Relationship Factors and Condom Use Among Women with a History of Intimate Partner Violence.
Relationship Factors and Condom Use Among Women with a History of Intimate Partner Violence.
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DOI：
10.1007/s10461-015-1189-5
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发表时间：
2016-01
影响因子：
4.4
通讯作者：
Carey MP
中科院分区：
文献类型：
--
作者：
McGrane Minton HA;Mittal M;Elder H;Carey MP
遭受亲密伴侣暴力 (IPV) 的女性感染艾滋病毒的风险更高。为了进一步了解影响女性安全套使用的二元因素，我们调查了三个关系因素（即权力、恐惧和依赖）对艾滋病毒相关信息、动机和行为技能（由信息-动机-行为技能（IMB）模型构建）与受虐女性安全套使用之间关联的影响。从多个社区机构（例如家庭暴力机构、妇女健康组织、医院、卫生与公共服务部和家庭法院）招募的 133 名城市低收入妇女的数据显示，这些妇女经历了高水平的 IPV，并且关系权力、对虐待的恐惧和伴侣依赖都与安全套的使用有关。多变量模型显示，对虐待和伴侣依赖的恐惧会减弱 IMB 结构与安全套使用之间的关联，但关系权力却不会。结果强调，迫切需要在艾滋病毒预防计划中纳入与受虐妇女相关的解决关系因素的策略。
Women who experience intimate partner violence (IPV) are at increased risk for HIV infection. To further the understanding of the dyadic factors that impact condom use among women, we investigated the impact of three relationship factors (i.e., power, fear, and dependence) on the association between HIV-related information, motivation, and behavioral skills [constructs from the Information-Motivation-Behavioral Skills (IMB) model] and condom use among abused women. Data from 133 urban, low-income women recruited from several community-based agencies (e.g., domestic violence agencies, women’s health organizations, hospitals, Department of Health and Human Services, and Family Court) showed that these women experienced high levels of IPV and that relationship power, fear of abuse, and partner dependence were all associated with condom use. Multivariable models revealed that fear of abuse and partner dependence moderated that association between IMB constructs and condom use but relationship power did not. Results highlight the critical need to incorporate strategies to address relationship factors in HIV prevention programs with abused women.