Sexual coercion and sexual violence at first intercourse associated with sexually transmitted infections.
Sexual coercion and sexual violence at first intercourse associated with sexually transmitted infections.
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与性传播感染相关的初次性交时的性胁迫和性暴力。
DOI：
10.1097/olq.0000000000000011
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发表时间：
2013
影响因子：
3.1
通讯作者：
Coker,AnnL
中科院分区：
文献类型：
--
作者：
Williams,CorrineM;Clear,EmilyR;Coker,AnnL
背景对妇女的暴力行为与随后的危险性行为和性传播感染（STIs）有关。我们探讨了第一次性交时的性胁迫或暴力是否与自我报告的STIS.MethodsUsing全国代表性数据从2006年至2010年全国家庭成长调查，我们分析了女性受访者年龄18至44岁（n= 9466）谁回答了第一次性交时的胁迫问题（需要，非自愿性，和使用的武力类型）和性传播感染使用逻辑回归分析。我们探讨了程度的胁迫，我们的标签既不，性胁迫（不想要的或非体力），或性暴力（非自愿或体力）。Results18%的美国妇女报告性胁迫，和8.4%的经历性暴力在第一次性交。在控制了所有变量后，与没有经历过这两种情况的女性相比，经历过性胁迫的女性报告性传播感染的几率明显更大（比值比，1.27; 95%置信区间，1.01-1.60）。第一次性交时的性暴力与性传播感染之间的关联（优势比，1.20; 95%置信区间，0.91-1.57）结论：了解到报告各种胁迫性经历的妇女更有可能感染性传播感染，可能表明需要关注更广泛的性暴力连续体，以充分了解性暴力的影响，甚至是对妇女健康的微妙暴力形式。此外，关注随后的性行为和其他负面后果对于改善经历过强迫性交的妇女的性健康仍然很重要。
BackgroundViolence against women has been associated with subsequent risky sexual behaviors and sexually transmitted infections (STIs). We explored whether sexual coercion or violence at first intercourse was associated with self-reported STIs.MethodsUsing nationally representative data from the 2006 to 2010 National Survey of Family Growth, we analyzed female respondents aged 18 to 44 (n= 9466) who answered questions on coercion at first intercourse (wantedness, voluntariness, and types of force used) and STIs using logistic regression analyses. We explored degrees of coercion, which we label as neither, sexual coercion (unwanted or nonphysical force), or sexual violence (involuntary or physical force).ResultsEighteen percent of US women reported sexual coercion, and 8.4% experienced sexual violence at first intercourse. Compared with women who experienced neither, the odds of reporting an STI was significantly greater for women who experienced sexual coercion (odds ratio, 1.27; 95% confidence interval, 1.01–1.60), after controlling for all variables. The association between sexual violence at first intercourse and STIs (odds ratio, 1.20; 95% confidence interval, 0.91–1.57) seemed to be attenuated by subsequent sexual violence.ConclusionsUnderstanding that women who reported a variety of coercive sexual experiences are more likely to have contracted an STI may indicate a need to focus on the broader continuum of sexual violence to fully understand the impact of even subtle forms of violence on women’s health. In addition, focusing on subsequent sexual behaviors and other negative consequences remains important to improve the sexual health of women who have experienced coercive sexual intercourse.