One hundred ninety-three women having serious problems in an intimate relationship with a man were recruited by newspaper advertisement to participate in this study. Of the 97 battered women, 44.3% also were being sexually abused. Sexual abuse was inversely correlated with body image and self-esteem scores and positively related to danger of homicide, even when severity and frequency of violence were controlled for. Assessment and interventions for sexual abuse are necessary in all women's health settings, especially if a woman is battered.