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AIDS Behav. 2017 Aug;21(8):2261-2269. doi: 10.1007/s10461-017-1767-9.

Intimate Partner Violence and PrEP Acceptability Among Low-Income, Young Black Women: Exploring the Mediating Role of Reproductive Coercion.

Author information

1
Center for Interdisciplinary Research on AIDS, Yale University, New Haven, USA.
2
Division of Social and Behavioral Sciences, Yale School of Public Health, New Haven, USA.
3
Department of Community Public Health Nursing, Johns Hopkins School of Nursing, Baltimore, USA.
4
Center for Interdisciplinary Research on AIDS, Yale University, New Haven, USA. kalexan3@jhu.edu.
5
Department of Community Public Health Nursing, Johns Hopkins School of Nursing, Baltimore, USA. kalexan3@jhu.edu.
6
Johns Hopkins School of Nursing, 525 North Wolfe Street, Room 417, Baltimore, MD, 21205, USA. kalexan3@jhu.edu.

Abstract

A few studies suggest that women who experience intimate partner violence (IPV) are willing to use pre-exposure prophylaxis (PrEP), but no research has examined mediators of this relationship. The current study used path analysis to examine a phenomenon closely associated with IPV: reproductive coercion, or explicit male behaviors to promote pregnancy of a female partner without her knowledge or against her will. Birth control sabotage and pregnancy coercion-two subtypes of reproductive coercion behaviors-were examined as mediators of the relationship between IPV and PrEP acceptability among a cohort of 147 Black women 18-25 years of age recruited from community-based organizations in an urban city. IPV experiences were indirectly related to PrEP acceptability through birth control sabotage (indirect effect = 0.08; p < 0.05), but not to pregnancy coercion. Findings illustrate the importance of identifying and addressing reproductive coercion when assessing whether PrEP is clinically appropriate and a viable option to prevent HIV among women who experience IPV.

KEYWORDS:

Black/African-American women; HIV; Intimate partner violence; Pre-exposure prophylaxis; Reproductive coercion

PMID:
28409266
DOI:
10.1007/s10461-017-1767-9
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