@article{ref1,
title="Substance use, violence, and sexual risk among young cis-gender women placed at high-risk for human immunodeficiency virus infection",
journal="AIDS and behavior",
year="2022",
author="Vavala, Gabriella and Wang, Qiao and Jimenez, Sergio and Ramos, Wilson E. and Ocasio, Manuel A. and Romero-Espinoza, Adriana and Flynn, Risa and Bolan, Robert and Fernandez, M. Isabel and Doan, Pearl and Arnold, Elizabeth Mayfield and Swendeman, Dallas and Comulada, W. Scott and Klausner, Jeffrey D.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="The substance use, violence, and AIDS (SAVA) syndemic framework is used to study risk for HIV/AIDS. As a secondary analysis from a large HIV/AIDS prevention study, we categorized participants into having from zero to three SAVA conditions based on the presence or absence of self-reported substance use in the past 4 months, history of lifetime sexual abuse, and intimate partner violence. We used Poisson regression models to examine the association between the number of SAVA conditions and sexual risk behavior. Among all participants (n = 195, median age, 20), 37.9%, 19.5%, and 6.7% reported occurrence of one, two, and all three SAVA conditions, respectively. We found that more than one SAVA condition experienced by women was significantly associated with having more than one sex partner (adjusted prevalence ratio [aPR] = 1.88; 95% confidence interval [CI] = 1.28, 2.76) and with substance use before sex (aPR = 1.61 95% CI = 1.06, 2.45).<p /> <p>Language: en</p>",
language="en",
issn="1090-7165",
doi="10.1007/s10461-022-03631-7",
url="http://dx.doi.org/10.1007/s10461-022-03631-7"
}