Document 0833
 DOCN  M9550833
 TI    Urban rape survivors: characteristics and prevalence of human
       immunodeficiency virus and other sexually transmitted infections.
       Multicenter Crack Cocaine and HIV Infection Study Team.
 DT    9505
 AU    Irwin KL; Edlin BR; Wong L; Faruque S; McCoy HV; Word C; Schilling R;
       McCoy CB; Evans PE; Holmberg SD; Centers for Disease Control and
       Prevention, Atlanta, GA.
 SO    Obstet Gynecol. 1995 Mar;85(3):330-6. Unique Identifier : AIDSLINE
       MED/95166474
 AB    OBJECTIVE: To determine the prevalence of recent rape, the
       characteristics or recent rape survivors, and the seroprevalence of
       human immunodeficiency virus (HIV), syphilis, and genital herpes (HSV-2)
       among recent rape survivors. METHODS: We surveyed women 18-29 years old
       who were recruited from places unassociated with medical or drug
       treatment or the criminal justice system in three urban communities
       where illicit drug use is common. We compared characteristics and HIV,
       syphilis, and HSV-2 seroprevalence of women who reported recent rape
       with those of women who denied recent rape. RESULTS: One hundred
       fifty-one of 1104 (13.7%) women reported having been raped in the year
       before our interview. Rape survivors were more likely than women who
       denied recent rape to smoke crack cocaine (86.8 versus 56.7%; odds ratio
       [OR] 5.0, 95% confidence interval [CI] 3.2-7.8), to be homeless (17.2
       versus 6.1%; OR 3.2, CI 2.0-5.2), to report a recent sexually
       transmitted disease (38.7 versus 18.7%; OR 2.7, CI 1.9-3.9), and to be
       infected with syphilis (42.4 versus 28.4%; OR 1.9, CI 1.3-2.6) and HSV-2
       (71.9 versus 57.5%; OR 1.9, CI 1.3-2.8). Survivors were more likely to
       acknowledge any HIV risk behavior (including sex work) (85.4 versus
       49.5%; OR 5.9, CI 3.9-9.0) and to be HIV-infected (23.3 versus 13.4%; OR
       1.9, CI 1.3-2.9). Rape was not independently associated with HIV (OR
       0.8, 95% CI 0.4-1.3), syphilis (OR 0.9, 95% CI 0.6-1.3), or HSV-2 (OR
       1.3, 95% CI 0.9-2.0) infections after adjustment for confounding
       factors. CONCLUSION: One in seven women reported being raped recently.
       Rape was most common among sex workers, crack smokers, and the homeless.
       Most survivors reported HIV risk behaviors, and many were HIV-infected.
       Programs to prevent repeated rape, voluntary HIV counseling and testing,
       and other medical and social services may benefit survivors in these and
       similar communities.
 DE    Adolescence  Adult  Case-Control Studies  *Crack Cocaine  Female
       Florida/EPIDEMIOLOGY  Herpes Genitalis/EPIDEMIOLOGY  Human  *HIV
       Seroprevalence  New York City/EPIDEMIOLOGY  Prevalence  Rape/*STATISTICS
       & NUMER DATA  Risk Factors  San Francisco/EPIDEMIOLOGY  Sexually
       Transmitted Diseases/COMPLICATIONS/*EPIDEMIOLOGY  Substance
       Abuse/*COMPLICATIONS  Support, U.S. Gov't, P.H.S.  Survivors/*STATISTICS
       & NUMER DATA  Syphilis/EPIDEMIOLOGY  Urban Health  JOURNAL ARTICLE
       MULTICENTER STUDY

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).