Relationship power and sexual risk among women in community-based substance abuse treatment

Aimee N.C. Campbell, Susan Tross, Shari L. Dworkin, Mei Chen Hu, Jennifer I. Manuel, Martina Pavlicova, Edward V. Nunes

    Research output: Contribution to journalArticle

    Abstract

    Relationship power has been highlighted as a major factor influencing women's safer sex practices. Little research, however, has specifically examined relationship power in drug-involved women, a population with increased risk for HIV transmission. Using baseline data from a National Institute on Drug Abuse Clinical Trials Network multisite trial of a women's HIV prevention intervention in community-based drug treatment programs, this paper examined the association between sexual relationship power and unprotected vaginal or anal sex. The Sexual Relationship Power Scale, a measure of relationship control and decision-making dominance, was used to assess the association between power and unprotected sex in relationships with primary male partners. It was hypothesized that increased relationship power would be associated with decreased unprotected sexual occasions, after controlling for relevant empirical and theoretical covariates. Findings show a more complex picture of the association between power and sexual risk in this population, with a main effect in the hypothesized direction for decision-making dominance but not for relationship control. Possible explanations for these findings are discussed, and future research directions for examining power constructs and developing interventions targeting relationship power among drug-involved women are suggested.

    Original languageEnglish (US)
    Pages (from-to)951-964
    Number of pages14
    JournalJournal of Urban Health
    Volume86
    Issue number6
    DOIs
    StatePublished - Nov 1 2009

    Fingerprint

    substance abuse
    Substance-Related Disorders
    community
    Unsafe Sex
    Therapeutics
    drug
    Decision Making
    National Institute on Drug Abuse (U.S.)
    HIV
    Pharmaceutical Preparations
    Safe Sex
    Power (Psychology)
    decision making
    drug abuse
    Sexual Behavior
    Population
    Clinical Trials
    Research

    Keywords

    • HIV/AIDS
    • Relationship power
    • Substance abuse
    • Women

    ASJC Scopus subject areas

    • Health(social science)
    • Public Health, Environmental and Occupational Health

    Cite this

    Campbell, A. N. C., Tross, S., Dworkin, S. L., Hu, M. C., Manuel, J. I., Pavlicova, M., & Nunes, E. V. (2009). Relationship power and sexual risk among women in community-based substance abuse treatment. Journal of Urban Health, 86(6), 951-964. https://doi.org/10.1007/s11524-009-9405-0

    Relationship power and sexual risk among women in community-based substance abuse treatment. / Campbell, Aimee N.C.; Tross, Susan; Dworkin, Shari L.; Hu, Mei Chen; Manuel, Jennifer I.; Pavlicova, Martina; Nunes, Edward V.

    In: Journal of Urban Health, Vol. 86, No. 6, 01.11.2009, p. 951-964.

    Research output: Contribution to journalArticle

    Campbell, ANC, Tross, S, Dworkin, SL, Hu, MC, Manuel, JI, Pavlicova, M & Nunes, EV 2009, 'Relationship power and sexual risk among women in community-based substance abuse treatment', Journal of Urban Health, vol. 86, no. 6, pp. 951-964. https://doi.org/10.1007/s11524-009-9405-0
    Campbell, Aimee N.C. ; Tross, Susan ; Dworkin, Shari L. ; Hu, Mei Chen ; Manuel, Jennifer I. ; Pavlicova, Martina ; Nunes, Edward V. / Relationship power and sexual risk among women in community-based substance abuse treatment. In: Journal of Urban Health. 2009 ; Vol. 86, No. 6. pp. 951-964.
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