Correlates of Sexual Coercion among People Who Inject Drugs (PWID) in Los Angeles and San Francisco, CA.
Correlates of Sexual Coercion among People Who Inject Drugs (PWID) in Los Angeles and San Francisco, CA.
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加利福尼亚州洛杉矶和旧金山注射毒品者 (PWID) 中性强迫的相关性。
DOI：
10.1007/s11524-018-0238-6
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发表时间：
2019
期刊：
影响因子：
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通讯作者：
Bluthenthal,RickyN
中科院分区：
文献类型：
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作者：
Williams,JefferyE;Dangerfield2nd,DerekT;Kral,AlexH;Wenger,LynnD;Bluthenthal,RickyN
胁迫或强迫性行为的经历与所有成年人感染艾滋病毒的风险有关，可能在男同性恋者、女同性恋者、双性恋者（GLB）和注射毒品者（PWID）中更为常见。在这项研究中，我们探讨了与PWID样本中先前12个月的强迫或胁迫性行为经历相关的因素，重点是性取向和性别。在2011-2013年，使用有针对性的抽样方法招募了来自洛杉矶和旧金山弗朗西斯科的PWID（N= 772），并对与人口统计学、药物使用、艾滋病毒风险和暴力相关的一系列项目进行了调查，包括在过去12个月内的强迫或胁迫性行为经历。在这个种族/民族多样化，大多数无家可归，低收入的PWID样本中，25%的参与者是女性，15%被确定为GLB。9%的男同性恋和双性恋男性、8%的异性恋女性、5%的女同性恋和双性恋女性以及不到1%的异性恋男性报告了性胁迫。在多变量分析中，与异性恋男性相比，男同性恋或双性恋男性（校正比值比[AOR] = 10.68; 95%置信区间[CI] = 2.03，56.23）和异性恋女性（AOR = 9.69; 95% CI = 2.04，45.94）在过去12个月内强迫性行为的几率增加。有付费性伴侣（AOR = 3.49; 95% CI = 1.42，8.54）或在16岁之前被至少5岁的人强迫性行为（AOR = 4.74; 95% CI = 1.88，11.93）也增加了强迫性行为的几率。性胁迫在PWID中很常见，尤其是对同性恋和双性恋男性以及异性恋女性。迫切需要努力减少残疾人中的性暴力。
Experiences of coerced or forced sex have been associated with risk for HIV infection for all adults and may be more common for gays, lesbians, bisexuals (GLB) and people who inject drugs (PWID). In this study, we explored factors associated with prior 12-month experiences of forced or coerced sex among a sample of PWID, with a focus on sexual orientation and gender. PWID (N= 772) from Los Angeles and San Francisco were recruited using targeted sampling methods in 2011–2013 and surveyed on a range of items related to demographics, drug use, HIV risk, and violence, including experiences of forced or coerced sex in the prior 12 months. In this racially/ethnically diverse, mostly homeless, and low-income sample of PWID, 25% of participants were female and 15% identified as GLB. Sexual coercion was reported by 9% of gay and bisexual men, 8% of heterosexual females, 5% of lesbians and bisexual women, and less than 1% of heterosexual men. In multivariate analyses, compared to heterosexual males, gay or bisexual males (adjusted odds ratio [AOR] = 10.68; 95% confidence interval [CI] = 2.03, 56.23), and heterosexual females (AOR = 9.69; 95% CI = 2.04, 45.94) had increased odds of coerced sex in the prior 12 months. Having a paying sex partner (AOR = 3.49; 95% CI = 1.42, 8.54) or having had forced sex prior to the age of 16 by someone at least five years older (AOR = 4.74; 95% CI = 1.88, 11.93) also elevated the odds of coercive sex. Sexual coercion is common among PWID, but especially for gay and bisexual men and heterosexual females. Efforts to reduce sexual violence among PWID are urgently needed.