State of the Evidence: Intimate Partner Violence and HIV/STI Risk Among Adolescents
Puja Seth, Ralph J. DiClemente and Amy E. Lovvorn
Affiliation: Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1600 Clifton Rd NE; MS E-59, Atlanta, GA 30333, USA.
This paper provides a critical narrative review of the scientific literature on intimate partner violence (IPV) and
risky sexual behavior as well as sexually transmitted infections (STIs) among adolescents, aged 14-24 years. Intimate
partner violence has been associated with a number of high risk sexual behavior, including inconsistent condom use,
multiple sexual partners, earlier sexual debut, consuming substances while engaging in sexual behavior, and sexually
transmitted infections among adolescents. An electronic search of the literature was performed using PubMed/MEDLINE,
PsycINFO, and Web of Science and articles from January 2000 - June 2013 were reviewed. Search terms included a
combination of keywords for IPV, HIV/STI risk, and adolescents. The findings from the review indicated that IPV was
associated with inconsistent condom use, STIs, early sexual debut, multiple sexual partners, and other HIV/STI-associated
risk factors among adolescents. HIV/STI interventions for female adolescents often focus on increasing behavioral and
cognitive skills, specifically condom negotiation. However, within the context of an abusive relationship, it becomes
challenging for adolescents to enact these skills, where this behavior could potentially place them at greater risk.
Components that address violence are necessary within HIV prevention programming. Additionally, integration of IPV
screening within healthcare settings is important along with a combined approach that merges resources from healthcare,
social, and community-level settings.
Keywords: Adolescents, HIV/AIDS, intimate partner violence, review, risky sexual behavior, sexually transmitted infections.
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