Intimate partner violence perpetration against main female partners among HIV-positive male injection drug users
Intimate partner violence perpetration against main female partners among HIV-positive male injection drug users
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DOI：
10.1097/qai.0b013e31815767e6
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发表时间：
2007-11-01
影响因子：
3.6
通讯作者：
O'Leary, Ann
中科院分区：
文献类型：
--
作者：
Frye, Victoria;Latka, Mary H.;O'Leary, Ann
针对女性的亲密伴侣暴力 (IPV) 是一个严重的公共卫生和社会问题，与受害女性的一系列不良健康结果和行为有关，包括艾滋病毒危险行为。从历史上看，研究主要集中在女性 IPV 受害的相关性上。因此，关于男性在实施 IPV 过程中所扮演的角色的信息较少，特别是在有将 HIV 传染给其女性伴侣的风险的男性中。我们评估了 317 名当前注射吸毒者 (IDU) 的 HIV 阳性男性中的自我报告患病率以及针对主要女性伴侣实施身体和/或性 IPV 的威胁和实施的相关性。超过 40% 的男性报告称，去年对其主要女性伴侣实施过身体暴力 (39%) 和/或性暴力 (4%)。多变量分析显示，教育程度低、无家可归、心理困扰以及与主要和非主要艾滋病毒阴性女性伴侣发生无保护性行为与针对主要女性伴侣的 IPV 犯罪呈正相关。这些发现表明，IPV 犯罪在 HIV 阳性男性注射吸毒者中很普遍，并且与 HIV 性传播风险行为相关。建议对艾滋病毒护理中的艾滋病毒阳性男性进行 IPV 评估和治疗，作为预防 IPV 实施和受害以及减少潜在 HIV 传播的一种方法。
Intimate partner violence (IPV) against women is a serious public health and social problem and is associated with a host of adverse health outcomes and behaviors, HIV risk behaviors included, among women who are victimized. Historically, research has focused on correlates of IPV victimization among women; thus, there is less information on the role of men in perpetrating IPV, particularly among men at risk for transmitting HIV to their female partners. We assessed the self-reported prevalence and correlates of perpetration and threat of perpetration of physical and/or sexual IPV against a main female partner among 317 HIV-positive men who were current injection drug users (IDUs). More than 40% of men reported perpetrating physical (39%) and/or sexual (4%) violence against their main female partners in the past year. Multivariate analyses revealed that low education, homelessness, psychologic distress, and unprotected sex with main and nonmain HIV-negative female partners were positively associated with IPV perpetration against main female partners. These findings reveal that IPV perpetration is prevalent among HIV-positive male IDUs and associated with sexual HIV transmission risk behaviors. IPV assessment and treatment among HIV-positive men in HIV care is recommended as a way to prevent IPV perpetration and victimization and to reduce potential HIV transmission.