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. Author manuscript; available in PMC: 2012 Sep 1.
Published in final edited form as: J Adolesc Health. 2011 Apr 22;49(3):230–236. doi: 10.1016/j.jadohealth.2011.01.002

Table 1. Community Violence Exposures and HIV-Related Risk Behaviors.

Reference Purpose/ design Sample Results
Albus et al, 2004 [11] To examine the link between violence exposure and health risk behaviors
Cross-sectional
N:167
Age:10-19 years
Gender: males and females
Ethnicity: majority African American
Control variables: age, gender, ethnicity
Knowledge of violence was associated with substance use and sex
Victimization was associated with sex.
Berenson et al, 2001 [12] To examine relationship between violence exposure and health-risk
Cross-sectional
N: 517
Age: 9-18 years
Gender: girls
Ethnicity: 25% White; 42% African American; 30% Hispanic
Control variables: race, age, school enrollment, and having repeated a grade
Girls who witnessed violence were 2-3 times more likely than non-exposed peers to report using drugs before sex, and having intercourse with a partner who had multiple partners.
Girls who were victims of community violence only were 2-4 times more likely than their peers not exposed to such violence to report early sexual début, sex with strangers, multiple sex partners, and test positive for a STD.
Girls who both witnessed and were victims of community violence were 3-6 times more likely than their peers not exposed to such violence to use drugs before sex
Brady, 2006 [13] To examine the relationship between lifetime community violence exposure and risk behaviors
Cross-sectional
N: 319
Age: 18-20years
Gender: males and females
Ethnicity: majority white
Control variables: gender, ethnic minority status, personality characteristics, aggression, family SES, family support, neighborhood collective efficacy
Greater lifetime violence exposure was associated with greater lifetime sexual risk-taking (ever had sex, number of sexual partners, number of partners last 3 months)
Stiffman et al, 1995 [14] To examine the relationship between personal and environmental factors and changes in HIV risk behaviors
Longitudinal
N: 602
Age: 16- 21
Gender: males and females
Ethnicity: majority African American
Control variables: earlier problem behaviors
Substance use combined with level of community murders predicted increased HIV risk behaviors from adolescence to adulthood
Childhood sexual abuse combined with level of community murders predicted increased HIV risk behaviors from adolescence to adulthood
Voisin, 2003 [15] To examine the relationship between violence victimization and sexual risk behaviors
Cross-sectional study
N:120
Age: 14-17 years
Gender: males
Ethnicity: African American
Control variables: SES, household composition, family support, and negative peer influences
Males who were victims of community violence were more likely than peers not exposed to such violence to engage in HIV sexual risk behaviors
Voisin, 2005 [16] To examine the relationship between community violence and HIV risk behaviors
Cross-sectional
N: 409
Age: 14-18 years
Gender: males and females
Ethnicity: majority African American and Hispanic
Control variables: age, family composition, income, parents' education level, self efficacy
Youth exposed to community violence were 3 times more likely to report sex without condoms, sex after drug use, and sex with multiple partners than peers not exposed to such violence
Voisin et al, 2007 [17] To examine relationship between witnessing community violence exposure and health risk behaviors
Cross-sectional
N:550
Age: 14-18 years
Gender: males and females
Ethnicity: 41% White, 39% African American
Control variables: gender, free school lunch, religiosity, family social support, community monitoring
Youth exposed to community violence in the last 12 months prior to being detained, were 1.7 times more likely to have not used a male condom, 1.6 times more likely to be high on alcohol or drugs during sex, and 2.1 times more likely to have sex with a partner who was high on drugs, within the past 2 months prior to being detained