HIV risks of men in methadone maintenance treatment programs who abuse their intimate partners: A forgotten issue
HIV risks of men in methadone maintenance treatment programs who abuse their intimate partners: A forgotten issue
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DOI：
10.1016/s0899-3289(01)00068-2
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发表时间：
2001-01-01
期刊：
影响因子：
--
通讯作者：
Pitchell, P
中科院分区：
文献类型：
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作者：
El-Bassel, N;Fontdevila, J;Pitchell, P
越来越多的研究结果表明，伴侣暴力与妇女感染艾滋病毒的风险之间存在关系，但这一问题尚未在男子中得到充分研究。本研究探讨了美沙酮维持治疗项目（MMTPs）中男性样本之间的亲密伴侣暴力和艾滋病毒风险行为之间的关系。收集了273名性活跃男性的数据，他们是从四个市中心的MMTP诊所招募的。超过三分之一的样本报告在过去12个月内实施了亲密的身体虐待，15%报告了严重的身体虐待。多元逻辑回归分析的结果表明，在调整了人口统计学，贫困和药物使用因素后，虐待亲密伴侣的男性有一个以上亲密伴侣的可能性几乎是4倍，无保护肛交的可能性几乎是3倍，与注射药物的性伴侣发生性关系的可能性是2.6倍。这项研究表明，实施伴侣暴力的男子感染艾滋病毒的风险更高。艾滋病毒预防干预措施需要考虑伴侣暴力与艾滋病毒风险之间的复杂关系。(C)2001 Elsevier Science Inc. All rights reserved.
Accumulating findings suggest a relationship between partner violence and HIV risk among women, however, this issue has yet to be adequately researched among men. This study examines the relationship between perpetrating intimate partner violence and HIV risk behavior among a sample of men in methadone maintenance treatment programs (MMTPs). Data were collected on 273 sexually active men, who were recruited from four inner-city MMTP clinics. More than a third of the sample reported perpetrating intimate physical abuse and 15% reported severe physical abuse in the past 12 months. Results from multiple logistic regression analyses indicate that after adjusting for demographic, poverty, and drug-use factors, men who abused an intimate partner were almost 4 times more likely to have more than one intimate partner, almost 3 times more likely to have unprotected anal sex, and 2.6 times more likely to have sex with a drug-injecting sexual partner than their counterparts. This study showed that men who perpetrated partner violence were at higher risk for HIV transmission. HIV prevention interventions need to consider the complex relationship between partner violence and HIV risk. (C) 2001 Elsevier Science Inc. All rights reserved.