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Record no:

1 of 1

Author:

MOSACK Katie E.; et al.;

Title:

Sexual risk-taking among high-risk urban women with and without histories of childhood sexual abuse: mediating effects of contextual factors.

Reference:

Journal of Child Sexual Abuse, 19(1), January-February 2010, pp.43-61.

ISSN paper:

1053-8712

ISSN online:

1547-0679

Abstract:

Women who are deemed to be at highest risk for sexually transmitted infections including HIV have been reported to have higher rates of childhood sexual experiences than the general population. This study investigated the mechanisms of risk for urban women at high risk for HIV with and without childhood sexual abuse histories. The participants were part of a larger intervention project (Project Protect) designed to assess the use of 2 female-initiated HIV prevention methods; 234 women using vaginal microbicides and 154 women using the female condom. Data was collected using computer-assisted personal interviewing. The results showed that childhood sexual abuse survivors reported more unprotected intercourse and sexually transmitted infections (STIs). The association of STI locus of control with frequency of unprotected sex was fully mediated by being intoxicated during sex and engaging in sex work, whereas the association between relational control and unprotected sex was not mediated by contextual factors for the childhood sexual abuse group. The mechanisms of risk are different for those with divergent childhood sexual abuse histories and thus interventions should be developed to educate women with a history of childhood sexual abuse about ways to avoid revictimisation, particularly within a context of poverty, prostitution, and drug use.

Journal home:

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Format:

article;

Topics:

child sexual abuse; HIV AIDS; risk; sexuality; sexually transmitted infections; women;

Content Type:

research;

Country/Region:

United States;

Record ID:

www.scie-socialcareonline.org.uk/profile.asp?guid=29c41223-18a1-473f-aa50-1ab031897505