Behavioral Health, Mental Health, Substance Abuse
Violence at Last Sexual Experience among Abused Women
(School of Public Health (UMD) Family Science Doctoral Student)
Intimate partner violence (IPV) has been identified as a serious public health issue with substantial negative impacts on women. The present study conducted an exploratory event-level analysis to examine individual-, partner-, and relationship-level correlates of violence at last sexual experience among a sample of 170 community-based women with recent histories of IPV. Bivariate analyses showed that the proportion of respondents experiencing violence at last sex varied as a function of income, education, their own and partner use of alcohol or drugs before last sex, and scores on measures of depression, partner dependence, sexual relationship power, and condom use self-efficacy with partners (all p's <.15). These variables were included in stepwise multivariate logistic regression models. In the final model, greater sexual relationship power predicted decreased odds of violence at last sex (OR = .37, 95% CI: .19-.70), as did greater partner dependence (OR = .70, 95% CI: .51-.97). Partner alcohol consumption before sex increased odds of violence (OR = 4.42, 95% CI: 1.98-9.84). Violence was more likely for respondents with more depressive symptoms (OR = 1.18, 95% CI: 1.03-1.36) and whose household income was less than $15,000 versus $15,000 or more (OR = 3.05, 95% CI: 1.23-7.25). Implications for research and prevention of violence and sexual risk are discussed.