Relationship power, condom use and HIV risk among women in the USA
Relationship power, condom use and HIV risk among women in the USA
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DOI：
10.1080/0954012021000031868
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发表时间：
2002-12-01
影响因子：
1.7
通讯作者：
Rudd, R
中科院分区：
文献类型：
--
作者：
Pulerwitz, J;Amaro, H;Rudd, R
妇女争取更安全的性行为，特别是使用避孕套的能力，是艾滋病毒/性传播疾病预防战略的一个重要组成部分。基于性别的权力不平衡可能会限制妇女的谈判能力，但很少有实证研究已经测试的假设，性关系的权力构成了安全套使用谈判的关键因素。在这项调查中，一个新的测量-性关系权力量表（SRPS）-被应用。数据收集自马萨诸塞州一个城市社区卫生中心的388名妇女，其中大部分是拉丁裔妇女。在控制了社会人口学和心理社会变量后，关系权力高的妇女报告持续使用安全套的可能性是关系权力低的妇女的5倍（p < 0.05）。人口归因风险估计表明，52%的妇女缺乏一致的安全套使用可归因于低性关系的权力。性关系权力量表与安全套使用之间的强相关性支持了关系权力在安全性行为决策中起关键作用的假设。这些研究结果强调，在设计和执行促进性健康和生殖健康的方案以及调查安全套使用和艾滋病毒风险的研究时，必须纳入关系权力问题。
Women's ability to negotiate safer sexual practices, particularly condom use, is a vital component of HIV/STD prevention strategies. Gender-based power imbalances may constrain women's negotiation ability, yet few empirical studies have tested the hypothesis that sexual relationship power constitutes a key factor in condom use negotiation. In this investigation, a new measure-the Sexual Relationship Power Scale (SRPS) -was applied. Data were collected from 388, mostly Latina, women at an urban community health centre in Massachusetts. Women with high levels of relationship power were five times as likely as women with low levels to report consistent condom use, after controlling for sociodemographic and psychosocial variables (p < 0.05). Population attributable risk estimates indicate that 52% of the lack of consistent condom use among women can be attributed to low sexual relationship power. The strong association between the Sexual Relationship Power Scale and consistent condom use supports the hypothesis that relationship power plays a key role in safer sex decision making. These findings underscore the importance of including the issue of relationship power in the design and implementation of programmes that promote sexual and reproductive health, as well as research investigating condom use and HIV risk.