Dating violence and unsafe sexual behavior represent major public health concerns that disproportionately affect young AA women.1-3 This R01 proposal responds to the Research on Teen Dating Violence program by requesting funds to build on an NIH-funded longitudinal study of African American (AA) adolescent women from low-income, urban neighborhoods in Chicago. Consistent with the goals of the program, the proposed etiological research is aimed at providing a better understanding of the precursors and consequences of teen dating violence through use of longitudinal, multivariate analyses to examine pathways from early violence exposure to dating violence and unsafe sexual behavior in late adolescence. AA women ages 18-22 represent the demographic group at highest risk for both intimate partner violence (IPV)1, 4-6 and sexually transmitted infections (STIs).2, 7 Dating violence is a health concern not only because of direct physical and emotional risks, but also due to increased risk of unsafe sexual behavior in violent relationships.8, 9 The specific aims of this project are to: (1) Prospectively examine the pathway from violence exposure to dating violence and unsafe sexual behavior;(2) Longitudinally examine relationships between dating violence, unsafe sexual behavior, and STIs;and (3) Examine physiological, psychological, and relational mechanisms that may explain the pathway from violence exposure to both dating violence and unsafe sexual behavior. Adolescent girls who participated in a 2-year longitudinal study focused on HIV risk behavior (N=265;G. Donenberg, PI) are being asked to complete a comprehensive assessment of lifetime trauma and victimization history in 2009-2010 (H. Wilson, PI), with the aim of examining relationships between childhood violence exposure and risky sexual behavior in adolescence. The goal of the proposed study is to re-contact all participants who completed the trauma assessment and invite them to participate in a new wave of data collection to understand romantic relationships in late adolescence (ages 18-22). To capture the interactive processes that contribute to violence and unsafe sex in romantic relationships, we will also attempt to interview a romantic partner of each young woman and observe a structured interaction between the two. The proposed study will expand upon previous work in a number of innovative ways that include: (1) broadening relationship risk to dating violence;(2) assessing romantic partners;and (3) measuring biological markers of physiological stress response and sexually transmitted infections. Using multiple measures and methods (self report, partner report, observation, official records, and biological markers), we will examine links among early violence exposure, teen dating violence, and unsafe sexual behavior, and we will examine mechanisms that may explain the pathway from early violence exposure to dating violence and unsafe sexual behavior in late adolescent relationships. These findings can be used to develop culturally tailored, gender sensitive interventions to foster healthy romantic and sexual relationships in young African American women with histories of violence exposure.

Public Health Relevance

Dating violence and unsafe sex represent major public health concerns that take place within romantic relationships and disproportionately affect young, urban African American (AA) women. The proposed study will examine pathways from early violence exposure to dating violence and unsafe sex in a sample of low- income, urban AA women at ages 18-22. Results will yield information that can be used to foster healthy dating relationships in late adolescent urban AA women.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
5R01HD067511-04
Application #
8607975
Study Section
Psychosocial Development, Risk and Prevention Study Section (PDRP)
Program Officer
Maholmes, Valerie
Project Start
2012-03-01
Project End
2015-02-28
Budget Start
2014-03-01
Budget End
2015-02-28
Support Year
4
Fiscal Year
2014
Total Cost
$435,608
Indirect Cost
$61,624
Name
Stanford University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
009214214
City
Stanford
State
CA
Country
United States
Zip Code
94305
Wilson, Helen W; Pettineo, Laura; Edmonds, Alexus et al. (2015) From violence exposure to development of sexual risk in low-income urban girls: the role of psychopathology. Child Psychiatry Hum Dev 46:270-80
Wilson, Helen W; Donenberg, Geri R; Emerson, Erin (2014) Childhood violence exposure and the development of sexual risk in low-income African American girls. J Behav Med 37:1091-101
Woods-Jaeger, Briana A; Jaeger, Jeffrey A; Donenberg, Geri R et al. (2013) The relationship between substance use and sexual health among African-American female adolescents with a history of seeking mental health services. Womens Health Issues 23:e365-71
Wilson, Helen W; Emerson, Erin; Donenberg, Geri R et al. (2013) History of sexual abuse and development of sexual risk behavior in low-income, urban African American girls seeking mental health treatment. Women Health 53:384-404