• We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Logo of nihpaAbout Author manuscriptsSubmit a manuscriptNIH Public Access; Author Manuscript; Accepted for publication in peer reviewed journal;
J Acquir Immune Defic Syndr. Author manuscript; available in PMC Jan 1, 2011.
Published in final edited form as:
PMCID: PMC2799543
NIHMSID: NIHMS139817

Sexual violence and HIV risk behaviors among a nationally representative sample of heterosexual American women: The importance of sexual coercion

Jamila K Stockman, PhD, MPH,* Jacquelyn C Campbell, PhD, RN, FAAN,* and David D Celentano, ScD, MHS**

Abstract

Objectives

Recent evidence suggests that it is important to consider behavioral-specific sexual violence measures in assessing women’s risk behaviors. This study investigated associations of history and types of sexual coercion on HIV risk behaviors in a nationally representative sample of heterosexually active American women.

Methods

Analyses were based on 5,857 women aged 18–44 participating in the 2002 National Survey of Family Growth. Types of lifetime sexual coercion included: victim given alcohol or drugs, verbally pressured, threatened with physical injury, and physically injured. Associations with HIV risk behaviors were assessed using logistic regression.

Results

Of 5,857 heterosexually active women, 16.4% reported multiple sex partners and 15.3% reported substance abuse. A coerced first sexual intercourse experience and coerced sex after sexual debut were independently associated with multiple sex partners and substance abuse; the highest risk was observed for women reporting a coerced first sexual intercourse experience. Among types of sexual coercion, alcohol or drug use at coerced sex was independently associated with multiple sex partners and substance abuse.

Conclusions

Our findings suggest that public health strategies are needed to address the violent components of heterosexual relationships. Future research should utilize longitudinal and qualitative research to characterize the relationship between continuums of sexual coercion and HIV risk.

Keywords: HIV risk behaviors, sexual violence, sexual coercion, intimate partner violence, United States, women
PubReader format: click here to try

Formats:

Related citations in PubMed

See reviews...See all...

Cited by other articles in PMC

See all...

Links

  • MedGen
    MedGen
    Related information in MedGen
  • PubMed
    PubMed
    PubMed citations for these articles

Recent Activity

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

See more...