Adult Sexual Risk Behavior Among Women With a History of Childhood Sexual Abuse

HIV Infections Clinical Trial

Official title:

HIV Risk Among Women With a History of Childhood Sexual Abuse

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00653575
• Other study ID #: R21MH083502
• Secondary ID: R21MH083502DAHBR
• Status: Completed
• Phase: N/A
• First received: April 3, 2008
• Last updated: April 12, 2013
• Start date: August 2008
• Est. completion date: June 2010

Study information

• Verified date: April 2013
• Source: Syracuse University
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Federal Government
• Study type: Observational

Clinical Trial Summary

This study will evaluate whether childhood experiences are related to current sexual behavior of adult women.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 481
• Est. completion date: June 2010
• Est. primary completion date: June 2010
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Understands English

Exclusion Criteria:

• Impaired mentally

Study Design

Observational Model: Case Control, Time Perspective: Retrospective

Related Conditions & MeSH terms

• Child Abuse, Sexual
• HIV Infections

Intervention

Behavioral:
• Information-Motivation-Behavioral Skills model
The Information-Motivation-Behavioral Skills model is an influential and empirically supported theory of health behavior. The model suggests that HIV-related information, motivation, and behavioral skills are important determinants of sexual behavior; thus, childhood sexual abuse may lead to deficits in these areas. This model will be used to guide research interviews.
• Traumagenic Dynamics model
The Traumagenic Dynamics model is an influential and empirically supported model of the effects of childhood sexual abuse. The model suggests that childhood sexual abuse leads to traumatic sexualization, stigmatization, betrayal, and powerlessness and that these four traumagenic dynamics lead to adverse outcomes, including increased rates of sexual risk behavior. This model will be used to guide research interviews.

Locations

Country	Name	City	State
United States	Monroe County Health Department STD Clinic	Rochester	New York

Sponsors (2)

Lead Sponsor	Collaborator
Syracuse University	National Institute of Mental Health (NIMH)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of sexual partners		Measured at Month 3	No
Secondary	Frequency of unprotected intercourse		Measured at Month 3	No
Secondary	Proportion of episodes of unprotected intercourse		Measured at Month 3	No