Citation

Brown JL, Young AM, Sales JM, DiClemente RJ, Rose ES, Wingood GM. J. Aggression Maltreat. Trauma 2014; 23(2): 151-167.

Affiliation

Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road, Atlanta GA 30322 ; Emory University Center for AIDS Research.

Copyright

(Copyright © 2014, Informa - Taylor and Francis Group)

DOI

10.1080/10926771.2014.873511

PMID

25505369

Abstract

This study examined if relationship power, sex refusal self-efficacy, and/or fear of condom negotiation mediated the relationship between abuse history and consistent condom use (CCU) among African-American female adolescents (n=593). Participants with an abuse history (58%) were less likely to report CCU (p=.003). Women with an abuse history reported less relationship power (p=.006) and self-efficacy for refusing sex (p<.001), and more fear of condom negotiation (p=.003), none of which independently or jointly mediated the association between abuse and CCU. Notably, history of abuse was associated with CCU across mediator models (p=.037 to p=.067), despite inclusion of psychosocial mediators. This study demonstrates the importance of understanding adolescents' condom use behaviors within the context of their life experiences, especially past abuse history.

Language: en