Author ORCID Identifier

https://orcid.org/0009-0009-4957-9352

Date Available

11-8-2023

Year of Publication

2023

Degree Name

Doctor of Philosophy (PhD)

Document Type

Doctoral Dissertation

College

Arts and Sciences

Department/School/Program

Psychology

First Advisor

Dr. Christal L. Badour

Abstract

Intimate partner violence (IPV) has been linked to poorer condom use outcomes and sexual functioning in women broadly. Limited studies have examined these associations in Latina samples through a culturally sensitive, trauma-informed lens. A sample of 383 U.S. Latina/Latinx/Hispanic women (Mage = 25.29 years; SD = 4.44) who had a past-year intimate relationship completed a cross-sectional online survey of IPV history, posttraumatic stress disorder (PTSD) symptoms, marianismo beliefs (i.e., traditional Latina gender role expectations), condom use outcomes (i.e., condom use attitudes, efficacy, negotiation efficacy, and behaviors) and sexual functioning. Linear regression models found that past-year IPV was positively related to PTSD symptoms across all five models, and this association was stronger for women high in marianismo beliefs (for all models except for condom use behaviors); though the association remained positively significant for women who endorsed lower marianismo beliefs. PTSD symptoms were not significantly related to any of the condom use outcomes. The negative association between past-year IPV and sexual functioning was mediated by PTSD symptoms, and this association was moderated by marianismo beliefs, specifically the relation between past-year IPV and PTSD symptoms was stronger among those high in marianismo beliefs. Most associations became non-significant after adjusting for covariates. Exploratory models examined the effect of specific types of IPV. Study findings provide a more nuanced culturally sensitive, trauma-informed understanding of the condom use outcomes and sexual functioning of young adult Latinas with recent IPV exposure, highlighting the need to better understand the role of marianismo beliefs in the Latina sexual health literature.

Digital Object Identifier (DOI)

https://doi.org/10.13023/etd.2023.419

Funding Information

  • 2021-2023 Disparities Researchers Equalizing Acess for Minorities (DREAM) Scholars. University of Kentucky's Center for Clinical and Translation Science, College of Nursing, Center for Health Equity Transformation. Total research support: $5,000. Funding Source: UL1 TR000117.
  • 2022 – 2023 Graduate Student Fellowship. University of Kentucky’s Center for Equality and Social Justice (CESJ). Total research support: $5,000.
  • 2022 Jesse G. Harris Dissertation Award. University of Kentucky’s Department of Psychology. Total research support: $1,600.
  • 2021 – 2022. Science Directorate Dissertation Research Award. American Psychological Association. Total research support: $1,000.

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