Persistence of inconsistent condom use

Relation to abuse history and HIV serostatus

Merle E. Hamburger, Jan Moore, Linda J. Koenig, David Vlahov, Ellie Schoenbaum, Paula Schuman, Kenneth Mayer

Research output: Contribution to journalArticle

42 Citations (Scopus)

Abstract

This study longitudinally examines the relation between a history of experiencing childhood and adult physical or sexual abuse, and male condom use by women with or at risk for HIV. Abuse history and prospective condom use data were collected from 214 HIV infected and 189 uninfected women participating in the HIV Epidemiology Research Study (HERS) who were inconsistent condom users at baseline and received two safer sex counseling sessions. Analyses were conducted to assess the association between abuse history and condom use while controlling for sociodemographic variables and other risk factors. HIV-uninfected women with a history of adult physical abuse were five times less likely to report consistent condom use at 1-year follow-up than uninfected women without a history of abuse while holding control variables constant. Expectations of a negative reaction by the partner to suggested condom use did not explain this association. Though in the same direction as in uninfected women, abuse history was not significantly related to consistent condom use among HIV-infected women. These data indicate the need to develop risk prevention strategies tailored to uninfected women with a history of adult abuse. In lieu of specialized interventions, health care providers should assess women's abuse history and supplement HIV prevention counseling with mental health counseling when indicated.

Original languageEnglish (US)
Pages (from-to)333-344
Number of pages12
JournalAIDS and Behavior
Volume8
Issue number3
DOIs
StatePublished - Sep 2004

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Condoms
HIV
Counseling
Sex Counseling
Safe Sex
Sex Offenses
Health Personnel
Mental Health
Epidemiology
Research

Keywords

  • condoms
  • human immunodeficiency virus
  • physical abuse
  • women

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Persistence of inconsistent condom use : Relation to abuse history and HIV serostatus. / Hamburger, Merle E.; Moore, Jan; Koenig, Linda J.; Vlahov, David; Schoenbaum, Ellie; Schuman, Paula; Mayer, Kenneth.

In: AIDS and Behavior, Vol. 8, No. 3, 09.2004, p. 333-344.

Research output: Contribution to journalArticle

Hamburger, Merle E. ; Moore, Jan ; Koenig, Linda J. ; Vlahov, David ; Schoenbaum, Ellie ; Schuman, Paula ; Mayer, Kenneth. / Persistence of inconsistent condom use : Relation to abuse history and HIV serostatus. In: AIDS and Behavior. 2004 ; Vol. 8, No. 3. pp. 333-344.
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