Ther. 2012;3.
49.
Zurück zum Zitat Bobak M, Room R, Pikhart H, et al. Contribution of drinking patterns to differences in rates of alcohol related problems between three urban populations. J Epidemiol Community Health. 2004;58:238–42.CrossRefPubMedPubMedCentral Bobak M, Room R, Pikhart H, et al. Contribution of drinking patterns to differences in rates of alcohol related problems between three urban populations. J Epidemiol Community Health. 2004;58:238–42.CrossRefPubMedPubMedCentral
50.
Zurück zum Zitat Grogan L. Alcoholism, tobacco, and drug use in the countries of central and eastern Europe and the former soviet union. Subst Use Misuse. 2006;41:567–71.CrossRefPubMed Grogan L. Alcoholism, tobacco, and drug use in the countries of central and eastern Europe and the former soviet union. Subst Use Misuse. 2006;41:567–71.CrossRefPubMed
51.
Zurück zum Zitat Jukkala T, Makinen IH, Kislitsyna O, Ferlander S, Vagero D. Economic strain, social relations, gender, and binge drinking in moscow. Soc Sci Med. 2008;66:663–74.CrossRefPubMed Jukkala T, Makinen IH, Kislitsyna O, Ferlander S, Vagero D. Economic strain, social relations, gender, and binge drinking in moscow. Soc Sci Med. 2008;66:663–74.CrossRefPubMed
52.
Zurück zum Zitat Saburova L, Keenan K, Bobrova N, Leon DA, Elbourne D. Alcohol and fatal life trajectories in russia: understanding narrative accounts of premature male death in the family. BMC Public Health. 2011;11:481.CrossRefPubMedPubMedCentral Saburova L, Keenan K, Bobrova N, Leon DA, Elbourne D. Alcohol and fatal life trajectories in russia: understanding narrative accounts of premature male death in the family. BMC Public Health. 2011;11:481.CrossRefPubMedPubMedCentral
53.
Zurück zum Zitat Abdala N, Hansen NB, Toussova OV, Krasnoselskikh TV, Kozlov AP, Heimer R. Age at first alcoholic drink as predictor of current HIV sexual risk behaviors among a sample of injection drug users (IDUS) and non-IDUS who are sexual partners of IDUS, in St. Petersburg, Russia. AIDS Behav. 2012;16:1597–604.CrossRefPubMedPubMedCentral Abdala N, Hansen NB, Toussova OV, Krasnoselskikh TV, Kozlov AP, Heimer R. Age at first alcoholic drink as predictor of current HIV sexual risk behaviors among a sample of injection drug users (IDUS) and non-IDUS who are sexual partners of IDUS, in St. Petersburg, Russia. AIDS Behav. 2012;16:1597–604.CrossRefPubMedPubMedCentral
54.
Zurück zum Zitat Leigh BC. Alcohol and condom use: a meta-analysis of event-level studies. Sex Transm Dis. 2002;29:476–82.CrossRefPubMed Leigh BC. Alcohol and condom use: a meta-analysis of event-level studies. Sex Transm Dis. 2002;29:476–82.CrossRefPubMed
55.
Zurück zum Zitat Cooper ML. Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. J Stud Alcohol Suppl. 2002;101–117. Cooper ML. Alcohol use and risky sexual behavior among college students and youth: evaluating the evidence. J Stud Alcohol Suppl. 2002;101–117.
Metadaten
Titel
History of Childhood Abuse, Drinking Motives, Alcohol Use, and Sexual Risk Behavior Among STD Clinic Patients in St. Petersburg, Russia: A Cross-Sectional Study
verfasst von
Nadia Abdala
Fangyong Li
Alla V. Shaboltas
Roman V. Skochilov
Tatiana V. Krasnoselskikh
Publikationsdatum
01.03.2016
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 3/2016
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-015-1043-9

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