209259 Relationship between condom use and sexual intimate partner violence in college-aged females

Monday, November 9, 2009

Danielle Davidov, BA , Department of Community Medicine, West Virginia University, Morgantown, WV
Background: Intimate partner violence (IPV) is associated with deleterious consequences to a woman's physical, emotional, and sexual health; however, forced or unwanted sex by an intimate partner (sexual IPV) is often not examined separately in the literature. Violent relationships can leave victims with a disorganized self-image, feelings of powerlessness, and less concern for health which can render women vulnerable to myriad negative health consequences, including sexual risk-taking behaviors (i.e., condom misuse), unwanted pregnancy, or sexually-transmitted infections. Furthermore, college-aged women are at a particularly high risk for sexual assault relative to alcohol abuse; therefore it was hypothesized that females who have experienced sexual IPV would be less likely to use condoms. Methods: The current study sought to explore the association between lifetime sexual IPV and condom use at last intercourse. A survey was administered to college students (N=500) from a large public university. Chi-square tests of independence and logistic regression analyses were used to determine differences in condom use among victims and non-victims of sexual IPV. Results: Bivariate analyses revealed significant differences between groups relative to condom use. Analyses revealed that women who have ever experienced forced or unwanted sexual intercourse were almost twice as likely to report not using a condom at last intercourse. Conclusions: The results of this study suggest that women who have been victims of sexual IPV may face challenges regarding condom negotiation and use. Professionals working with victims of IPV should be aware of the issues surrounding contraceptive use, STIs and violent relationships.

Learning Objectives:
1) List at least three negative health consequences associated with sexual intimate partner violence. 2)Assess the impact of sexual IPV on condom use, misuse, and negotiation in a sample of college females.

Keywords: Condom Use, Domestic Violence

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have presented at several other conferences and traveled to APHA in the past, however, not as a presenter. I have been and currently am involved in research regarding and service to women who have experienced violence and the effects of violence on women's reproductive health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.