Citation

Mosack KE, Randolph ME, Dickson-Gómez J, Abbott M, Smith E, Weeks MR. J. Child Sex. Abus. 2010; 19(1): 43-61.

Affiliation

University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA.

Copyright

(Copyright © 2010, Informa - Taylor and Francis Group)

DOI

10.1080/10538710903485591

PMID

20390778

PMCID

PMC2905625

Abstract

This study investigated the mechanisms of risk for urban women at high risk for HIV with and without childhood sexual abuse histories. Childhood sexual abuse survivors reported more unprotected intercourse and sexually transmitted infections (STIs). The association of STI locus of control with frequency of unprotected sex was fully mediated by being intoxicated during sex and engaging in sex work, whereas the association between relational control and unprotected sex was not mediated by contextual factors for the childhood sexual abuse group. The mechanisms of risk are different for those with divergent childhood sexual abuse histories and thus interventions should be developed to educate women with a history of childhood sexual abuse about ways to avoid revictimization, particularly within a context of poverty, prostitution, and drug use.

Language: en