Exploring the association between HIV and violence: Young people's experiences with infidelity, violence and forced sex in Dar es Salaam, Tanzania
Exploring the association between HIV and violence: Young people's experiences with infidelity, violence and forced sex in Dar es Salaam, Tanzania
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DOI：
10.1363/3020004
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发表时间：
2004-12-01
期刊：
影响因子：
--
通讯作者：
Mbwambo, J
中科院分区：
文献类型：
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作者：
Lary, H;Maman, S;Mbwambo, J
背景：先前的研究表明，艾滋病毒感染与亲密伴侣暴力史之间有很强的相关性，特别是在年轻妇女中。然而，在撒哈拉以南非洲的年轻人的性关系中的暴力所扮演的角色是不太understoodMETHODS：当地培训的采访者进行了半结构化的采访，40名年轻男子和20名年轻女子，年龄在16-24谁被招募从公共场所在达累斯萨拉姆，Tanzania.RESULTS：参与者描述了复杂的相互作用之间的暴力，强迫性行为和不忠在他们的性关系。对女性伴侣施暴的男性也经常描述这些伴侣中的强迫性行为和性不忠。有多个性伴侣的男性报告说，当他们的女性伴侣质疑他们的忠诚时，他们会变得暴力，并报告说，当这些伴侣抵制他们的性行为时，他们会强迫固定伴侣发生性行为。青年谁认为暴力和强迫性行为在任何情况下都是不合理的，往往是那些谁还没有发起性关系或谁是在一夫一妻制partnerships.CONCLUSIONS：艾滋病毒和暴力之间的关联，在以前的研究中确定的年轻人可能部分解释他们的经验与不忠和强迫性行为在他们的亲密伙伴关系。如果艾滋病毒预防干预措施没有考虑到青年性关系中经常涉及的不忠、暴力和强迫性行为，那么其影响将是有限的。
CONTEXT: Prior research has shown a strong correlation between HIV infection and a history of intimate partner violence, particularly among young women. However, the role violence plays in the sexual relationships of young people in Sub-Saharan Africa is not well understoodMETHODS: Locally trained interviewers conducted semi-structured interviews with 40 young men and 20 young women aged 16-24 who were recruited from public venues in Dar es Salaam, Tanzania.RESULTS: The participants described complex interactions among violence, forced sex and infidelity in their sexual relationships. Men who were violent toward female partners also frequently described forced sex and sexual infidelity in these partnerships. Men with multiple concurrent sexual partners reported becoming violent when their female partners questioned their fidelity, and reported forcing regular partners to have sex when these partners resisted their sexual advances. Youth who felt that violence and forced sex could not be justified under any circumstances were often those who had not yet initiated sexual relationships or who were in monogamous partnerships.CONCLUSIONS: The association between HIV and violence identified among young people in prior research maybe partially explained by their experiences with infidelity and forced sex in their intimate partnerships. HIV prevention interventions that fail to take into account the infidelity, violence and forced sex frequently involved in youth's sexual relationships will have a limited impact.