Utilizing longitudinal research, the authors have identified the mediational nature of the process of how traumatic events in childhood lead to increased HIV risk as adults. The book approaches the outcomes of childhood maltreatment systematically; demonstrates for the first time the need to examine the mediators of abuse, the indirect paths from childhood experiences to adult behaviors; offers useful measures of HIV risk based on risky behaviors; presents a feminist analysis of cultural norms that support HIV risk in women.
The research presented clarifies present conceptualizations of interpersonal power, and gender's impact on the process and negotiation of, and desire to engage in, safer sexual practices. Knowing the importance of mediators will enable counselors and therapists to intervene on these variables at an early stage, thereby helping to reduce the incidence of subsequent risky behavior.
Table of Contents
Preface, Acknowledgments, 1. HIV and Women, 2. Childhood Sexual Abuse, 3. A Model for the Relationship Between Childhood Sexual Abuse and HIV Risk, 4. Methodological Considerations and Compromises, 5. Differential Effects of Childhood Sexual Abuse, 6. Preliminary Model Analyses, 7. Longitudinal Model Analyses, 8. Analysis of Model Mediators, 9. Cross-Sample Comparisons Comparisons, 10. Psychosocial Functioning Clusters, 11. Discussion, 12. Implications, Appendix, Author Index, Subject Index
Laura E. Whitmire, Lisa L. Harlow, Kathryn Quina and Patricia J. Morokoff