Skip to main content
Log in

Partner Violence and Sexual HIV Risk Behaviors Among Women in Methadone Treatment

  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

To examine associations between recent partner violence and sexual HIV risk behaviors and their implications for HIV prevention among women in methadone treatment, we conducted structured interviews covering demographics, drug use, trauma history, partner violence, and sexual risk behavior with 147 sexually active women who were at risk of HIV infection. Almost one third (30.5%) of the women reported that they had been physically or sexually abused by a spouse or boyfriend during the previous year. Multiple logistic regression analysis indicated that after adjusting for potential confounders, recently abused women were less likely to report using condoms (OR = 0.41, CI = 0.17, 0.99) and more likely than non-recently abused women to report having contracted a sexually transmitted disease (STD) (OR = 3.6, CI = 1.6, 8.5), exchanged sex for money (OR = 2.4, CI = 1.1, 5.4), and having had sex with an HIV-infected partner (OR = 2.5, CI = 1.0, 6.1). The study findings underscore the importance of developing HIV-risk reduction strategies that target the specific needs of abused women in drug treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • American Medical Association. (1992). Diagnostic treatment guide-lines on domestic violence. Chicago: Author.

    Google Scholar 

  • Battjes, R. J., Pickens, R. W., and Brown, L. S. (1995). HIV infec-tion and AIDS risk behaviors among injecting drug users entering methadone treatment: An update. Journal of Acquired Immune Deficiency Syndromes and Human Retrovirol-ogy, 10, 90–96.

    Google Scholar 

  • Bennett, L., and Larson, M. (1994). Barriers to cooperation be-tween domestic violence and substance abuse programs. Fam-ilies in Society, 75, 277–286.

    Google Scholar 

  • Berenson, A. B., Stiglich, N. J., Wilkinson, G. S., and Anderson, G. A. (1991). Drug abuse and other risk factors for physical abuse in pregnancy among White non-Hispanic, Black, and Hispanic women. American Journal of Obstetrics and Gyne-cology, 164, 1491–1499.

    Google Scholar 

  • Boyd, C. (1993). The antecedents of women's crack cocaine abuse: Substance abuse, and sexual abuse, depression and illicit drug use. Journal of Substance Abuse Treatment, 10, 433–438.

    Google Scholar 

  • Browne, A. (1993). Violence against women by male partners: Prevalence, outcomes, and policy implications. American Psy-chologist, 48, 1077–1087.

    Google Scholar 

  • Chiasson, M., Stoneburner, R., Lifson, A., Hildebrandt, D., Ewing, W., Schultz, S., and Jaffe, H. W. (1990). Risk factors for human immunodeficiency virus type 1 (HIV-1) infection in-patients at a sexually transmitted disease clinic in New York City. American Journal of Epidemiology, 131, 208–220.

    Google Scholar 

  • Downs, W., Miller, B., Testa, M., and Panek, D. (1992). The long-term effects of parent-to-child violence for women. Journal of Interpersonal Violence, 7, 365–382.

    Google Scholar 

  • Eby, K. K., Campbell, J. C., Sullivan, C. M., and Davidson II, W. S. (1995). Health effects of experiences of sexual violence for women with abusive partners. Health Care for Women International, 16, 563–576.

    Google Scholar 

  • Edlin, B., Irwin, K., Faruque, S., McCoy, C. B., Word, C., Serrano, Y., Inciardi, J., Bowser, B., Schilling, R., and Holmberg, S. (1994). Intersecting epidemics: Crack cocaine use and HIV infection among inner-city young adults. New England Jour-nal of Medicine, 331, 1422–14227.

    Google Scholar 

  • Edlin, B. R., Irwin, K. L., Ludwig, D. D., McCoy, H. V., Serrano, Y., Word, C., Bowser, B. P., Faruque, S., McCoy, C. B., Schil-ling, R. F., and Holmberg, S. D. (1992). High-risk sex behavior among young street-recruited crack cocaine smokers in three American cities: An interim report. Journal of Psychoactive Drugs, 24, 363–371.

    Google Scholar 

  • El-Bassel, N., Gilbert, L., Krishnan, S., Gaeta, T., Schilling, R., and Witte, S. (1998). Partner abuse and sexual risk behavior among women receiving care from emergency departments. Violence and Victims, 13, 1–7.

    Google Scholar 

  • El-Bassel, N., Gilbert, L., Schilling R. F., Catan, V., Wada, T., and Friedman, E. (1997a). Partner abuse and drug use among women on methadone. Presented at the American Public Health Association 12th Annual Meeting and Exposition, In-dianapolis, Indiana.

  • El-Bassel, N., Ivanoff, A., Schilling, R. F., Gilbert, L., and Safyer, S. (1995). Correlates of problem drinking among drug-using incarcerated women. Addictive Behaviors, 20, 359–369.

    Google Scholar 

  • El-Bassel, N., Schilling, R., Irwin, K., Faruque, S., Gilbert, L., Von Bargen, J., Serrano, Y., and Edlin, B. (1997b). Sex-trading and psychological distress among women recruited from the streets of Harlem. American Journal of Public Health, 87, 66–70.

    Google Scholar 

  • Gielen, A., O'Campo, P., Faden, R., and Eke, A. (1997). Women's disclosure of HIV status: Experiences of mistreatment and violence in an urban setting. Women and Health, 25, 19–31.

    Google Scholar 

  • Gilbert, L., El-Bassel, N., and Schilling, R. F. (1997). Childhood abuse as a risk for partner abuse among women in methadone maintenance. American Journal of Drug and Alcohol Abuse, 23, 581–595.

    Google Scholar 

  • Harlow, L., Quina, K., Morokoff, P., Rose, J., and Grimley, D. (1993). HIV risk in women: A multifaceted model. Journal of Applied Biobehavioral Research, 1, 3–38.

    Google Scholar 

  • Hosmer, D., and Lemeshaw, S. (1989). Applied logistic regression. ew York: Wiley.

    Google Scholar 

  • Jemmott, L., and Jemmott, J. (1992). Applying the theory of rea-soned action to AIDS risk behavior: Condom use among Black women. Nursing Research, 40, 228–238.

    Google Scholar 

  • Johnsen, L. (1995). The relationship between sexual victimization and HIV risk behavior and attitudes in a community sample of women, Dissertation, University of Rhode Island, Kingston, Rhode Island.

  • Koss, M. P., and Heslet, L. (1992). Somatic consequences of vio-lence against women. Archives of Family Medicine, 1, 53–59.

    Google Scholar 

  • Marshall, L. L., and Rose, P. (1990). Premarital violence: The impact of family of origin violence, stress, and reciprocity. Violence and Victims, 5, 51–64.

    Google Scholar 

  • Martin, S., Matza, L., Kupper, L., and Daly, M. (1997, November 12). Is domestic violence a risk factor for sexually transmitted diseases among pregnant women? Paper presented at the American Public Health Association Meeting, Indianapolis, Indiana.

  • Mason, A., and Blankenship, V. (1987). Power and affiliation moti-vation, stress, and abuse in intimate relationships. Journal of Personality and Social Psychology, 52, 203–210.

    Google Scholar 

  • Miller, B. A. (1990). The interrelationships between alcohol and drugs and family violence. National Institute on Drug Abuse Monograph, 103, 177–207.

    Google Scholar 

  • Miller, B. A., Nochajski, T., Leonard, K., Blane, H., Gondoli, D., and Bowers, P. (1990). Spousal violence and alcohol/drug problems among parolees and their spouses. Women and Criminal Justice, 1, 55–72.

    Google Scholar 

  • Monti-Catania, D. (1997). Women, violence, and HIV/AIDS. In N. Goldstein and J. Manlowe (Eds.), The gender politics of HIV/AIDS in women (pp. 242–251). New York: New York University Press.

    Google Scholar 

  • Morrill, A., and Ickovics, J. (1996, July). Surviving abuse and HIV risk: How women's experience of abuse shapes their heterosex-ual risk for HIV. Presented at the XI International Conference on AIDS, Vancouver, Canada.

  • Neighbors, H., Jackson, J., Broman, C., and Thompson, E. (1996). Racism and the mental health of African Americans: The role of self and system blame. Ethnicity and Disease, 6, 167–175.

    Google Scholar 

  • North, R., and Rothenberg, K. (1993). Partner notification and the threat of domestic violence against women with HIV infection. New England Journal of Medicine, 329, 1194–1196.

    Google Scholar 

  • O'Leary, A., and Jemmott, L. S. (1995). General issues in the prevention of AIDS in women. In A. O'Leary and L. S. Jemmott (Eds.), Women at risk: Issues in the primary prevention of AIDS (pp. 159–174). New York: Plenum Press.

    Google Scholar 

  • Orr, M., Glebatis, D., Friedman, P., Des Jarlais, D., and Prevots, D. (1996). Incidence of HIV infection in a New York City methadone maintenance treatment program. [Letter]. Journal of the American Medical Association, 276, 99.

    Google Scholar 

  • Perry, S., Jacobsberg, L., Card, C. A., L., Ashman, T., Frances, A., and Fishman, B. (1993). Severity of psychiatric symptoms after HIV testing. American Journal of Psychiatry, 150, 775–779.

    Google Scholar 

  • Plichta, S. B., and Abraham, C. (1996). Violence and gynecological health in women _50 years old. American Journal of Obstet-rics and Gynecology, 174, 903–907.

    Google Scholar 

  • Quina, K., Harlow, L., Morokoff, P., and Saxon, S. (1997). Interper-sonal power and women's HIV risk. In N. Goldstein and J. Manlowe (Eds.), The gender politics of HIV/AIDS in women (pp. 188–201). New York: New York University Press.

    Google Scholar 

  • Rothenberg, K., and Paskey, S. (1995). The risk of domestic vio-lence and women with HIV infection: Implications for partner notification, public policy, and the law. American Journal of Public Health, 85, 1569–1576.

    Google Scholar 

  • Rothenberg, K., Paskey, S., Reuland, M., Zimmerman, S., and North, R. (1995). Domestic violence and partner notification: Implications for treatment and counseling of women with HIV. Journal of the American Medical Women's Association, 50 , 87–93.

    Google Scholar 

  • Russell, D. (1982). Rape in marriage. New York: Macmillan.

    Google Scholar 

  • Siddiqui, N., Brown, L., Meyer, T., and Gonzalez, V. (1993). Decline in HIV-1 seroprevalence and low seroconversion rate among injecting drug users at a methadone maintenance pro-gram in New York City. Journal of Psychoactive Drugs, 25, 245–250.

    Google Scholar 

  • Straus, M. (1980). Social stress and marital violence in a national sample of American families. Annals of the New York Acad-emy of Sciences, 347, 229–250.

    Google Scholar 

  • Van der Straten, A., King, R., Grinstead, O., Serufilira, A., and Allen, S. (1995). Couple communication, sexual coercion and HIV risk reduction in Kigali, Rwanda. AIDS, 9, 935–944.

    Google Scholar 

  • Wingood, G., and DiClimente, R. (1997). The effects of an abusive primary partner on condom use and sexual negotiation practices of African-American women. American Journal of Public Health, 87, 1016–1018.

    Google Scholar 

  • Zierler, S. (1997). Hitting hard: HIV and violence. In N. Goldstein and J. Manlowe (Eds.), The gender politics of HIV/AIDS in women (pp. 207–221). New York: New York University Press.

    Google Scholar 

  • Zierler, S., Feingold L., Laufer, D., Velentgas, P., Kantrowitz-Gordon, I., and Mayer, K. (1991). Adult survivors of child-hood sexual abuse and subsequent risk of HIV infection. American Journal of Public Health, 81, 572–575.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gilbert, L., El-Bassel, N., Schilling, R.F. et al. Partner Violence and Sexual HIV Risk Behaviors Among Women in Methadone Treatment. AIDS Behav 4, 261–269 (2000). https://doi.org/10.1023/A:1009568718804

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1009568718804

Navigation