Victimization and sexual risk behavior in young, HIV positive women: Exploration of mediators

Gretchen A. Clum, Shang En Chung, Jonathan M. Ellen, Lori V. Perez, Debra A. Murphy, Gary W. Harper, Lauren Hamvas

Research output: Contribution to journalArticle

Abstract

In this study we explore associations between child and adult victimization and sexual risk behavior in 118 young, HIV positive women. Prior research has demonstrated associations between victimization and engagement in sexual risk behavior. Victimization sequelae can include disrupted assertiveness and communication, as well as increased association with risky partners, both of which are also linked with engagement in sexual risk behavior. Thus, we propose a model wherein victimization is linked to sexual risk behavior through two mediating pathways, sexual communication and affiliation with risky partners. We also examine the moderating effects of the presence of an anxiety or depressive disorder on the path from child to adult victimization. Results suggested that adult victimization was associated with unprotected sex with a main partner; however, this association was mediated by less sexual communication and having a risky partner. Trends toward significance were found for depression and anxiety as oderator of the relationship between child and adult victimization. Child victimization did not have direct effects on unprotected sex. Implications for secondary prevention of HIV and healthy intimate relationships are discussed.

Original languageEnglish (US)
Pages (from-to)999-1010
Number of pages12
JournalAIDS and behavior
Volume16
Issue number4
DOIs
StatePublished - May 1 2012

Keywords

  • HIV
  • Sexual risk
  • Victimization
  • Women

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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    Clum, G. A., Chung, S. E., Ellen, J. M., Perez, L. V., Murphy, D. A., Harper, G. W., & Hamvas, L. (2012). Victimization and sexual risk behavior in young, HIV positive women: Exploration of mediators. AIDS and behavior, 16(4), 999-1010. https://doi.org/10.1007/s10461-011-9931-0