Constrained relationship agency as the risk factor for intimate partner violence in different models of transactional sex.

Constrained relationship agency as the risk factor for intimate partner violence in different models of transactional sex.
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DOI:
10.2989/16085906.2017.1345768
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发表时间:
2017-12
期刊:
African journal of AIDS research : AJAR
影响因子:
--
通讯作者:
Dunkle K
Dunkle K
中科院分区:
其他
文献类型:
--
作者:
Fielding-Miller R;Dunkle K

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从事性交易的妇女更有可能遭受亲密伴侣暴力,感染艾滋病毒的风险也更高。然而,妇女从事性交易的原因多种多样,性交易与IPV之间的确切联系机制尚未完全了解。我们对2014年2月至6月期间在斯威士兰参加1个农村和1个城市公共产前诊所的401名妇女进行了一项行为调查。我们使用结构方程模型来识别和测量约束关系代理(CRA)作为一个潜在变量,然后测试的假设,CRA起着重要的作用之间的路径IPV和交易性。在控制CRA之后,从性伴侣那里获得更多的物质商品与更高水平的身体或性IPV无关,并且对情感IPV具有保护作用。CRA是IPV的最大预测因子,受教育程度越高,约束关系代理水平越低。将性交易作为IPV和艾滋病毒的驱动因素的政策和干预措施,如果能够针对限制妇女能动性和推动性交易有害方面的更广泛的社会环境,可能会更成功。
Women who engage in transactional sex are more likely to experience intimate partner violence (IPV) and are at higher risk of HIV. However, women engage in transactional sex for a variety of reasons and the precise mechanism linking transactional sex and IPV is not fully understood. We conducted a behavioural survey with a cross-sectional sample of 401 women attending 1 rural and 1 urban public antenatal clinic in Swaziland between February and June 2014. We used structural equation modelling to identify and measure constrained relationship agency (CRA) as a latent variable, and then tested the hypothesis that CRA plays a significant role in the pathway between IPV and transactional sex. After controlling for CRA, receiving more material goods from a sexual partner was not associated with higher levels of physical or sexual IPV and was protective against emotional IPV. CRA was the single largest predictor of IPV, and more education was associated with decreased levels of constrained relationship agency. Policies and interventions that target transactional sex as a driver of IPV and HIV may be more successful if they instead target the broader social landscape that constrains women’s agency and drives the harmful aspects of transactional sex.
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