ArticleJournal of general internal medicine2014
Sexual minority status and violence among HIV infected and at-risk women.
Article in Journal of general internal medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Exploring HIV Risk Among Sexual Minority Women by Identity and Behavior in a Population-Based Sample of Low-Income Heterosexually Active Women.LGBT health · 2025Article
- Patterns of intimate partner violence among black women in community supervision programs who use drugs: a latent class analysis.Health & justice · 2025Article
- Mental health and the role of social support in the lives of vulnerabilized sexual minority women.PloS one · 2025Article
- Health Care Utilization and Care-seeking Behavior Among Vulnerabilized Sexual Minority Women: A Social-ecological Approach.Journal of health care for the poor and underserved · 2024Article
- Intimate Partner Violence Among Sexual Minority Women: A Scoping Review.Trauma, violence & abuse · 2023Article
- The Importance of Sexual Orientation in the Association Between Social Cohesion and Client Condom Coercion Among Women Who Exchange Sex in Baltimore, Maryland.AIDS and behavior · 2022Article
- Intimate Partner Violence Experienced by Adults With Diagnosed HIV in the U.S.American journal of preventive medicine · 2021Article
- Age and Sex Disparities in Sexual Trauma, Depressive Symptoms, and Antiretroviral Adherence Among People Living with HIV in the Deep South: A Mediation Analysis.Archives of sexual behavior · 2021Article
- Prospective Risk for Incapacitated Rape Among Sexual Minority Women: Hookups and Drinking.Journal of sex research · 2020Article
- Structural vulnerabilities and HIV risk among sexual minority female sex workers (SM-FSW) by identity and behavior in Baltimore, MD.Harm reduction journal · 2020Article
- Social Stability Relates Social Conditions to the Syndemic of Sex, Drugs, and Violence.Journal of urban health : bulletin of the New York Academy of Medicine · 2020Article
- Health Risk Behaviors in a Representative Sample of Bisexual and Heterosexual Female High School Students in Massachusetts.The Journal of school health · 2016Article
- Capsule Commentary on Pyra et al., sexual minority status and violence among HIV infected and at-risk women.Journal of general internal medicine · 2014Article
- Access to and quality of care for sexual and gender minority women living with HIV in Metro Vancouver, Canada: Results from a longitudinal cohort study.Women's health (London, England)Article
- Lifetime sexual violence exposure in women compromises systemic innate immune mediators associated with HIV pathogenesis: A cross-sectional analysis.Women's health (London, England)Article
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Authors and funding
7 authors.
Funding
Abstract
importanceSexual minority women with and at-risk for human immunodeficiency virus (HIV) may face increased risks of violence.
objectiveTo understand the relationship between sexual minority status and violence; and how high-risk sex and substance use mediate that relationship among women with and at-risk for HIV. DESIGN &
participantsLongitudinal study of 1,235 HIV infected and 508 uninfected women of the Women's Interagency HIV Study (WIHS) cohort, from New York City, NY, Chicago, IL, Washington D.C., and San Francisco, CA, 1994-2012. MAIN MEASURES: Primary exposures are sexual identity (heterosexual, bisexual, lesbian/gay) and sexual behavior (male, female, or male & female partners). Primary outcomes are sexual abuse, intimate partner violence (IPV) and physical violence; high-risk sex and substance use were examined as mediators. KEY
resultsBisexual women were at increased odds for sexual abuse [aOR 1.56 (1.00, 2.44)], IPV [aOR 1.50 (1.08, 2.09)], and physical violence [aOR 1.77 (1.33, 2.37)] compared to heterosexual women. In a separate analysis, women who reported sex with men and women (WSMW) had increased odds for sexual abuse [aOR 1.65 (0.99, 2.77], IPV [aOR 1.50 (1.09, 2.06)] and physical violence [aOR 2.24 (1.69, 2.98)] compared to women having sex only with men (WSM). Using indirect effects, multiple sex partners, cocaine and marijuana were significant mediators for most forms of abuse. Transactional sex was only a mediator for bisexual women. Women who reported sex only with women (WSW) had lower odds of sexual abuse [aOR 0.23 (0.06, 0.89)] and physical violence [aOR 0.42 (0.21, 0.85)] compared to WSM.
conclusionsWomen who identify as bisexual or report both male and female sex partners are most vulnerable to violence; multiple recent sex partners, transactional sex and some types of substance use mediate this relationship. Acknowledging sexual identity and behavior, while addressing substance use and high-risk sex in clinical and psychosocial settings, may help reduce violence exposure among women with and at-risk for HIV.
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