ABSTRACT

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.

chapter 1|8 pages

HIV and Women

chapter 2|20 pages

Childhood Sexual Abuse

chapter 6|12 pages

Preliminary Model Analyses

chapter 7|8 pages

Longitudinal Model Analyses

chapter 8|10 pages

Analysis of Model Mediators

chapter 9|11 pages

Cross-Sample Comparisons

chapter 10|19 pages

Psychosocial Functioning Clusters

chapter 11|20 pages

Discussion

chapter 12|9 pages

Implications