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Differences in rates of dating violence, STD/HIV testing, and STD/HIV diagnosis based on demographics were assessed by using χ analyses.Logistic-regression models were constructed to calculate odds ratios (ORs) and 95% CIs for STD/HIV testing and diagnosis outcomes based on experiences of physical or sexual dating violence, using respondents indicating no experiences of dating violence as a referent group; models were adjusted for demographics and sexual risk behaviors for STD/HIV (Table 2) to better estimate the contribution of experiences of dating violence to STD/HIV outcomes.However, despite the established links between dating violence and STD/HIV risk behaviors and violence and STD/HIV diagnosis among adult women, the relationship of dating violence to STD/HIV testing and diagnosis among adolescents remains unclear.One recent representative study identified a strong association between lifetime history of forced-sex victimization and history of STD diagnosis among adolescent girls.Because of the nature of the present analyses, all variables were dichotomized with the exception of age, which was categorized as seen in Table 1.Race/ethnicity was dichotomized as white or nonwhite because of the high percentage of white respondents compared with other racial/ethnic groups.Rates of dating violence among those reporting STD/HIV testing and STD/HIV diagnosis were also calculated.SUDAANApproximately 1 in 3 (31.5%) sexually active adolescent girls reported ever experiencing physical or sexual violence from dating partners (Table 1; physical dating violence only: 15.3%; sexual dating violence only: 6.7%; both physical and sexual dating violence: 9.5%; data not shown).
Compared with nonabused girls, girls who experienced both physical and sexual dating violence were 3.0 times more likely to have been tested for STD and HIV, and 2.6 times more likely to report an STD diagnosis.
Dating violence victimization was measured by a single survey item that asked: “Have you ever been hurt physically or sexually by a date or someone you were going out with?
This would include being hurt by being shoved, slapped, hit, or forced into any sexual activity.” Response choices were: “I have never been on a date or gone out with anyone” (2001 only); “No, I have never been hurt by a date or someone I was going out with”; “Yes, I was hurt physically”; “Yes, I was hurt sexually”; and “Yes, I was hurt both physically and sexually.” These responses were then recoded into exclusive dichotomous variables: physical dating violence only, sexual dating violence only, and both physical and sexual dating violence, with the referent group being those who indicated that they had never experienced dating violence or had never been on a date (2001 only).
Single items were also used to assess sexual risk behaviors (use of a condom at last sex, multiple sex partners [≥2 in the past 3 months]).
Responses to these items were dichotomized as “yes” or “no.”Lifetime prevalence rates for any physical or sexual dating violence, STD/HIV testing, and STD/HIV diagnosis and 95% confidence intervals (CIs) were calculated for the total sample and demographic groupings (Table 1).
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The present study utilizes a large, representative sample of female adolescents to assess associations between physical and sexual dating violence and STD/HIV testing and diagnosis.