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. 2014 Feb;23(2):151-167.
doi: 10.1080/10926771.2014.873511.

Impact of Abuse History on Adolescent African-American Women's Current HIV/STD-associated Behaviors and Psychosocial Mediators of HIV/STD Risk

Jennifer L Brown  1 , April M Young  2 , Jessica M Sales  1 , Ralph J DiClemente  3 , Eve S Rose  1 , Gina M Wingood  1
Affiliations

Impact of Abuse History on Adolescent African-American Women's Current HIV/STD-associated Behaviors and Psychosocial Mediators of HIV/STD Risk

Jennifer L Brown et al. J Aggress Maltreat Trauma. 2014 Feb.

Abstract

This study examined if relationship power, sex refusal self-efficacy, and/or fear of condom negotiation mediated the relationship between abuse history and consistent condom use (CCU) among African-American female adolescents (n=593). Participants with an abuse history (58%) were less likely to report CCU (p=.003). Women with an abuse history reported less relationship power (p=.006) and self-efficacy for refusing sex (p<.001), and more fear of condom negotiation (p=.003), none of which independently or jointly mediated the association between abuse and CCU. Notably, history of abuse was associated with CCU across mediator models (p=.037 to p=.067), despite inclusion of psychosocial mediators. This study demonstrates the importance of understanding adolescents' condom use behaviors within the context of their life experiences, especially past abuse history.

Keywords: African-American; abuse; condom use; sexually transmitted disease.

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