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Adult Sexual Risk Behavior Among Women With a History of Childhood Sexual Abuse

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ClinicalTrials.gov Identifier: NCT00653575
Recruitment Status : Completed
First Posted : April 7, 2008
Last Update Posted : April 15, 2013
Sponsor:
Collaborator:
Information provided by:

Study Description
Brief Summary:
This study will evaluate whether childhood experiences are related to current sexual behavior of adult women.

Condition or disease Intervention/treatment
HIV Infections Child Abuse, Sexual Behavioral: Information-Motivation-Behavioral Skills model Behavioral: Traumagenic Dynamics model

Detailed Description:

Adverse childhood events, including physical and sexual abuse, can cause significant distress for those affected, during both childhood and adulthood. Childhood abuse appears to increase the risk of a number of negative outcomes later in life, including psychiatric disorders, substance abuse, and HIV and sexually transmitted infections. Previous research has consistently found an association between childhood sexual abuse and greater rates of adult sexual risk behavior. However, improved understanding of how childhood sexual abuse relates to adult sexual risk behavior is needed. The Information-Motivation-Behavioral Skills and Traumagenic Dynamics models are theories used to investigate determinants of sexual behavior and effects of childhood abuse. Using these models to examine the relationship between childhood sexual abuse and adult sexual risk behavior may help in creating effective sexual risk reduction interventions for women abused during childhood. This study will evaluate whether childhood experiences are related to current sexual behavior of adult women. The study will also evaluate which theory, the Information-Motivation-Behavioral Skills model or the Traumagenic Dynamics model, better mediates the relationship between childhood sexual abuse and adult sexual risk behavior.

Participation in this study will include one study visit. Participants will first complete a 45-minute computerized survey that includes questions about childhood experiences; family environment; current health and behavior; attitudes, knowledge, and thoughts about sex and relationships; control over life circumstances; and substance use. Participants will then engage in two brief role plays in which they will either make a request of their partner or must stand up for themselves. For the last part of the visit, participants will be asked questions about condoms and condom use and will be asked to place a condom on a model used in the clinic.


Study Design

Study Type : Observational
Actual Enrollment : 481 participants
Observational Model: Case Control
Time Perspective: Retrospective
Official Title: HIV Risk Among Women With a History of Childhood Sexual Abuse
Study Start Date : August 2008
Primary Completion Date : June 2010
Study Completion Date : June 2010

Resource links provided by the National Library of Medicine

MedlinePlus related topics: HIV/AIDS
U.S. FDA Resources

Groups and Cohorts

Group/Cohort Intervention/treatment
1
Women who report a history of childhood sexual abuse
Behavioral: Information-Motivation-Behavioral Skills model
The Information-Motivation-Behavioral Skills model is an influential and empirically supported theory of health behavior. The model suggests that HIV-related information, motivation, and behavioral skills are important determinants of sexual behavior; thus, childhood sexual abuse may lead to deficits in these areas. This model will be used to guide research interviews.
Behavioral: Traumagenic Dynamics model
The Traumagenic Dynamics model is an influential and empirically supported model of the effects of childhood sexual abuse. The model suggests that childhood sexual abuse leads to traumatic sexualization, stigmatization, betrayal, and powerlessness and that these four traumagenic dynamics lead to adverse outcomes, including increased rates of sexual risk behavior. This model will be used to guide research interviews.
2
Women who do not report a history of childhood sexual abuse
Behavioral: Information-Motivation-Behavioral Skills model
The Information-Motivation-Behavioral Skills model is an influential and empirically supported theory of health behavior. The model suggests that HIV-related information, motivation, and behavioral skills are important determinants of sexual behavior; thus, childhood sexual abuse may lead to deficits in these areas. This model will be used to guide research interviews.
Behavioral: Traumagenic Dynamics model
The Traumagenic Dynamics model is an influential and empirically supported model of the effects of childhood sexual abuse. The model suggests that childhood sexual abuse leads to traumatic sexualization, stigmatization, betrayal, and powerlessness and that these four traumagenic dynamics lead to adverse outcomes, including increased rates of sexual risk behavior. This model will be used to guide research interviews.


Outcome Measures

Primary Outcome Measures :
  1. Number of sexual partners [ Time Frame: Measured at Month 3 ]

Secondary Outcome Measures :
  1. Frequency of unprotected intercourse [ Time Frame: Measured at Month 3 ]
  2. Proportion of episodes of unprotected intercourse [ Time Frame: Measured at Month 3 ]

Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
This study will include women seeking treatment at the Monroe County Health Department STD Clinic.
Criteria

Inclusion Criteria:

  • Understands English

Exclusion Criteria:

  • Impaired mentally
Contacts and Locations

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00653575


Locations
United States, New York
Monroe County Health Department STD Clinic
Rochester, New York, United States, 14611
Sponsors and Collaborators
Syracuse University
National Institute of Mental Health (NIMH)
Investigators
Principal Investigator: Theresa E. Senn, PhD Syracuse University
More Information

Responsible Party: Theresa E. Senn, PhD, Syracuse University
ClinicalTrials.gov Identifier: NCT00653575     History of Changes
Other Study ID Numbers: R21MH083502 ( U.S. NIH Grant/Contract )
DAHBR 9A-ASPQ
First Posted: April 7, 2008    Key Record Dates
Last Update Posted: April 15, 2013
Last Verified: April 2013

Keywords provided by Syracuse University:
Sexual Behavior
HIV
Sexually Transmitted Diseases

Additional relevant MeSH terms:
HIV Infections
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes
Immune System Diseases