This study investigated associations of substance use, relationship abuse and HIV self-protective behavior with unprotected sex among 290 impoverished women with a non-cohabitating primary partner. Unprotected sex was associated with having a physically or psychologically abusive partner among low-income housed women, and having an abusive partner who also drank to intoxication among women living in shelters. Indicators of HIV self-protective behavior were associated with less frequent unprotected sex among sheltered women, even after accounting for abuse and substance use within the relationship. Results suggest the need for HIV-prevention interventions to address the problems of partner substance use and relationship abuse.
Amaro, H. , & Raj, A. (2000). On the margin: Power and women’s HIV risk reduction strategies . Sex Roles, 42, 723-749 .
2.
Amaro, H. , Raj, A. , Vega, R. R. , Mangione, T. W. , & Perez, L. N. (2001). Racial/ethnic disparities in the HIV and substance abuse epidemics: Communities responding to the need . Public Health Reports, 116, 434-448 .
3.
Anderson, R. N. , & Smith, B. L. (2005). Deaths: Leading causes for 2002 . National vital statistics reports, vol. 53(17). Hyattsville, MD: National Center for Health Statistics .
4.
Beadnell, B. , Baker, S. A. , Morrison, D. M. , & Knox, K. (2000). HIV/STD risk factors for women with violent male partners . Sex Roles, 42, 661-689 .
5.
Browne, A. , & Bassuk, S. S. (1997). Intimate violence in the lives of homeless and poor housed women: Prevalence and patterns in an ethnically diverse sample . American Journal of Orthopsychiatry, 67, 261-278 .
6.
Centers for Disease Control and Prevention (CDC) . (2004). HIV/AIDS surveillance report, 2003, vol. 15. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention .
7.
Cooper, M. L. (2002). Alcohol use and risky sexual behavior among college students and youth: Evaluating the evidence . Journal of Studies on Alcohol, Supp. 14, 101-117 .
8.
Crosby, R. A. , DiClemente, R. J. , Wingood, G. M. , Sionéan, C. , Cobb, B. K. , & Harrington, K. (2000). Correlates of unprotected vaginal sex among African American female adolescents . Archives of Pediatrics and Adolescent Medicine, 154, 893-899 .
9.
Crosby, R. A. , Yarber, W. L. , & Meyerson, B. (1999). Frequency and predictors of condom use and reasons for not using condoms among low-income women . Journal of Sex Education and Therapy, 24, 63-70 .
10.
Davis, J. L. , Combs-Lane, A. M. , & Jackson, T. L. (2002). Risky behaviors associated with interpersonal victimization . Journal of Interpersonal Violence, 17, 611-629 .
11.
El-Bassel, N. , Gilbert, L. , Witte, S. , Wu, E. , Gaeta, T. , Schilling, R.et al. (2003). Intimate partner violence and substance abuse among minority women receiving care from an inner-city emergency department . Women’s Health Issues, 13, 16-22 .
12.
Elliott, M. N. , Golinelli, D. , Hambarsoomian, K. , Perlman, J. , & Wenzel, S. L. (2006). Sampling with field burden constraints: An application to sheltered homeless and low-income housed women . Field Methods, 18, 43-58 .
13.
Fals-Stewart, W. (2003). The occurrence of partner physical aggression on days of alcohol consumption: A longitudinal diary study . Journal of Consulting and Clinical Psychology, 71, 41-52 .
14.
Fromme, K. , D’Amico, E. , & Katz, E. C. (1999). Intoxicated sexual risk taking: An expectancy or cognitive impairment explanation?Journal of Studies on Alcohol, 60, 54-63 .
15.
Gelberg, L. , Andersen, R. A. , Browner, C. , & Wenzel, S. (1995). Access to care for homeless women of reproductive age. Rockville, MD: Agency for Health Care Policy and Research .
16.
Gil-Rivas, V. , Fiorentine, R. , & Anglin, M. D. (1996). Sexual abuse, physical abuse, and posttraumatic stress disorder among women participating in outpatient drug abuse treatment . Journal of Psychoactive Drugs, 28, 95-102 .
17.
Ingram, K. M. , Corning, A. F. , & Schmidt, L. D. (1996). The relationship of victimization experiences to psychological well-being among homeless women and low-income housed women . Journal of Counseling Psychology, 43, 218-227 .
18.
Jemmott, L. S. , & Jemmott, J. B. (1991). Applying the theory of reasoned action to AIDS risk behavior: Condom use among black women . Nursing Research, 40, 228-234 .
19.
Kalichman, S. C. , Williams, E. A. , Cherry, C. , Belcher, L. , & Nachimson, D. (1998). Sexual coercion, domestic violence, and negotiating condom use among low-income African American women . Journal of Women’s Health, 7, 371-378 .
20.
Kantor, G. K. , & Straus, M. A. (1987). The ‘drunken bum’ theory of wife beating . Social Problems, 34, 213-230 .
21.
Kantor, G. K. , & Straus, M. A. (1989). Substance abuse as a precipitant of wife abuse victimizations . American Journal of Drug and Alcohol Abuse, 15, 173-189 .
22.
Kessler, R. C. , Andrews, G. , Mroczek, D. , Ustun, B. , & Wittchen, H. U. (1998). The World Health Organization composite international diagnostic interview short-form (CIDI-SF) . International Journal of Methods in Psychiatric Research, 7, 171-185 .
23.
Kilpatrick, D. , Edmunds, C. , & Seymour, A. K. (1992). The national women’s study. Arlington, VA: National Victim Center .
24.
Lichtenstein, B. (1997). Women and crack-cocaine use: A study of social networks and HIV risk in an Alabama jail sample . Addiction Research, 5, 279-296 .
25.
Lindenberg, C. S. , Solorzano, R. , Kelley, M. , Darrow, V. , Gendrop, S. C. , & Strickland, O. (1998). Competence and drug use: Theoretical frameworks, empirical evidence and measurement . Journal of Drug Education, 28, 117-134 .
26.
Logan, T. K. , Cole, J. , & Leukefeld, C. (2002). Women, sex, and HIV: Social and contextual factors, meta-analysis of published interventions, and implications for practice and research . Psychological Bulletin, 128, 851-885 .
27.
MacDonald, T. K. , MacDonald, G. , Zanna, M. P. , & Fong, G. T. (2000). Alcohol, sexual arousal, and intentions to use condoms in young men: Applying alcohol myopia theory to risky sexual behavior . Health Psychology, 19, 290-298 .
28.
Maman, S. , Campbell, J. , Sweat, M. D. , & Gielen, A. C. (2000). The intersections of HIV and violence: Directions for future research and interventions . Social Science & Medicine, 50, 459-478 .
29.
Morokoff, P. J. , Quina, K. , Harlow, L. L. , Whitmire, L. , Grimley, D. M. , Gibson, P. R. , & Burkholder, G. J. (1997). Sexual assertiveness scale (SAS) for women: Development and validation . Journal of Personality and Social Psychology, 73, 790-804 .
30.
Neighbors, C. J. , O’Leary, A. , & Labouvie, E. (1999). Domestically violent and nonviolent male inmates’ responses to their partners’ requests for condom use: Testing a social-information processing model . Health Psychology, 18, 427-431 .
31.
Nyamathi, A. M. , Bennett, C. , & Leake, B. (1995a). Predictors of maintained high-risk behaviors among impoverished women . Public Health Reports, 110, 600-606 .
32.
Nyamathi, A. M. , Lewis, C. , Leake, B. , Flaskerud, J. , & Bennett, C. (1995b). Barriers to condom use and needle cleaning among impoverished minority female injection drug users and partners of injection drug users . Public Health Reports, 110, 166-172 .
33.
O’Leary, A. (2000). Women at risk for HIV from a primary partner: Balancing risk and intimacy . Annual Review of Sex Research, 11, 191-243 .
34.
Pivnick, A. , Jacobson, A. , Eric, K. , Doll, L. , & Drucker, E. (1994). AIDS, HIV infection, and illicit drug use within inner-city families and social networks . American Journal of Public Health, 84, 271-274 .
35.
Prince, A. , & Bernard, A. L. (1998). Sexual behaviors and safer sex practices of college students on a commuter campus . Journal of American College Health, 47, 11-21 .
36.
Salomon, A. , Bassuk, S. S. , & Huntington, N. (2002). The relationship between intimate partner violence and the use of addictive substances in poor and homeless single mothers . Violence Against Women, 8, 785-815 .
37.
Seal, D. W. , & Palmer-Seal, D. A. (1996). Barriers to condom use and safer sex talk among college dating couples . Journal of Community and Applied Social Psychology, 6, 15-33 .
38.
Sheeran, P. , Abraham, C. , & Orbell, S. (1999). Psychosocial correlates of heterosexual condom use: A meta-analysis . Psychological Bulletin, 125, 90-132 .
39.
Sikkema, K. J. , Heckman, T. G. , Kelly, J. A. , Anderson, E. S. , Winett, R. A. , Solomon, L. J.et al. (1996). HIV risk behaviors among women living in low-income, inner-city housing developments . American Journal of Public Health, 86, 1123-1128 .
40.
Skinner, C. J. (1989). Domain means, regression and multivariate analyses. In C. J. Skinner , D. Holt , & T. M. F. Smith (Eds.), Analysis of complex surveys (pp. 59-88). New York: Wiley .
41.
St Lawrence, J. S. , Chapdelaine, A. P. , Devieux, J. G. , O’Bannon, R. E., III , Brasfield, T. L. , & Eldridge, G. D. (1999). Measuring perceived barriers to condom use: Psychometric evaluation of the Condom Barriers Scale . Assessment, 6, 391-400 .
42.
Straus, M. A. , Hamby, S. L. , Boney-McCoy, S. , & Sugarman, D. B. (1996). The revised conflict tactics scales (CTS2): Development and preliminary psychometric data . Journal of Family Issues, 17, 283-316 .
43.
Testa, M. , Quigley, B. M. , & Leonard, K. E. (2003). Does alcohol make a difference? Within-participants comparison of incidents of partner violence . Journal of Interpersonal Violence, 18, 735-743 .
44.
Tolman, R. M. (1999). The validation of the psychological maltreatment of women inventory . Violence and Victims, 14, 25-37 .
45.
Umberson, D. , Anderson, K. , Glick, J. , & Shapiro, A. (1998). Domestic violence, personal control, and gender . Journal of Marriage and the Family, 60, 442-452 .
46.
Wechsberg, W. M. , Lam, W. K. K. , Zule, W. , Hall, G. , Middlesteadt, R. , & Edwards, J. (2003). Violence, homelessness, and HIV risk among crack-using African-American women . Substance Use & Misuse, 38, 669-700 .
47.
Wenzel, S. L. , Koegel, P. , & Gelberg, L. (2000). Antecedents of physical and sexual victimization among homeless women: A comparison to homeless men . American Journal of Community Psychology, 28, 367-390 .
48.
Wenzel, S. L. , Leake, B. D. , & Gelberg, L. (2000). Health of homeless women with recent experience of rape . Journal of General Internal Medicine, 15, 265-268 .
49.
Wenzel, S. L. , Tucker, J. S. , Elliott, M. N. , Hambarsoomian, K. , Perlman, J. , Becker, K.et al. (2004). Prevalence and co-occurrence of violence, substance use and disorder, and HIV risk behavior: A comparison of sheltered vs. low-income housed women in Los Angeles County . Preventive Medicine, 39, 617-624 .
50.
Wingood, G. M. , & DiClemente, R. J. (1998). The influence of psychosocial factors, alcohol, drug use on African-American women’s high-risk sexual behavior . American Journal of Preventive Medicine, 15, 54-59 .
51.
Wingood, G. M. , DiClemente, R. J. , McCree, D. H. , Harrington, K. , & Davies, S. L. (2001). Dating violence and the sexual health of black adolescent females . Pediatrics, 107, E72-E72 .
52.
Wood, D. , Valdez, R. B. , Hayashi, T. , & Shen, A. (1990). Homeless and housed families in Los Angeles: A study comparing demographic, economic, and family function characteristics . American Journal of Public Health, 80, 1049-1052 .
53.
Wyatt, G. E. , Myers, H. F. , Williams, J. K. , Kitchen, C. R. , Loeb, T. , Carmona, J. V.et al. (2002). Does a history of trauma contribute to HIV risk for women of color? Implications for prevention and policy . American Journal of Public Health, 92, 660-665 .
