ArticleAIDS care2017
Beyond the syndemic: condom negotiation and use among women experiencing partner violence.
Article in AIDS care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors Associated with Sexual Risks and Risk of STIs, HIV and Other Blood-Borne Viruses Among Women Using Heroin and Other Drugs: A Systematic Literature Review.AIDS and behavior · 2019Pooled it
- Barriers and facilitators to implementing an evidence-based woman-focused intervention in South African health services.BMC health services research · 2017Trial
- Implementation of Trauma-Informed Care into Clinical HIV Prevention and Care Settings: A Decade of Limited Progress.Current HIV/AIDS reports · 2025Review
- Magnitude of Depression and Associated Factors in Women Living With HIV in Northwest, Ethiopia: Mediation Analysis.AIDS research and treatment · 2025Article
- "Killing two birds with one stone" - a qualitative study on women's perspectives on the dual prevention pill in Johannesburg, South Africa.BMC women's health · 2024Article
- Condom Use at Last Sex and Sexual Negotiation Among Young African American Women in North Carolina: Context or Personal Agency.Journal of racial and ethnic health disparities · 2024Article
- Exploring Psychosocial and Structural Syndemic Effects as Predictors of HIV Risk Behaviors Among Black Women (HPTN 064).Journal of women's health (2002) · 2024Article
- Article
- Intimate Partner Violence and the Sexual Health of Sexual Minority Men.LGBT health · 2023Article
- Turning the promise of multipurpose prevention technologies into a market reality: a commentary.Frontiers in reproductive health · 2023Article
- Racial/Ethnic Differences in Alcohol and Drug Misuse Among IPV-Victimized Women: Exploring the Role of Difficulties Regulating Positive Emotions.Journal of interpersonal violence · 2022Article
- Examining the Influence of Trauma Exposure on HIV Sexual Risk Between Men and Women in Post-Conflict Liberia.AIDS and behavior · 2021Article
- Article
- Reproductive coercion, intimate partner violence, and pregnancy risk among adolescent women with a history of foster care involvement.Children and youth services review · 2021Article
- Opportunities and challenges for the introduction of a new female condom among young adults in urban Zambia.Reproductive health · 2019Article
- Pre-exposure prophylaxis for HIV prevention in women: current perspectives.International journal of women's health · 2017Review
- Associations of Drug Use, Violence, and Depressive Symptoms with Sexual Risk Behaviors Among Women with Alcohol Misuse.Women's health issues : official publication of the Jacobs Institute of Women's HealthArticle
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Authors and funding
5 authors.
Funding
Abstract
backgroundHIV and sexually transmitted infections (STIs) disproportionately affect women who experience intimate partner violence (IPV).
objectiveThe current study (1) applied a syndemic framework to study the collective effects of problematic drug use, hazardous drinking, depression, and posttraumatic stress disorder (PTSD) on fear of condom negotiation, condom negotiation, and condom use and (2) evaluated condom negotiation (controlling for fear of condom negotiation) as a mediator of the association between syndemic severity and condom use among low-income IPV-exposed women.
methodsParticipants were 158 women living in the community and experiencing ongoing IPV who completed face-to-face, computer-assisted interviews.
resultsAlmost three-fourths of the participants reported problematic drug use, hazardous drinking, depression, and/or PTSD; many of these factors were correlated, indicating a syndemic. Multivariate logistic and linear regression analyses revealed associations between syndemic severity and fear of condom negotiation (OR = 1.57, p = .02), condom negotiation (β = -8.51, p = .001), and condom use (β = -8.26, p = .01). Meditation analyses identified condom negotiation as a mediator of the association between syndemic severity and condom use (effect = -6.57, SE = 2.01, [95% CI: -10.66, -2.77]).
conclusionsResults fill a critical gap in previous research by identifying condom negotiation as a mechanism through which this syndemic affects condom use. Prevention and intervention programs should consider addressing condom negotiation to reduce sexual risk among this high-risk population. Further, because IPV-exposed women may experience fear related to condom negotiation, it is critical that prevention and intervention efforts for this population offer skills to safely negotiate condom use, increase condom use, and reduce STI and HIV risk.
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