Intimate Partner Violence and HIV Among Drug-Involved Women: Contexts Linking These Two Epidemics-Challenges and Implications for Prevention and Treatment
Intimate Partner Violence and HIV Among Drug-Involved Women: Contexts Linking These Two Epidemics-Challenges and Implications for Prevention and Treatment
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DOI：
10.3109/10826084.2011.523296
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发表时间：
2011-01-01
影响因子：
2
通讯作者：
Chang, Mingway
中科院分区：
文献类型：
--
作者：
El-Bassel, Nabila;Gilbert, Louisa;Chang, Mingway
亲密伴侣暴力（IPV）和艾滋病毒是两种严重的重叠的公共卫生流行病，对吸毒妇女的影响不成比例。本文回顾了一些研究，这些研究已经确定了一些可能解释IPV和HIV传播风险之间联系的背景。这些情况包括性胁迫、害怕暴力、协商使用避孕套、婚外关系、向亲密伴侣透露性传播感染或艾滋病毒血清阳性、妇女及其男性伴侣吸毒、吸毒妇女社会地位低下、关系依赖和性别比例失衡。本文重点介绍了IPV和艾滋病毒风险之间的双向关系可能是由儿童期性虐待和创伤后应激障碍史介导的。还讨论了药物使用者治疗方案在处理经历IPV的女性客户时面临的挑战以及对艾滋病毒预防的影响。
Intimate partner violence (IPV) and HIV are two serious overlapping public health epidemics that disproportionately affect drug-involved women. This article reviews research that has identified a number of contexts that may explain the links between IPV and HIV transmission risks. These contexts include sexual coercion, fear of violence, negotiation of condom use, extradyadic relationships, disclosure of sexually transmitted infections or HIV seropositivity to intimate partners, drug involvement of women and their male partners, low social status of drug-involved women, relationship dependencies, and sex ratio imbalances. The article focuses on how the bidirectional relationship between IPV and HIV risks may be mediated by a history of childhood sexual abuse and post-traumatic stress disorder. Also addressed are the challenges that substance user treatment programs face in dealing with female clients who experience IPV and the implications for HIV prevention.