1 Department of Psychology, University of Rhode Island, Kingston, RI, USA.
2 RTI International, Durham, NC, USA.
Child Maltreat. 2019 Feb;24(1):26-35. doi: 10.1177/1077559518793228. Epub 2018 Aug 19.
Women who experience intimate partner violence (IPV) report high rates of HIV/sexual risk behaviors. Childhood abuse has been linked to HIV/sexual risk behaviors among IPV-victimized women; however, limited research has examined factors that may influence this association. The current study tested the moderating role of avoidant coping in the relation between childhood abuse types (physical, emotional, and sexual) and HIV/sexual risk behaviors. Participants were 212 community women currently experiencing IPV (mean age = 36.63 years, 67.0% African American). Higher levels of avoidant coping were related to more severe childhood abuse types. Severity of childhood abuse types was associated with greater HIV/sexual risk behaviors. Avoidant coping moderated the relation between childhood sexual abuse severity and HIV/sexual risk behaviors, such that this association was significant for IPV-victimized women with high (but not low) levels of avoidant coping. Findings suggest the utility of targeting avoidant coping in interventions aimed at preventing or reducing HIV/sexual risk behaviors among IPV-victimized women with a history of childhood sexual abuse.
经历亲密伴侣暴力（IPV）的女性报告了很高的 HIV/性风险行为率。童年期虐待与受 IPV 影响的女性中的 HIV/性风险行为有关；然而，很少有研究探讨可能影响这种关联的因素。本研究检验了回避应对在童年期虐待类型（身体、情感和性）与 HIV/性风险行为之间的关系中的调节作用。参与者为 212 名目前正在经历 IPV 的社区女性（平均年龄=36.63 岁，67.0%为非裔美国人）。较高水平的回避应对与更严重的童年期虐待类型有关。童年期虐待类型的严重程度与更大的 HIV/性风险行为有关。回避应对调节了童年期性虐待严重程度与 HIV/性风险行为之间的关系，对于具有高（而非低）回避应对水平的经历过童年期性虐待的 IPV 受害女性，这种关联具有显著性。研究结果表明，在针对有童年期性虐待史的 IPV 受害女性预防或减少 HIV/性风险行为的干预措施中，针对回避应对的措施具有实用性。
