HIV and intimate partner violence among methadone-maintained women in New York City
HIV and intimate partner violence among methadone-maintained women in New York City
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DOI：
10.1016/j.socscimed.2004.11.035
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发表时间：
2005-07-01
影响因子：
5.4
通讯作者：
Hill, J
中科院分区：
文献类型：
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作者：
El-Bassel, N;Gilbert, L;Hill, J
亲密伴侣暴力被认为是妇女感染艾滋病毒和性传播感染的一个风险因素，特别是在吸毒者中。本研究探讨性和/或身体伴侣暴力（IPV）和艾滋病毒/性传播疾病传播的性风险之间的时间关系，在纵向研究随机抽样的416名妇女参加美沙酮维持治疗计划在纽约市。检验了两个假设：性风险相关因素或风险降低行为是否导致随后的IPV（H1）;以及IPV是否降低了随后风险降低行为的可能性（即，要求使用避孕套）或增加某些性风险相关因素的可能性（即，不一致的避孕套使用，有无保护的肛交，有一个以上的合作伙伴..以性换取毒品或金钱，患有性传播疾病，艾滋病毒呈阳性，伴侣有艾滋病毒风险）（H2）。参与者在三个阶段接受了采访：基线，六个月和十二个月。使用倾向评分匹配和多元Logistic回归分析对假设进行了检查。基线时任何身体或性IPV的患病率为46%。H I的调查结果表明，在第2波报告总是使用避孕套的妇女比在第3波报告不一致或不使用避孕套的妇女更不可能经历随后的IPV。同样，IPV第3波的风险增加与自我报告的性传播感染（OR = 2.0，p = 0.03）和无保护的肛交（OR = 2.0，p
Intimate partner violence (IPV) has been recognized as a risk factor for HIV and sexually transmitted infections (STIs) among women, particularly among those who are drug involved. This study examines the temporal relationships between sexual and/or physical partner violence (IPV) and sexual risk of HIV/STI transmission in a longitudinal study with a random sample of 416 women enrolled in methadone maintenance treatment programs in New York City. Two hypotheses are tested: whether sexual risk-related factors or risk reduction behavior leads to subsequent IPV (H 1); and whether IPV decreases likelihood of subsequent risk reduction behavior (i.e., requesting to use condoms) or increases likelihood of certain sexual risk-related factors (i.e., inconsistent condom use, having unprotected anal sex, having more than one partner.. exchanging sex for drugs or money, having had an STI, being HIV positive, having a partner who engaged in HIV risk) (H2). Participants were interviewed at three waves: baseline, six months and twelve months. Hypotheses were examined using propensity score matching and multiple logistic regression analyses. The prevalence race of any physical or sexual IPV was 46% at baseline. Findings for H I indicate that women who reported always using condoms at wave 2 were significantly less likely than women who reported inconsistent or no condom use to experience subsequent IPV at wave 3. Similarly, increased risk of IPV at wave 3 was associated with self-reported STIs (OR = 2.0 p =.03), and unprotected anal sex (OR = 2.0, p