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Sexual Abuse and Sexual Risk Behaviors of Minority Women with Sexually Transmitted Diseases

School of Nursing, The University of Texas Health Science Center at San Antonio

Rochelle N. Shain

Department of Obstetrics and Gynecology, The University of Texas Health Science Center at San Antonio

Jeanna Piper

Department of Obstetrics and Gynecology, The University of Texas Health Science Center at San Antonio

Sondra T. Perdue

Department of Microbiology, The University of Texas Health Science Center at San Antonio

The relationship between sexual abuse and sexually transmitted disease (STD) represents an important and underinvestigated context of domestic violence. This study examined the association between sexual abuse, sexual risk behaviors, and risk for reinfection and HIV among minority women with STD. Mexican American and African American women (n = 617) with active STD entered a randomized study of behavioral intervention to reduce STD recurrence. Each underwent questioning at entry regarding sexual abuse and sexual risk behaviors. Comparisons of these behaviors using chi-square, t tests, and logistic regression were made by history of sexual abuse. Sexually abused women were more likely to have lower incomes, earlier coitus, STD history, currently abusive partners, new sex partners, anal sex, and bleeding with sex, placing them at increased risk for STD reinfection and HIV. Due to this association with sexual risk behavior, assessment for sexual abuse is essential in programs focusing on STD/HIV prevention.

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