A longitudinal study of the relationship between intimate partner violence and postpartum unsafe sex among newly diagnosed HIV-infected South African women.
A longitudinal study of the relationship between intimate partner violence and postpartum unsafe sex among newly diagnosed HIV-infected South African women.
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对新诊断的艾滋病毒感染南非妇女亲密伴侣暴力与产后不安全性行为之间关系的纵向研究。
DOI：
10.1080/09540121.2018.1556380
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发表时间：
2019
期刊：
影响因子：
1.7
通讯作者：
Chen,MayS
中科院分区：
文献类型：
--
作者：
Reyes,HLuzMcNaughton;Maman,Suzanne;Groves,AllisonK;Moodley,Dhayendre;Chen,MayS
从事产后不安全性行为的艾滋病毒阳性妇女面临获得性传播感染、意外怀孕和将艾滋病毒二次传播给未感染的伴侣的风险。HIV阳性妇女产后不安全性行为风险增加的一个因素是IPV受害，然而，很少有研究检验这种联系。为此，目前的纵向研究检查了在怀孕期间评估的心理、身体和性IPV模式是否可以预测在怀孕期间被诊断为艾滋病毒阳性的南非妇女在产后14周发生不安全的性行为(n=561)。在三步潜在类别分析中，IPV类别成员预测产后不安全性行为；与非受害者相比，多种形式严重控制IPV的患者显著更有可能从事产后不安全性行为(p=.01)，即使在调整了关键混杂因素后也是如此。产后不安全性行为与中度IPV无关。研究结果支持，对于经历了严重的IPV模式的艾滋病毒阳性孕妇，需要有针对性的减少性风险干预措施。
HIV-positive women who engage in postpartum unsafe sex are at risk for STI acquisition, unintended pregnancy, and secondary transmission of HIV to uninfected partners. One factor that may increase risk for postpartum unsafe sex among HIV-positive women is IPV victimization, however, few studies have examined this association. To this end, the current longitudinal study examined whether patterns of psychological, physical, and sexual IPV, assessed during pregnancy, predicted unsafe sex at 14 weeks postpartum among South African women diagnosed as HIV-positive during pregnancy (n=561). In a three-step latent class analysis IPV class membership predicted postpartum unsafe sex; compared to non-victims, victims of multiform severe controlling IPV were significantly more likely to engage in postpartum unsafe sex (p=.01), even after adjusting for key confounders. Moderate IPV was not associated with postpartum unsafe sex. Findings support the need for targeted sexual risk reduction interventions for HIV-positive pregnant women who have experienced severe patterns of IPV.