Abstract
This study examined the effects of a gender-specific HIV/STD prevention intervention with two dosage levels (four-session, eight-session) among women reporting physical abuse by a current or recent (past year) intimate partner. From 360 women included in the full randomized trial, we conducted subgroup analyses among 152 women who experienced partner physical abuse within the past year. Unprotected vaginal and anal sex occasions and negotiation skills were examined as outcomes. We also assessed whether the intervention increased previously abused women's subsequent risk of physical abuse. Among abused women, those in the eight-session, but not the four-session, intervention decreased their unprotected sex occasions or maintained consistent safer sex at both 1-month (OR = 3.63, 95% CI = 1.50–8.80) and 1-year (OR = 2.88, 95% CI = 1.17–7.10) postintervention. In the short-term, abused women in both the four- and eight-session groups had a greater odds of using an alternative strategy (e.g., refusal, “outercourse,” or mutual testing) and of having a safer sex discussion with their partners relative to their controls, and they scored higher on intention to negotiate safer sex. The intervention did not increase or decrease the incidence of subsequent abuse during the 1-year follow-up period. A gender-specific intervention that focuses on negotiation skills in the context of potentially abusive partners benefits, and does not appear to harm, recently abused women.
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References
Ajzen, I., & Fishbein, M. (1980). Understanding attitudes, and predicting social behavior. Englewood Cliffs, NJ: Prentice-Hall.
Amaro, H. (1995). Love, sex, and power: considering women's realities in HIV prevention. American Psychologist, 50, 437–447.
Bard, M., & Sangrey, D. (1986). The crime victim's book. New York: Brunner/Mazel.
Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.
Beadnell, B., Baker, S. A., Morrison, D. M., & Knox, K. (2000). HIV/STD risk factors for women with violent male partners. Sex Roles, 42, 661–689.
Browne, A. (1993). Violence against women by male partners: Prevalence, outcomes, and policy implications. American Psychologist, 48, 1077–1087.
Cohen, M., Deamant, C., Barkan, S., Richardson, J., Young, M., Holman, S. (2000). Domestic violence, and childhood sexual abuse in HIV-infected women, and women at risk for HIV. American Journal of Public Health, 90, 560–565.
Coker, A. L., Smith, P. H., McKeown, R. E., & King, M. J. (2000). Frequency and correlates of intimate partner violence by type: Physical, sexual, and psychological battering. American Journal of Public Health, 90, 553–559.
Council on Ethical, and Judicial Affairs (1992). Physicians, and domestic violence: Ethical considerations. Journal of the American Medical Association, 267, 3190–3193.
Ehrhardt, A. A., Exner, T. M., Hoffman, S., Silberman, I., Leu, C.-S., Miller, S. (2002). A gender-specific HIV/STD risk reduction intervention for women in a health care setting: Short-, and long-term results of a randomized clinical trial. AIDS Care, 14, 147–161.
Ehrhardt, A. A., Exner, T. M., Hoffman, S., Silberman, I., Yingling, S., Adams-Skinner, J. (2002). HIV/STD risk, and sexual strategies among women family planning clients in New York: Project FIO. AIDS, and Behavior, 6, 1–13.
El-Bassel, N., & Schilling, R. F. (1992). 15–month followup of women methadone patients taught skills to reduce heterosexual HIV transmission. Public Health Reports, 107, 500–504.
Exner, T. M., Meyer-Bahlburg, H. F. L., Yingling, S. L., Hoffman, S., Ortiz-Torres, B., & Ehrhardt, A. A. (1994). Psychosexual, and psychosocial interviews for project FIO (The Future is Ours). Unpublished manuscript, Columbia University, Department of Psychiatry, New York.
Gomez, C. A., & Marin, B. V. (1996). Gender, culture, and power: Barriers to HIV-prevention strategies for women. Journal of Sex Research, 33, 355–362.
Hogben, M., Gange, S. J., Watts, D. H., Robison, E., Young, M., Richardson, J. (2001). The effect of sexual, and physical violence on risky sexual behavior, and STDs among a cohort of HIV seropositive women. AIDS, and Behavior, 5, 353–361.
Kalichman, S. C., Rompa, D., & Coley, B. (1996). Experimental component analysis of a behavioral HIV-AIDS prevention intervention for inner-city women. Journal of Consulting, and Clinical Psychology, 64, 687–693.
Kelly, J. A., Murphy, D. A., Washington, C. D., Wilson, T. S., Koob, J. J., Davis, M. S. (1994). The effects of HIV/AIDS intervention groups for high-risk women in urban clinics. American Journal of Public Health, 84, 1918–1922.
Koening, L. J., Moore, J. (2000). Women, violence, and HIV: A critical evaluation with implications for HIV services. Maternal and Child Health Journal, 4, 103–109.
Liang, K. Y., & Zeger, S. L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73, 13–22.
Maman, S., Campbell, J., Sweat, M. D., & Gielen, A. C. (2000). The intersections of HIV, and violence: Directions for future research, and interventions. Social Science, and Medicine, 50, 459–478.
Mays, V. M., & Cochran, S. D. (1988). Issues in the perception of AIDS risk, and risk reduction activities by Black, and Hispanic/Latina women. American Psychologist, 43, 949–957.
McCormick, N. (1994). Sexual salvation: Affirming women's sexual rights, and pleasures. Westport, CT: Praeger.
Meyer-Bahlburg, H. F. L., & Gruen, R. S. (1992). Training Manual for Psychosexual Interviewing. Unpublished manuscript, Columbia University, Department of Psychiatry, New York.
Miller, S., Exner, T. M., Williams, S. P., & Ehrhardt, A. A. (2000). A gender-specific intervention for at-risk women in the USA. AIDS Care, 12, 603–612.
O'Leary, A., DiClemente, R., & Aral, S. O. (1997). Reflections on the design, and reporting of STD/HIV behavioral intervention research. AIDS Education, and Prevention, 9(Suppl.1), 1–14.
Perper, T., & Weis, D. L. (1987). Proceptive, and rejective strategies of US, and Canadian college women. Journal of Sex Research, 23, 455–480.
Schilling, R. F., El-Bassel, N., Schinke, S. P., Gordon, N., & Nichols, S. (1991). Building skills of recovering women drug users to reduce heterosexual AIDS transmission. Public Health Reports, 106, 297–304.
Tjaden, P., & Thoennes, N. (2000). Full report of the prevalence, incidence, and consequences of violence against women. Washington, DC: National Center of Justice.
Williams, S. P., Gardos, P. S., Ortiz-Torres, B., Tross, S., & Ehrhardt, A. A. (2001). Urban women's negotiation strategies for safer sex with their male partners. Women, and Health, 33, 133–148.
Wingood, G. M., & DiClemente, R. J. (1997). The effects of an abusive primary partner on the condom use, and sexual negotiation practices of African-American women. American Journal of Public Health, 87, 1016–1018.
Worth, D. (1989). Sexual decision-making, and AIDS: Why condom promotion among vulnerable women is likely to fail. Studies in Family Planning, 20, 297–307.
Wyatt, G. E., Axelrod, J., Chin, D., Carmona, J. V., & Loeb, T. B. (2000). Examining patterns of vulnerability to domestic violence among African-American women. Violence Against Women, 65, 495–514.
Wyatt, G. E., Myers, H. F., Williams, J. K., Kitchen, C. R., Loeb, T., Carmona, J. V. (2002). Does a history of trauma contribute to HIV risk for women of color? Implications for prevention, and policy. American Journal of Public Health, 92, 660–665.
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Melendez, R.M., Hoffman, S., Exner, T. et al. Intimate Partner Violence and Safer Sex Negotiation: Effects of a Gender-Specific Intervention. Arch Sex Behav 32, 499–511 (2003). https://doi.org/10.1023/A:1026081309709
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DOI: https://doi.org/10.1023/A:1026081309709