Family Planning Perspectives
Volume 33, Number 5, September/October 2001

 

Adverse Childhood Experiences and Sexual Risk
Behaviors in Women: A Retrospective Cohort Study
TABLES

Table 1. Percentage distribution of women in study population, by selected characteristics, Kaiser Permanente, 1995-1996 (N=5,060)
Characteristic %
Age at interview
19-34 11.6
35-49 26.2
50-64 30.8
>=65 31.4
Race/ethnicity
White 77.2
Black 4.9
Hispanic 6.4
Asian 7.5
American Indian 0.4
Other 3.6
Education
Some high school 7.6
High school graduate 23.2
Some college 32.6
College graduate 36.6
Employment*
Full-time 40.5
Part-time 11.9
Retired/unemployed 47.6
Currently married
Yes 67.0
No 33.0
*Sample is incomplete, due to missing data for 342 cases. †Includes those who were living as married (i.e., cohabiting).

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Table 2. Number and percentage of women reporting selected STD and HIV risk factors, by experience with adverse childhood experiences, and relative risk of such experiences
Adverse experience 1st sex <15 Self-perceived AIDS risk >=30 partners
N % Relative risk N % Relative risk N % Relative risk
Physical abuse
Yes 179 12.9 2.0 (1.6-2.4) 67 4.7 1.7 (1.3-2.3) 47 3.6 2.2 (1.5-3.1)
No (ref) 222 6.5 1.0 97 2.7 1.0 55 1.7
Verbal abuse
Yes 112 16.7 2.4 (1.9-2.9) 37 5.3 1.8 (1.3-2.6) 38 6.1 3.8 (2.6-5.4)
No (ref) 289 7.0 1.0 127 3.0 1.0 64 1.6 1.0
Sexual abuse
Yes 187 15.7 2.6 (2.2-3.2) 64 5.2 2.0 (1.4-2.6) 48 4.3 2.8 (1.9-4.0)
No (ref) 214 6.0 1.0 100 2.7 1.0 54 1.7 1.0
Battered mother
Yes 98 15.2 2.1 (1.7-2.6) 47 7.1 2.6 (1.9-3.6) 20 3.3 1.6 (0.99-2.6)
No (ref) 303 7.3 1.0 117 2.7 1.0 82 2.1 1.0
Incarcerated family member
Yes 29 17.3 2.3 (1.5-3.0) 13 7.6 2.4 (1.4-4.2) 8 4.9 2.3 (1.1-4.5)
No (ref) 369 8.1 1.0 150 3.2 1.0 94 2.2 1.0
Household substance abuse
Yes 198 14.6 2.5 (2.1-3.0) 64 4.6 1.7 (1.2-2.3) 49 3.9 2.4 (1.7-3.5)
No (ref) 203 5.9 1.0 100 2.0 1.0 53 1.6 1.0
Household mental illness
Yes 123 12.1 1.6 (1.3-2.0) 47 4.5 1.5 (1.1-2.1) 47 5.0 3.3 (2.3-4.7)
No (ref) 278 7.4 1.0 117 3.0 1.0 55 1.5 1.0

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Table 3. Percentage of women reporting sexual risk behavior, by number of types of adverse childhood experiences, and odds ratios showing association between number of types of experiences and risk behavior
No. of types 1st sex <15 Self-perceived AIDS risk >=30 partners
% Odds ratio % Odds ratio % Odds ratio
0 3.9 1.0 2.3 1.0 1.0 1.0
1 7.4 2.0 2.9 1.3 1.8 1.9
2 11.4 3.2 3.3 1.5 2.3 2.4
3 11.0 3.1 4.7 2.1 4.3 4.6
4-5 18.8 5.8 5.3 2.4 5.1 5.5
6-7 30.5 10.9 15.1 7.7 12.3 14.4

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Table 4. Adjusted odds ratios (and 95% confidence intervals) showing relationship between number of types of exposure to adverse childhood experiences and selected STD and HIV risk factors
No. of experiences 1st sex <15 Self-perceived AIDS risk >=30 partners
0 (ref) 1.0 1.0 1.0
1 1.8 (1.32-2.52) 1.2 (0.73-1.82) 1.6 (0.86-3.11)
2 2.8 (2.00-3.86) 1.3 (0.75-2.09) 1.9 (0.93-3.74)
3 2.5 (1.73-3.65) 1.7 (1.00-2.83) 3.5 (1.82-6.82)
4-5 4.5 (3.17-6.26) 1.8 (1.10-3.10) 3.8 (2.00-7.31)
6-7 7.0 (4.12-11.87) 4.9 (2.49-9.61) 8.2 (3.51-19.22)
Notes: All odds ratios are adjusted for age at interview and race. ref=reference group.

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Table 5. Percentage of women reporting sexual risk behavior, by frequency of selected adverse childhood experiences, and adjusted odds ratios showing relationship between exposure and risk behavior
Experience and frequency 1st sex <15 Self-perceived AIDS risk >=30 partners
% Odds ratio % Odds ratio % Odds ratio
Physical abuse
Often/very often 19.6 2.8 (2.1-4.0) 6.6 2.2 (1.3-3.7) 8.9 4.3 (2.6-7.1)
Sometimes 11.0 1.5 (1.2-1.9) 4.4 1.5 (1.0-2.2) 2.6 1.3 (0.8-2.2)
Rarely/never (ref) 7.0 1.0 2.8 1.0 1.7 1.0
Verbal abuse
Often/very often 17.7 2.7 (2.1-3.5) 5.6 1.8 (1.2-2.8) 6.7 3.8 (2.4-6.0)
Sometimes 10.1 1.5 (1.2-2.0) 3.9 1.3 (0.9-1.9) 2.6 1.6 (0.9-2.6)
Rarely/never (ref) 6.1 1.0 2.7 1.0 1.4 1.0
Mother was hit
Often/very often 20.1 2.5 (1.8-3.6) 6.2 1.7 (1.0-3.1) 5.6 2.2 (1.2-4.3)
Sometimes 13.2 1.8 (1.3-2.6) 8.1 2.8 (1.8-4.4) 2.5 1.2 (0.6-2.5)
Rarely/never (ref) 7.4 1.0 2.8 1.0 2.1 1.0
Notes: All odds ratios are adjusted for age at interview and race. ref=reference group.

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© copyright 2001, The Alan Guttmacher Institute.