Assessing the Theory of Gender and Power: HIV Risk Among Heterosexual Minority Dyads.
Assessing the Theory of Gender and Power: HIV Risk Among Heterosexual Minority Dyads.
复制标题
评估性别与权力理论：异性恋少数群体中的艾滋病毒风险。
DOI：
10.1007/s10461-017-1983-3
复制
发表时间：
2018
影响因子：
4.4
通讯作者：
Bull,Sheana
中科院分区：
文献类型：
--
作者：
Rinehart,DeborahJ;Al-Tayyib,AliaA;Sionean,Catlainn;Whitesell,NancyRumbaugh;Dreisbach,Susan;Bull,Sheana
本研究以性别与权力理论（TGP）为框架，评估异性恋者之间的权力不平等及其对妇女的影响。结构方程模型被用来更好地了解结构和人际权力和艾滋病毒性风险之间的关系，在非洲裔美国人和拉丁美洲妇女的异性恋二人组。主要的结果变量是妇女的性艾滋病毒的风险，在二分之一，并创建了使用妇女的报告无安全套性行为与他们的主要男性合作伙伴和合作伙伴的报告，他们的艾滋病毒的危险行为。先验的理论关联产生了一个很好的拟合模型，解释了近四分之一的差异，在妇女的性艾滋病毒的风险，主要合作伙伴的二对。妇女和伴侣的结构性权力通过药物使用和人际关系权力与妇女的性艾滋病毒风险间接相关。人际权力与风险直接相关。此外，这项研究还发现，不确定自己是异性恋者与女性的异性性行为风险直接或间接相关。这项研究提供了进一步的支持TGP的效用和相关的性别相关的权力动态的异性恋活跃的妇女之间的艾滋病毒预防。
This study drew on the Theory of Gender and Power (TGP) as a framework to assess power inequalities within heterosexual dyads and their effects on women. Structural equation modeling was used to better understand the relationship between structural and interpersonal power and HIV sexual risk within African American and Latina women’s heterosexual dyads. The main outcome variable was women’s sexual HIV risk in the dyad and was created using women’s reports of condomless sex with their main male partners and partners’ reports of their HIV risk behaviors. Theoretical associations developed a priori yielded a well-fitting model that explained almost a quarter of the variance in women’s sexual HIV risk in main partner dyads. Women’s and partner structural power were indirectly associated with women’s sexual HIV risk through substance use and interpersonal power. Interpersonal power was directly associated with risk. In addition, this study found that not identifying as heterosexual was directly and indirectly associated with women’s heterosexual sex risk. This study provides further support for the utility of the TGP and the relevance of gender-related power dynamics for HIV prevention among heterosexually-active women.