Reproductive coercion, sexual risk behaviours and mental health symptoms among young low-income behaviourally bisexual women: implications for nursing practice
Reproductive coercion, sexual risk behaviours and mental health symptoms among young low-income behaviourally bisexual women: implications for nursing practice
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DOI：
10.1111/jocn.13238
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发表时间：
2016-12-01
影响因子：
4.2
通讯作者：
Campbell, Jacquelyn C.
中科院分区：
文献类型：
--
作者：
Alexander, Kamila A.;Volpe, Ellen M.;Campbell, Jacquelyn C.
目的和目标。描述一生中与男性和女性发生性经历的女性与仅与男性发生性行为的同龄人相比，生殖胁迫、性危险行为和心理健康症状的发生率。背景。生殖强迫是一个全球公共卫生问题，在性少数女性中尚未得到充分研究。在与男女发生性关系的妇女中，针对妇女的暴力行为仍然很高。该人群中的性暴力和身体暴力发生率高于报告与男性或女性发生独家性关系的女性。护士和其他医疗保健提供者通常不会进行全面的性病史；与性伴侣性别相关的假设可能会提供更广泛的健康影响的迹象。设计。对从六个社区站点招募的 18-25 岁低收入黑人女性进行横断面调查，开展一项关注亲密伴侣暴力与健康的家长研究。方法。我们分析了报告一生与男性和女性发生性经历的参与者 (N = 42) 的调查数据，并将其结果与报告仅与男性发生性经历的女性 (N = 107) 进行比较。结果。与女性和男性发生性行为的女性中，有更大比例的人表示经历过生殖胁迫。与女性和男性发生性关系的女性也报告了更多一生中遭受亲密伴侣身体暴力和性暴力的经历，以性换取资源，并患有创伤后应激障碍症状。结论。研究结果提供了重要的信息，可以为护理临床实践提供信息，特别是与亲密伴侣暴力的病史采集、筛查方案和咨询策略以及与女性和男性发生性关系的女性的心理健康相关的信息。与临床实践的相关性。解决生殖胁迫和亲密伴侣暴力以及在临床和社区环境中与女性和男性发生性行为的妇女的健康后果的策略应包括对性伴侣的性行为和性别的纵向了解。
Aims and objectives. To describe prevalence of reproductive coercion, sexual risk behaviours and mental health symptoms among women reporting lifetime sexual experiences with men and women compared to peers reporting sex exclusively with men.Background. Reproductive coercion, a global public health problem, is understudied among sexual minority women. Violence against women remains high among women who have sex with women and men. Rates of sexual and physical violence among this population are higher than women reporting exclusive sexual partnerships with either men or women. Nurses and other healthcare providers often do not conduct comprehensive sexual histories; assumptions related to a sex partner's gender may provide indications of broader health implications.Design. Cross-sectional survey of low-income Black women ages 18-25 recruited from six community-based sites for a parent study focused on intimate partner violence and health.Methods. We analysed survey data from participants who reported lifetime sexual experiences with men and women (N = 42) and compared their outcomes to those of women reporting sexual experiences with men only (N = 107).Results. A greater proportion of women who have sex with women and men reported experiencing reproductive coercion. Women who have sex with women and men also reported a greater number of lifetime intimate partner physical and sexual violence experiences, traded sex for resources, and had post-traumatic stress disorder symptoms.Conclusions. Findings provide vital information that can inform nursing clinical practice, specifically related to history-taking, screening protocols and counselling strategies for intimate partner violence and mental health among women who have sex with women and men.Relevance to clinical practice. Strategies for addressing reproductive coercion and intimate partner violence as well as the health consequences among women who have sex with women and men in clinical and community-based settings should include a longitudinal understanding of sexual behaviour and gender of sex partners.