Substance Use, Violence, and Sexual Risk Among Young Cis-Gender Women Placed at High-Risk for Human Immunodeficiency Virus Infection

Gabriella Vavala; Qiao Wang; Sergio Jimenez; Wilson E. Ramos; Manuel A. Ocasio; Adriana Romero-Espinoza; Risa Flynn; Robert Bolan; M. Isabel Fernandez; Pearl Doan; Elizabeth Mayfield Arnold; Dallas Swendeman; W. Scott Comulada; Jeffrey D. Klausner

doi:10.1007/s10461-022-03631-7

Substance Use, Violence, and Sexual Risk Among Young Cis-Gender Women Placed at High-Risk for Human Immunodeficiency Virus Infection

Gabriella Vavala
, Qiao Wang
, Sergio Jimenez
, Wilson E. Ramos
, Manuel A. Ocasio
, Adriana Romero-Espinoza
, Risa Flynn
, Robert Bolan
, M. Isabel Fernandez
, Pearl Doan
, Elizabeth Mayfield Arnold
, Dallas Swendeman
, W. Scott Comulada
, Jeffrey D. Klausner

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

The substance use, violence, and AIDS (SAVA) syndemic framework is used to study risk for HIV/AIDS. As a secondary analysis from a large HIV/AIDS prevention study, we categorized participants into having from zero to three SAVA conditions based on the presence or absence of self-reported substance use in the past 4 months, history of lifetime sexual abuse, and intimate partner violence. We used Poisson regression models to examine the association between the number of SAVA conditions and sexual risk behavior. Among all participants (n = 195, median age, 20), 37.9%, 19.5%, and 6.7% reported occurrence of one, two, and all three SAVA conditions, respectively. We found that more than one SAVA condition experienced by women was significantly associated with having more than one sex partner (adjusted prevalence ratio [aPR] = 1.88; 95% confidence interval [CI] = 1.28, 2.76) and with substance use before sex (aPR = 1.61 95% CI = 1.06, 2.45).

Original language	English
Pages (from-to)	3008-3015
Number of pages	8
Journal	AIDS and Behavior
Volume	26
Issue number	9
DOIs	https://doi.org/10.1007/s10461-022-03631-7
State	Published - Sep 2022

Bibliographical note

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

Funding

The study was funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (U19HD089886).

Funders	Funder number
NIH National Institute of Child Health and Human Development National Center for Medical Rehabilitation Research	U19HD089886
Eunice Kennedy Shriver National Institute of Child Health and Human Development

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-022-03631-7

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Vavala, G., Wang, Q., Jimenez, S., Ramos, W. E., Ocasio, M. A., Romero-Espinoza, A., Flynn, R., Bolan, R., Fernandez, M. I., Doan, P., Arnold, E. M., Swendeman, D., Comulada, W. S., & Klausner, J. D. (2022). Substance Use, Violence, and Sexual Risk Among Young Cis-Gender Women Placed at High-Risk for Human Immunodeficiency Virus Infection. AIDS and Behavior, 26(9), 3008-3015. https://doi.org/10.1007/s10461-022-03631-7

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title = "Substance Use, Violence, and Sexual Risk Among Young Cis-Gender Women Placed at High-Risk for Human Immunodeficiency Virus Infection",

abstract = "The substance use, violence, and AIDS (SAVA) syndemic framework is used to study risk for HIV/AIDS. As a secondary analysis from a large HIV/AIDS prevention study, we categorized participants into having from zero to three SAVA conditions based on the presence or absence of self-reported substance use in the past 4 months, history of lifetime sexual abuse, and intimate partner violence. We used Poisson regression models to examine the association between the number of SAVA conditions and sexual risk behavior. Among all participants (n = 195, median age, 20), 37.9\%, 19.5\%, and 6.7\% reported occurrence of one, two, and all three SAVA conditions, respectively. We found that more than one SAVA condition experienced by women was significantly associated with having more than one sex partner (adjusted prevalence ratio [aPR] = 1.88; 95\% confidence interval [CI] = 1.28, 2.76) and with substance use before sex (aPR = 1.61 95\% CI = 1.06, 2.45).",

author = "Gabriella Vavala and Qiao Wang and Sergio Jimenez and Ramos, \{Wilson E.\} and Ocasio, \{Manuel A.\} and Adriana Romero-Espinoza and Risa Flynn and Robert Bolan and Fernandez, \{M. Isabel\} and Pearl Doan and Arnold, \{Elizabeth Mayfield\} and Dallas Swendeman and Comulada, \{W. Scott\} and Klausner, \{Jeffrey D.\}",

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Vavala, G, Wang, Q, Jimenez, S, Ramos, WE, Ocasio, MA, Romero-Espinoza, A, Flynn, R, Bolan, R, Fernandez, MI, Doan, P, Arnold, EM, Swendeman, D, Comulada, WS & Klausner, JD 2022, 'Substance Use, Violence, and Sexual Risk Among Young Cis-Gender Women Placed at High-Risk for Human Immunodeficiency Virus Infection', AIDS and Behavior, vol. 26, no. 9, pp. 3008-3015. https://doi.org/10.1007/s10461-022-03631-7

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AU - Ramos, Wilson E.

AU - Ocasio, Manuel A.

AU - Romero-Espinoza, Adriana

AU - Flynn, Risa

AU - Bolan, Robert

AU - Fernandez, M. Isabel

AU - Doan, Pearl

AU - Arnold, Elizabeth Mayfield

AU - Swendeman, Dallas

AU - Comulada, W. Scott

AU - Klausner, Jeffrey D.

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Substance Use, Violence, and Sexual Risk Among Young Cis-Gender Women Placed at High-Risk for Human Immunodeficiency Virus Infection

Abstract

Bibliographical note

Funding

ASJC Scopus subject areas

UN SDGs

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