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Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment.

Journal of Urban Health 2009;86(6):951-964. [doi: 10.1007/s11524-009-9405-0]

Aimee N. C. Campbell, PhD (New York State Psychiatric Institute, LI Node), Susan Tross, PhD (New York State Psychiatric Institute, LI Node), Shari L. Dworkin, PhD (New York State Psychiatric Institute, LI Node), Mei-Chen Hu, PhD (Columbia University Mailman School of Public Health, NY Node), Jennifer Knapp Manuel, MSW (Center on Alcoholism, Substance Abuse and Addictions (CASAA), University of New Mexico), Martina Pavlicova, PhD (University of Pennsylvania, DV Node), Edward V. Nuñes, MD (Columbia University and New York State Psychiatric Institute, LI Node).

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 Drug Abuse Treatment Clinical Trials Network multisite trial of a women's HIV prevention intervention in community-based drug treatment programs, this paper examines 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. (Article (Peer-Reviewed), PDF, English, 2009)

Keywords: Community health services | Condom use | CTN platform/ancillary study | Gender-specific interventions | HIV/AIDS | Sexual Relationship Power Scale (SRPS) | Sexual risk behavior | Sexually transmitted diseases | Women | Journal of Urban Health (journal)

Document No: 404, PMID: 19921541, PMCID: PMC2791824

Submitted by CTN Dissemination Librarians (12/9/2009).

Campbell, Aimee N. C. search mail
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