Intimate Partner Violence Perpetration, Risky Sexual Behavior, and STI/HIV Diagnosis Among Heterosexual African American Men
Intimate Partner Violence Perpetration, Risky Sexual Behavior, and STI/HIV Diagnosis Among Heterosexual African American Men
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DOI：
10.1177/1557988308320269
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发表时间：
2008-09-01
影响因子：
2.3
通讯作者：
Silverman, Jay G.
中科院分区：
文献类型：
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作者：
Raj, Anita;Reed, Elizabeth;Silverman, Jay G.
有证据表明，施虐的男性伴侣会增加女性感染性传播感染 (STI)/艾滋病毒的风险。然而，针对男性在这个问题上的研究是有限的。本研究的目的是评估非裔美国异性恋男性中亲密伴侣暴力 (IPV) 实施与近期性传播感染/艾滋病毒诊断、无保护性行为和性交易参与之间的关联。在这项横断面研究中，从城市卫生诊所招募了年龄在 18 至 65 岁之间、过去一年有过两个或以上性伴侣的非裔美国异性恋男性，以完成一项计算机化调查，评估社会人口特征、IPV 犯罪史、危险性行为和药物使用情况。多变量逻辑回归分析评估了 IPV 感染与 STI/HIV 风险之间的关联。该样本中超过一半的参与者 (61%) 失业； 28.2%的人文化程度低于高中，23.1%的人无家可归。五分之一的样本 (21.2%) 报告称他们目前的关系中存在 IPV 行为。 IPV 的感染与最近的性传播感染/艾滋病毒诊断、无保护的肛交和买性行为显着相关。在接受临床护理的异性恋高危非裔美国男性中，IPV 犯罪现象十分普遍，而 IPV 犯罪者感染性传播感染 (STI)/艾滋病毒 (HIV) 的风险较高。
Evidence indicates that abusive male partners pose increased risk for sexually transmitted infection (STI)/HIV among females. However, research with males on this issue is limited. The objective of this study was to assess the associations between intimate partner violence (IPV) perpetration and recent STI/HIV diagnosis, unprotected sex, and sex trade involvement among heterosexual African American men. In this cross-sectional study, heterosexual African American males aged 18 to 65 years who reported two or more sex partners in the past year were recruited from urban health clinics to complete a computerized survey assessing sociodemographic characteristics, IPV perpetration history, risky sexual behaviors, and substance use. Multivariate logistic regression analyses assessed associations between IPV perpetration and STI/HIV risk. More than half of participants in this sample (61%) were unemployed; 28.2% had less than a high school education and 23.1% were homeless. One-fifth of the sample (21.2%) reported IPV perpetration in their current relationship. IPV perpetration was significantly associated with recent STI/HIV diagnosis, unprotected anal sex, and buying sex. IPV perpetration is pervasive among heterosexually at-risk African American men presenting for clinical care, and those perpetrating IPV are at heightened risk for STI/HIV.