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Anita Raj, PhD, M. Christina Santana, MPH, Ana La Marche, BA, Hortensia Amaro, PhD, Kevin Cranston, MDiv and Jay G. Silverman, PhD

Anita Raj and M. Christina Santana are with the Department of Social and Behavioral Sciences, Boston University School of Public Health, Mass. Ana La Marche is with the Martha Eliot Health Center, Boston. Hortensia Amaro is with the Bouve College of Health Sciences, Northeastern University, Boston. Kevin Cranston is with the HIV/AIDS Bureau, Department of Public Health, Boston. Jay G. Silverman is with the Department of Society, Human Development, and Health and the Division of Public Health Practice, Harvard University School of Public Health, Boston.

Correspondence: Requests for reprints should be sent to Anita Raj, PhD, Boston University School of Public Health, 715 Albany St, T2W, Boston, MA 02118 (e-mail: anitaraj{at}bu.edu).

Objective. We assessed the association between intimate partner violence (IPV) perpetration and sexual risk behaviors and fatherhood (having fathered children) among young men.

Methods. Sexually active men aged 18 to 35 years who visited an urban community health center and who reported having sexual intercourse with a steady female partner during the past 3 months (N = 283) completed a brief self-administered survey about sexual risk behaviors, IPV perpetration, and demographics. We conducted logistic regression analyses adjusted for demographics to assess associations between IPV and sexual risk behaviors and fatherhood.

Results. Participants were predominantly Hispanic (74.9%) and Black (21.9%). Participants who reported IPV perpetration during the past year (41.3%) were significantly more likely to report (1) inconsistent or no condom use during vaginal and anal sexual intercourse, (2) forcing sexual intercourse without a condom, (3) having sexual intercourse with other women, and (4) having fathered 3 or more children.

Conclusion. IPV perpetration was common among our sample and was associated with increased sexual risk behaviors. Urban community health centers may offer an important venue for reaching this at-risk population.

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