Perspectives on Sexual and Reproductive Health | |
Current or Past Physical or Sexual Abuse as a Risk Marker |
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 |
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). |
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. |
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. |
© copyright 2002, the Alan Guttmacher Institute. |