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HIV and intimate partner violence among methadone-maintained women in New York City

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  • El-Bassel, Nabila
  • Gilbert, Louisa
  • Wu, Elwin
  • Go, Hyun
  • Hill, Jennifer

Abstract

Intimate partner violence (IPV) has been recognized as a risk factor for HIV and sexually transmitted infections (STIs) among women, particularly among those who are drug involved. This study examines the temporal relationships between sexual and/or physical partner violence (IPV) and sexual risk of HIV/STI transmission in a longitudinal study with a random sample of 416 women enrolled in methadone maintenance treatment programs in New York City. Two hypotheses are tested: whether sexual risk-related factors or risk reduction behavior leads to subsequent IPV (H1); and whether IPV decreases likelihood of subsequent risk reduction behavior (i.e., requesting to use condoms) or increases likelihood of certain sexual risk-related factors (i.e., inconsistent condom use, having unprotected anal sex, having more than one partner, exchanging sex for drugs or money, having had an STI, being HIV positive, having a partner who engaged in HIV risk) (H2). Participants were interviewed at three waves: baseline, six months and twelve months. Hypotheses were examined using propensity score matching and multiple logistic regression analyses. The prevalence rate of any physical or sexual IPV was 46% at baseline. Findings for H1 indicate that women who reported always using condoms at wave 2 were significantly less likely than women who reported inconsistent or no condom use to experience subsequent IPV at wave 3. Similarly, increased risk of IPV at wave 3 was associated with self-reported STIs (OR=2.0, p=.03), and unprotected anal sex (OR= 2.0, p

Suggested Citation

  • El-Bassel, Nabila & Gilbert, Louisa & Wu, Elwin & Go, Hyun & Hill, Jennifer, 2005. "HIV and intimate partner violence among methadone-maintained women in New York City," Social Science & Medicine, Elsevier, vol. 61(1), pages 171-183, July.
    • Handle: RePEc:eee:socmed:v:61:y:2005:i:1:p:171-183
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    2. Lauren Maxwell & Karen Devries & Danielle Zionts & Jeanne L Alhusen & Jacquelyn Campbell, 2015. "Estimating the Effect of Intimate Partner Violence on Women’s Use of Contraception: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(2), pages 1-25, February.
    3. Elena Argento & Katherine A Muldoon & Putu Duff & Annick Simo & Kathleen N Deering & Kate Shannon, 2014. "High Prevalence and Partner Correlates of Physical and Sexual Violence by Intimate Partners among Street and Off-Street Sex Workers," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-7, July.
    4. Peretti-Watel, P. & Spire, B. & Schiltz, M.A. & Bouhnik, A.D. & Heard, I. & Lert, F. & Obadia, Y., 2006. "Vulnerability, unsafe sex and non-adherence to HAART: Evidence from a large sample of French HIV/AIDS outpatients," Social Science & Medicine, Elsevier, vol. 62(10), pages 2420-2433, May.
    5. Lee, Bethany R. & Thompson, Ron, 2008. "Comparing outcomes for youth in treatment foster care and family-style group care," Children and Youth Services Review, Elsevier, vol. 30(7), pages 746-757, July.
    6. Sharvari Karandikar & Caren Frost & Lindsay GezinskiLindsay Gezinski, 2014. "Patriarchy and Gender-Based Violence: Experiences of Female Sex Workers in India," International Journal of Social Work, Macrothink Institute, vol. 1(1), pages 1-14, June.

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