Sex Behavior Self-Efficacy Among Women Experiencing Intimate Partner Violence

Abstract

This study examined how mental health and intimate partner violence (IPV) relate to women’s beliefs about their ability to communicate with partners about sexual history and risk (i.e., sex behavior self-efficacy). Participants were composed of 148 women (Mage= 34.6; 69% non-Hispanic Black; 74% income <$20,000/year) recruited from community organizations in the US Mid-South. A hierarchical linear regression was used to examine associations among sex behavior self-efficacy and depressive symptoms, resilience (Model 1) and physical IPV, psychological IPV, sexual IPV, negotiation, and IPV perpetration (Model 2). The final model was significant with variability in sex behavior self-efficacy explained by depressive symptoms, partner negotiation frequency, and IPV perpetration. Findings highlight novel areas to consider when assessing barriers and facilitators of partner communication and when developing culturally responsive interventions for women experiencing relationship-based adversity.