TY - JOUR
T1 - Substance Use, Violence, and Sexual Risk Among Young Cis-Gender Women Placed at High-Risk for Human Immunodeficiency Virus Infection
AU - Vavala, Gabriella
AU - Wang, Qiao
AU - Jimenez, Sergio
AU - Ramos, Wilson E.
AU - Ocasio, Manuel A.
AU - Romero-Espinoza, Adriana
AU - Flynn, Risa
AU - Bolan, Robert
AU - Fernandez, M. Isabel
AU - Doan, Pearl
AU - Arnold, Elizabeth Mayfield
AU - Swendeman, Dallas
AU - Comulada, W. Scott
AU - Klausner, Jeffrey D.
N1 - Funding Information:
The study was funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (U19HD089886).
Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022
Y1 - 2022
N2 - 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).
AB - 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).
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U2 - 10.1007/s10461-022-03631-7
DO - 10.1007/s10461-022-03631-7
M3 - Article
C2 - 35303189
AN - SCOPUS:85126544501
SN - 1090-7165
JO - AIDS and Behavior
JF - AIDS and Behavior
ER -