HIV Infections Clinical Trial
Official title:
HIV Risk Among Women With a History of Childhood Sexual Abuse
This study will evaluate whether childhood experiences are related to current sexual behavior of adult women.
Adverse childhood events, including physical and sexual abuse, can cause significant
distress for those affected, during both childhood and adulthood. Childhood abuse appears to
increase the risk of a number of negative outcomes later in life, including psychiatric
disorders, substance abuse, and HIV and sexually transmitted infections. Previous research
has consistently found an association between childhood sexual abuse and greater rates of
adult sexual risk behavior. However, improved understanding of how childhood sexual abuse
relates to adult sexual risk behavior is needed. The Information-Motivation-Behavioral
Skills and Traumagenic Dynamics models are theories used to investigate determinants of
sexual behavior and effects of childhood abuse. Using these models to examine the
relationship between childhood sexual abuse and adult sexual risk behavior may help in
creating effective sexual risk reduction interventions for women abused during childhood.
This study will evaluate whether childhood experiences are related to current sexual
behavior of adult women. The study will also evaluate which theory, the
Information-Motivation-Behavioral Skills model or the Traumagenic Dynamics model, better
mediates the relationship between childhood sexual abuse and adult sexual risk behavior.
Participation in this study will include one study visit. Participants will first complete a
45-minute computerized survey that includes questions about childhood experiences; family
environment; current health and behavior; attitudes, knowledge, and thoughts about sex and
relationships; control over life circumstances; and substance use. Participants will then
engage in two brief role plays in which they will either make a request of their partner or
must stand up for themselves. For the last part of the visit, participants will be asked
questions about condoms and condom use and will be asked to place a condom on a model used
in the clinic.
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Observational Model: Case Control, Time Perspective: Retrospective
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