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JD Champion , A Longoria, D Reid RN Shain, JM Piper, S Perdue

Qualitative Assessment of the Cognitive Difference Among Abused and Nonabused Minority Women with STD: Implications for Behavioral Interventions. JD Champion , A Longoria, D Reid RN Shain, JM Piper, S Perdue The University of Texas Health Science Center San Antonio, TX. Background.

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JD Champion , A Longoria, D Reid RN Shain, JM Piper, S Perdue

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  1. Qualitative Assessment of the Cognitive Difference Among Abused and Nonabused Minority Women with STD: Implications for Behavioral Interventions JD Champion, A Longoria, D Reid RN Shain, JM Piper, S Perdue The University of Texas Health Science Center San Antonio, TX

  2. Background • Research has identified the need for modification of standardized STD behavioral interventions for minority women with a history of sexual or physical abuse.

  3. Objective • The objective was to obtain qualitative data to provide more in-depth understanding of the configuration of psychosocial and situational factors associated with high-risk sexual behavior, substance use, health seeking behavior, contraceptive use and treatment compliance among minority women with STD and sexual or physical abuse history.

  4. Methods • Participants included Mexican-and African-American women, aged 15-45 years enrolled in a randomized study of behavioral intervention to reduce STD recurrence. Individual, open-ended, semi-structured interviews lasting approximately 30 -45 minutes were conducted with 513 participants.

  5. Methods • These interviews focused on participants’ perceptions of their sexual risk, sexual relationships, individual histories of sexual, physical or psychological abuse and factors influencing their sexual behaviors. Additionally, participants were asked about health-seeking behavior, contraceptive use and STD treatment compliance.

  6. Results • Key categories and themes from qualitative data provided the context for interpretation of the data. The interview data was searched for elaboration of associations found in prior statistical analysis. The words of participants were used to corroborate, refute, substantiate and supplement previous quantitative results, comparing responses by history of abuse. Examining results of survey data in context of participants’ own words provided alternative explanations and conclusions.

  7. Demographics

  8. “What do women want from men?”

  9. “Why do women have sex?”

  10. “Women who use drugs = more partners?”

  11. “Don’t want to marry” NON ABUSED   ABUSED WOMEN

  12. “I don’t think I can get pregnant”

  13. “My Baby’s Dad”

  14. “My Baby’s Dad”

  15. “Why a woman stays with a man after a STD?”

  16. “Why a woman stays after STD?”

  17. “I didn’t tell my man about STD”

  18. “Did STD affect my body?”

  19. “Did STD affect your body?”

  20. Conclusions • Context for modification of risk-reduction interventions specifically designed for abused minority women to realize a reduction in sexual risk behaviors, abuse and STD re-infection rates is identified.

  21. Implications • Incorporation of results to modify existing STD prevention programs

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