Published online August 1, 2005
PEDIATRICS Vol. 116 No. 2 August 2005, pp. e272-e276 (doi:10.1542/peds.2005-0194)
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ELECTRONIC ARTICLE

Dating Violence and Sexually Transmitted Disease/HIV Testing and Diagnosis Among Adolescent Females

Michele R. Decker, MPH*, Jay G. Silverman, PhD* and Anita Raj, PhD{ddagger}

* Harvard School of Public Health, Department of Society, Human Development, and Health and Division of Public Health Practice, Boston, Massachusetts
{ddagger} Boston University School of Public Health, Department of Social and Behavioral Sciences, Boston, Massachusetts

Objective.Previous studies demonstrate significant associations between dating-violence victimization and sexual risk behaviors among adolescent girls; however, a relationship between dating violence and actual sexually transmitted disease (STD)/HIV testing and diagnosis has yet to be investigated among a representative sample. The present study assesses associations between dating violence and STD/HIV testing and diagnosis among a representative sample of sexually active adolescent girls.

Methods.Data from 9th- to 12th-grade female students completing the 1999 and 2001 Massachusetts Youth Risk Behavior Surveys and reporting having ever had sexual intercourse (N = 1641) were examined. Odds ratios for STD/HIV testing and diagnosis that were based on experiences of dating violence and adjusted for STD/HIV risk behaviors and demographics were calculated.

Results.More than one third (38.8%) of adolescent girls tested for STD or HIV and more than half (51.6%) of girls diagnosed with STD/HIV reported experiencing dating violence. Compared with nonabused girls, girls who experienced both physical and sexual dating violence were 3.0 times more likely to have been tested for STD and HIV, and 2.6 times more likely to report an STD diagnosis.

Conclusions.After adjusting for STD/HIV risk behaviors, dating violence remains significantly associated with STD/HIV testing and diagnosis among sexually active adolescent girls.

Key Words: STD/HIV • dating violence • adolescent health • Youth Risk Behavior Survey

Abbreviations: STD, sexually transmitted disease • YRBS, Youth Risk Behavior Survey • CI, confidence interval • OR, odds ratio

Accepted Feb 28, 2005.


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