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. 2016 Mar;20(3):512-22.
doi: 10.1007/s10461-015-1043-9.

History of Childhood Abuse, Drinking Motives, Alcohol Use, and Sexual Risk Behavior Among STD Clinic Patients in St. Petersburg, Russia: A Cross-Sectional Study

Nadia Abdala  1 , Fangyong Li  2 , Alla V Shaboltas  3 , Roman V Skochilov  3 , Tatiana V Krasnoselskikh  4
Affiliations

History of Childhood Abuse, Drinking Motives, Alcohol Use, and Sexual Risk Behavior Among STD Clinic Patients in St. Petersburg, Russia: A Cross-Sectional Study

Nadia Abdala et al. AIDS Behav. 2016 Mar.

Abstract

The relationship between level of childhood abuse (physical and emotional) and sexual risk behavior of sexually transmitted disease clinic patients in St. Petersburg, Russia was examined through path analyses. Mediating variables investigated were: Alcohol Use Disorder Identification Test (AUDIT), drinking motives (for social interaction, to enhance mood, to facilitate sexual encounters), intimate partner violence (IPV), anxiety, and depression symptoms. Results showed a significant indirect effect of childhood abuse on women's sexual risk behavior: higher level of childhood abuse was associated with a greater likelihood of IPV, motivations to drink, leading to higher AUDIT scores and correlated to higher likelihood of having multiple, new or casual sexual partner(s). No significant effect was identified in paths to condom use. Among men, childhood abuse had no significant effect on sexual risk behavior. Reduction in alcohol-related sexual risk behavior may be achieved by addressing the effects of childhood abuse among female participants.

Keywords: Alcohol use; Drinking motives; HIV risk; Physical and emotional childhood abuse history; STD clinic patients.

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Figures

Figure 1
Figure 1
Hypothetical path model
Figure 2
Figure 2
Final path models showing the mediation path of the impact of level of child abuse on HIV sexual risk in women and men.
Figure 2
Figure 2
Final path models showing the mediation path of the impact of level of child abuse on HIV sexual risk in women and men.
See this image and copyright information in PMC

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