THE RELATIONSHIP OF SEXUAL ABUSE AND HIV RISK BEHAVIORS AMONG HETEROSEXUAL ADULT FEMALE STD PATIENTS

Some effects of sexual abuse, for example, heightened sexual activity, are also risk factors for infection with the human immunodeficiency v irus (HN). Moreover, Social Cognitive theory suggests that the reduced self-esteem and increased sexual arousal that can result from abuse m ight alter self-efficacy for performing a behavior and expected outcom es of the behavior, making adoption of preventive behavior more diffic ult. Studies in the general population, adolescents, and male clients of sexually transmitted disease (STD) clinics, have found associations between childhood sexual abuse and HIV risk behaviors. This study was designed to measure: (a) whether the association persists among femal e STD clinic clients; and (b) whether sexual abuse is associated with self-efficacy for condom use or condom use outcome expectations. Among the 83 female STD clinic clients studied those sexually abused before age 18 had more sexual partners (p < .05), more positive hedonic outc ome expectations for condom use (p < .01), and fewer positive partner- related outcome expectations for condom use (p < .05) than those never forced to have sex against their will. In summary, HIV risk behavior among female STD clients varies with childhood sexual abuse and Social Cognitive Theory suggests future directions for prevention. Copyright (C) 1997 Elsevier Science Ltd.