Impact of abuse history on adolescent African American women's current HIV/STD-associated behaviors and psychosocial mediators of HIV/STD risk

Jennifer L. Brown, April M. Young, Jessica M. Sales, Ralph J. Diclemente, Eve S. Rose, Gina M. Wingood

Research output: Contribution to journalArticle


This study examined if relationship power, sex refusal self-efficacy, or fear of condom negotiation mediated the relationship between abuse history and consistent condom use (CCU) among African American female adolescents (N = 593). Participants with an abuse history (58%) were less likely to report CCU. Women with an abuse history reported less relationship power and self-efficacy for refusing sex and more fear of condom negotiation, none of which independently or jointly mediated the association between abuse and CCU. Notably, history of abuse was associated with CCU across mediator models despite inclusion of psychosocial mediators. This study demonstrates the importance of understanding adolescents'condom use behaviors within the context of their life experiences, especially past abuse history.

Original languageEnglish (US)
Pages (from-to)151-167
Number of pages17
JournalJournal of Aggression, Maltreatment and Trauma
Issue number2
StatePublished - Feb 7 2014



  • Abuse
  • African american
  • Condom use
  • Sexually transmitted disease

ASJC Scopus subject areas

  • Health Professions (miscellaneous)
  • Clinical Psychology
  • Psychiatry and Mental health

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