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Predictors of Relationship Power Among Drug-Involved Women.

AIDS & Behavior 2012;16(6):1532-1541. [doi: 10.1007/s10461-012-0208-z]

Aimee N. C. Campbell, PhD, MSW (New York State Psychiatric Institute, GNY Node), Susan Tross, PhD (New York State Psychiatric Institute, GNY Node), Mei-Chen Hu, PhD (Columbia University, GNY Node), Martina Pavlicova, PhD (Columbia University, GNY Node), Edward V. Nunes, MD (New York State Psychiatric Institute, GNY Node).

Gender-based relationship power is frequently linked to women's capacity to reduce sexual risk behaviors. This ancillary investigation of data drawn from the baseline assessment of the National Drug Abuse Treatment Clinical Trials Network's protocol CTN-0019 ("Reducing HIV/STD Risk Behaviors: A Research Study for Women in Drug Abuse Treatment") offers an exploration of predictors of relationship power among women in outpatient substance abuse treatment, as measured by the multidimensional and theoretically grounded Sexual Relationship Power Scale. Linear models were used to test nine predictors (age, race/ethnicity, education, time in treatment, economic dependence, substance use, sexual concurrency, partner abuse, and sex role orientation) of relationship power among 513 women participating in a multi-site HIV risk reduction intervention study. Significant predictors of relationship control included having a non-abusive male partner, only one male partner, and endorsing traditional masculine (or both masculine and feminine) sex role attributes. Predictors of decision-making dominance were interrelated, with substance use x partner abuse and age x sex role orientation interactions. This study makes a unique contribution to research on sexual relationships and provides support for the continued examination of factors that impact women's relationship power, as well as the interaction of those factors. Given the empirical evidence supporting the association between relationship power and sexual risk behavior, HIV risk reduction interventions must include components that target the unique context of women’s lives, and diverse experiences of power within heterosexual partnerships. Results of this investigation contribute to the understanding of factors which may influence relationship power and their potential role in HIV sexual risk reduction interventions. (Article (Peer-Reviewed), PDF, English, 2012)

Keywords: Behavior therapy | Condom use | CTN platform/ancillary study | Gender-specific interventions | HIV/AIDS | Sexual risk behavior | Sexually transmitted diseases | Women | AIDS and Behavior (journal)

Document No: 824. PMID: 22614746, PMCID: PMC3419582.
Submitted by CTN Dissemination Librarians, 5/31/2012.

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