Perspectives on Sexual and Reproductive Health
Volume 34, Number 2, March/April 2002

 

Current or Past Physical or Sexual Abuse as a Risk Marker
For Sexually Transmitted Disease in Pregnant Women
TABLES

TABLE 1. Percentage distribution of clients at an urban prenatal care clinic, by selected characteristics, 1991-1996
Characteristic %
(N=744)
Race/ethnicity
White 48.5
Black 34.1
Other 17.3
Age at delivery
<18 25.5
>=18 74.5
Parity
0 62.8
>=1 37.2
Received Medicare
Yes 78.4
No 21.6
Education
<adequate for age 24.3
>=adequate for age 75.7
Marital status
Single 73.5
Other 26.5
Unplanned pregnancy
Yes 85.9
No 14.1
Smoked during pregnancy
Yes 37.4
No 62.6
Used alcohol during pregnancy
Yes 14.9
No 85.1
Used drugs during pregnancy
Yes 7.7
No 92.3
History of STD
Yes 29.8
No 70.2
Incident infection
Yes 17.7
No 82.3
Abuse status
No abuse 51.2
Current physical or sexual abuse 8.5
History of physical abuse only 22.6
History of sexual abuse only 9.0
History of physical and sexual abuse 8.7
Total 100.0

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TABLE 2. Percentage distribution of prenatal care clients, by selected characteristics, according to STD history and incident infection status
Characteristic History Incident infection
Positive Negative Positive Negative
(N=222) (N=522) (N=132) (N=612)
Race/ethnicity
White 42.8*** 51.0 32.6*** 52.0
Black 43.7*** 30.1 53.8*** 29.9
Other 13.5*** 19.0 13.6*** 18.1
Age
<18 31.1* 23.2 36.6** 22.9
>=18 68.9 76.8 63.4 77.1
Parity
0 62.6 62.8 74.2** 60.3
>=1 37.4 37.2 25.8 39.7
Received Medicare
Yes 75.7 79.5 78.0 78.4
No 24.3 20.5 22.0 21.6
Education
<adequate for age 26.2 23.5 22.5 24.7
>=adequate for age 73.8 76.5 77.5 75.3
Marital status
Single 79.2** 68.8 87.8*** 70.4
Other 20.8 31.2 12.2 29.6
Unplanned pregnancy
Yes 87.8 85.1 89.4 85.4
No 12.2 14.9 10.6 14.6
Smoked during pregnancy
Yes 43.7* 34.7 36.4 37.6
No 56.3 65.3 63.6 62.4
Used alcohol during pregnancy
Yes 20.7** 12.5 17.4 14.4
No 79.3 87.5 82.6 85.6
Used drugs during pregnancy
Yes 11.3* 6.1 10.6 7.0
No 88.7 93.9 89.4 93.0
Abuse status
No abuse 40.5*** 55.8 47.0 52.1
Current physical or sexual abuse 11.3 7.3 10.6 8.0
History of physical
abuse only 21.6 23.0 15.9* 24.0
History of sexual
abuse only 13.1** 7.3 13.6* 8.0
History of physical
and sexual abuse 13.5** 6.7 12.8 7.8
Total 100.0 100.0 100.0 100.0
*p<.05. **p<.01. ***p<.001. Note: Significance levels refer to differences between distributions by STD status (positive or negative).

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TABLE 3. Odds ratios (and 95% confidence intervals) from logistic regression analysis indicating the association between various characteristics and having a documented STD history
Characteristic Odds ratio
Ever abused
No (ref) 1.00
Yes 1.93 (1.38-2.73)***
Type of abuse
None (ref) 1.00
Current physical or sexual abuse 2.02 (1.13-3.60)*
History of physical abuse only 1.42 (0.92-2.20)
History of sexual abuse only 2.32 (1.31-4.07)**
History of physical and sexual abuse 3.10 (1.73-5.56)***
Race/ethnicity
White (ref) 1.00
Black 1.71 (1.17-2.51)**
Other 0.87 (0.51-1.44)
Age
<18 1.57 (1.05-2.34)*
>=18 (ref) 1.00
Marital status
Single 1.81 (1.20-2.80)**
Other (ref) 1.00
Smoked during pregnancy
Yes 1.44 (0.99-2.08)
No (ref) 1.00
Used alcohol during pregnancy
Yes 1.51 (0.92-2.45)
No (ref) 1.00
*p<.05. **p<.01. ***p<.001. Notes: ref=reference category. Analysis excluded 11 women for whom data were missing for some covariates. Although drug use was significant in bivariate analysis, it was significantly correlated with alcohol use and, thus, is not included.

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TABLE 4. Odds ratios (and 95% confidence intervals) from logistic regression analysis indicating the association between various characteristics and having positive laboratory test documentation of a current STD infection
Characteristic Odds ratio
Ever abused
No (ref) 1.00
Yes 1.69 (1.12-2.55)*
Type of abuse
None (ref) 1.00
Current physical or sexual abuse 1.52 (0.75-2.96)
History of physical abuse only 1.15 (0.64-2.02)
History of sexual abuse only 2.14 (1.10-4.03)*
History of physical and sexual abuse 2.97 (1.49-5.78)**
Race/ethnicity
White (ref) 1.00
Black 2.75 (1.74-4.41)***
Other 1.13 (0.59-2.09)
Age
<18 1.46 (0.92-2.31)
>=18 (ref) 1.00
Parity
0 1.89 (1.17-3.13)*
>=1 (ref) 1.00
Marital status
Single 1.92 (1.10-3.55)*
Other (ref) 1.00
*p<.05. **p<.01. ***p<.001. Notes: ref=reference category. Analysis excluded 14 women for whom data were missing for some covariates.

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© copyright 2002, the Alan Guttmacher Institute.