Coercive Forms of Sexual Risk and Associated Violence Perpetrated by Male Partners of Female Adolescents

Jay G. Silverman · Heather L. McCauley · Michele R. Decker · Elizabeth Penland Miller · Elizabeth Reed · Anita Raj

116 citations0/0 files storedPerspectives on Sexual and Reproductive Health

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Intimate Partner and Family Violence Adolescent Sexual and Reproductive Health Sexual Assault and Victimization Studies

Abstract

CONTEXT: Partner violence is associated with STDs among female adolescents, but the mechanisms underlying this association remain unclear. Sexually coercive and deceptive behaviors of male partners that increase female STD risk may be factors in this relationship. METHODS: A sample of 356 females aged 14-20 who attended adolescent health clinics in Greater Boston between April and December 2006 were assessed for physical and sexual violence perpetrated by male partners and for exposure to sexual risk factors. Adjusted logistic regression models were used to examine the associations between intimate partner violence and standard sexual risk behaviors (e.g., multiple partnerships) and coercive or deceptive sexual risk factors (e.g., coerced condom nonuse). RESULTS: More than two-fifths of the sample had experienced intimate partner violence. In adjusted analyses, adolescents reporting intimate partner violence were more likely than others to report standard sexual risk behaviors--multiple partners, anal sex and unprotected anal sex (odds ratios, 1.7-2.2). They also were more likely to report coercive or deceptive sexual risk factors--partner sexual infidelity, fear of requesting condom use, negative consequences of condom request, and coerced condom nonuse (2.9-5.3). CONCLUSION: The high prevalence of intimate partner violence against young women attending adolescent clinics strongly indicates the need to target this population for abuse-related interventions. This need is underlined by the observed association between partner violence and sexual risk involving coercion or deception by male partners. Clinic-based STD and pregnancy prevention efforts should include assessment of sexual risk factors that are beyond the control of young women, particularly for those experiencing abuse.

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References

1996The Revised Conflict Tactics Scales (CTS2)2004Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa 2006Intimate Partner Violence 2001Dating Violence Against Adolescent Girls and Associated Substance Use, Unhealthy Weight Control, Sexual Risk Behavior, Pregnancy, and Suicidality 1997The effects of an abusive primary partner on the condom use and sexual negotiation practices of African-American women.2000Intimate Partner Violence 2004Dating Violence and Associated Sexual Risk and Pregnancy Among Adolescent Girls in the United States 2001Dating Violence and the Sexual Health of Black Adolescent Females

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2012Transforming the Healthcare Response to Intimate Partner Violence and Taking Best Practices to Scale 2013Recent partner violence and sexual and drug-related STI/HIV risk among adolescent and young adult women attending family planning clinics 2015Reproductive Coercion by Male Sexual Partners: Associations With Partner Violence and College Women’s Sexual Health 2010Male Perpetration of Intimate Partner Violence and Involvement in Abortions and Abortion-Related Conflict

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