Dataset Information

A Brief Report on the Association between Dissociation During Sex and Condom Use Self-Efficacy Among Women Residing in Domestic Violence Shelters.

ABSTRACT:

Objective

Female survivors of intimate partner violence have greater risk for contracting HIV/STI's and experiencing dissociation. However, no studies have examined the association between dissociation and condom use self-efficacy in this population. This study explored whether dissociation during sex was negatively associated with condom use self-efficacy.

Methods

Thirty-five women (88% African American) who were residing in domestic violence shelters in the United States completed questionnaires.

Results

There was a negative correlation between dissociative experiences during sex and condom use self-efficacy, r = -.62, n=35, p< .01.

Conclusions

Findings suggest that dissociation during sex interferes with abused women's condom use self-efficacy.

SUBMITTER: Cavanaugh C

PROVIDER: S-EPMC7416723 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Publications

A Brief Report on the Association between Dissociation During Sex and Condom Use Self-Efficacy Among Women Residing in Domestic Violence Shelters.

Cavanaugh Courtenay C Kapij Alexis A

International journal of sexual health : official journal of the World Association for Sexual Health 20200417 2

<h4>Objective</h4>Female survivors of intimate partner violence have greater risk for contracting HIV/STI's and experiencing dissociation. However, no studies have examined the association between dissociation and condom use self-efficacy in this population. This study explored whether dissociation during sex was negatively associated with condom use self-efficacy.<h4>Methods</h4>Thirty-five women (88% African American) who were residing in domestic violence shelters in the United States complet ...[more]

PMID: 32788947

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Project description:CONTEXT:There is need for a short validated self-report instrument for assessing the feeling of being loved. The Feeling Loved instrument asks: "Do you feel loved?" and "How loved do you feel?" as well as "Do you love yourself?" and "How much do you love yourself?" with 100 mm visual analogue scales assessing the continuous response options. OBJECTIVE:To assess convergent and discriminant validity and to explore psychometric structure for this novel self-report measure. DESIGN:Convergent validity comparators include: general mental health, perceived social support, perceived stress, depressive symptoms, and positive/negative emotion. Discriminant validity comparators include: gender, age, ethnicity, socioeconomic status, and body mass index. Latent class analysis techniques explore psychometric structure. SETTING:Baseline evaluation for a randomized controlled trial. PARTICIPANTS:Community-recruited adults in Madison, Wisconsin. INTERVENTION:This validation study is based on pre-intervention data. MAIN OUTCOME MEASURES:Strength of correlation with comparators is used to assess convergence and discrimination. Goodness-of-fit indicators assess latent class models. RESULTS:Of n?=?412 respondents, 92% answered positively to both Yes/No questions, and 59% self-rated ?75/100 on both 0-to-100 VAS scales. Supporting convergent validity, highly significant (p < 0.001) Spearman's rho=? correlations of a summed Feeling Loved score were: mental health (??=?0.49); social support (??=?0.46); perceived stress (??=?-0.46), depressive symptoms (??=?-0.31), and both positive (??=?0.50) and negative (??=?-0.43) emotion. Significant associations were also found for personality indicators. Supporting discriminant validity, Feeling Loved scores did not correlate significantly with physical health (??=?-0.08), body mass index (??=?0.01), age (??=?0.06), or income (??=?0.07) (p values all ? 0.12). Latent class analysis models suggested a 3-class structure, with strong goodness-of-fit indicators.

Project description:The Osteoporosis Self Efficacy Scale was determined to equivalently measure calcium and exercise beliefs in both sexes. Despite data illustrating men's and women's similar self-efficacy, gender differences in clinical predictors of self-efficacy imply that efforts to improve care must account for more than self-efficacy.IntroductionTo understand the extent to which the Osteoporosis Self Efficacy (OSE) Scale is reliable for both men and women. A secondary objective was to evaluate sex differences in OSE.MethodsFor this cross-sectional study, we analyzed data collected as part of the Patient Activation after DXA Result Notification (PAADRN) pragmatic trial which enrolled 7749 community-residing adults aged 50 and older reporting for bone densitometry. We used univariable methods, item analysis, exploratory and confirmatory factor analyses, and linear regression to evaluate sex differences in OSE responses and measurement.ResultsIn this sample, the confirmatory factor analysis model for OSE both overall and within groups indicated a poor fit. The sex differences in the measurement model, however, were minor and reflected configural invariance (i.e., constructs were measuring the same things in both men and women), confirming that the OSE was measuring the same constructs in men and women. Men overall had higher exercise self-efficacy and women higher calcium self-efficacy. Overall, education, hip fracture, and self-reported health status predicted exercise self-efficacy whereas prior DXA, self-reported osteoporosis, and history of pharmacotherapy use did not. Predictors of calcium self-efficacy differed by gender.ConclusionThe OSE can be used to measure calcium and exercise self-efficacy in all older adults. However, gender differences in clinical predictors of self-efficacy and the lack of an association of prior DXA with self-efficacy imply that interventions to improve self-efficacy may be insufficient to drive significant improvement in rates of osteoporosis evaluation and treatment.Trial registrationPatient Activation after DXA Result Notification (PAADRN), NCT01507662, https://clinicaltrials.gov/ct2/show/NCT01507662.

Dataset Information

A Brief Report on the Association between Dissociation During Sex and Condom Use Self-Efficacy Among Women Residing in Domestic Violence Shelters.

Objective

Methods

Results

Conclusions

Publications

A Brief Report on the Association between Dissociation During Sex and Condom Use Self-Efficacy Among Women Residing in Domestic Violence Shelters.

Similar Datasets

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