THE EFFECTS OF SEXISM, PSYCHOLOGICAL DISTRESS, AND DIFFICULT SEXUAL SITUATIONS ON US WOMEN'S SEXUAL RISK BEHAVIORS
THE EFFECTS OF SEXISM, PSYCHOLOGICAL DISTRESS, AND DIFFICULT SEXUAL SITUATIONS ON US WOMEN'S SEXUAL RISK BEHAVIORS
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DOI：
10.1521/aeap.2011.23.5.397
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发表时间：
2011-10-01
影响因子：
1.8
通讯作者：
Neilands, Torsten B.
中科院分区：
文献类型：
--
作者：
Choi, Kyung-Hee;Bowleg, Lisa;Neilands, Torsten B.
妇女几乎占全世界艾滋病毒感染者的一半。尽管社会歧视已被认为是预防艾滋病毒的主要障碍，但很少有实证研究探讨性别歧视对女性艾滋病毒性风险行为的影响。我们分析了从一个种族多样的样本754名妇女参加计划生育诊所在旧金山弗朗西斯科湾区收集的数据。大多数受访者报告了一生中的性别歧视经历（例如，94%的人报告性骚扰）。结构方程模型的结果表明，性别歧视的经验和报告最近无保护的性行为与主要或次要的性伴侣是通过心理困扰和困难的性情况。我们的研究结果表明，有必要为妇女制定艾滋病毒预防战略，解决两个机制-心理困扰和困难的性生活情况-社会歧视妇女的艾滋病毒性风险。
Women represent almost half of the people living with HIV worldwide. Although social discrimination has been recognized as a major obstacle to HIV prevention, few empirical studies have examined the effects of sexism on wornen's HIV sexual risk behaviors. We analyzed data collected from an ethnically diverse sample of 754 women attending family planning clinics in the San Francisco Bay Area. A majority of respondents reported lifetime experiences of sexism (e.g., 94% reported sexual harassment). Structural equation modeling results demonstrated that experiences of sexism and reports of recent unprotected sex with a primary or a secondary sexual partner were linked through psychological distress and difficult sexual situations. Our results suggest the need to develop HIV prevention strategies for women that address two mechanisms-psychological distress and difficult sexual situations-that link social discrimination to women's sexual risk for HIV.