Rates and Covariates of Recent Sexual and Physical Violence Against HIV-Infected Outpatient Drinkers in Western Kenya.
Rates and Covariates of Recent Sexual and Physical Violence Against HIV-Infected Outpatient Drinkers in Western Kenya.
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肯尼亚西部近期针对感染艾滋病毒的门诊饮酒者的性暴力和身体暴力的比率和协变量。
DOI：
10.1007/s10461-017-1684-y
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发表时间：
2017-08
影响因子：
4.4
通讯作者：
Maisto SA
中科院分区：
文献类型：
--
作者：
Papas RK;Gakinya BN;Mwaniki MM;Lee H;Kiarie SW;Martino S;Loxley MP;Keter AK;Klein DA;Sidle JE;Baliddawa JB;Maisto SA
身体暴力和性暴力的受害者构成了全球性的健康挑战。肯尼亚的伴侣暴力高于非洲。对饮酒者和艾滋病毒感染者的暴力行为通常会增加，因此双重脆弱性可能会进一步增加风险。了解暴力风险可以改善干预措施。参与者是肯尼亚西部614名感染艾滋病毒的门诊饮酒者，他们参加了一项减少饮酒的随机试验。在基线，过去90天的合作伙伴的身体和性暴力进行了检查，并在性别分层回归模型。我们假设报告的针对女性的暴力行为高于男性，并且积极的暴力行为与艾滋病毒污名化和酒精使用存在性别关联。女性报告的当前性（26.3%对5.7%）和身体（38.9%对24.8%）受害者明显多于男性。死亡率普遍高于肯尼亚全国终生平均水平。在这两个回归模型中，艾滋病毒的耻辱和与酒精有关的性期望与暴力显着相关，而饮酒则没有。对妇女来说，童年暴力、过去一年的性交易和年龄较小也会带来更高的暴力风险。感染艾滋病毒的肯尼亚饮酒者，特别是妇女，由于多种风险因素，赞同目前的高暴力行为。研究结果对艾滋病毒干预措施有影响。需要进行纵向研究以了解风险的发展。
Victimization from physical and sexual violence presents global health challenges. Partner violence is higher in Kenya than Africa. Violence against drinkers and HIV-infected individuals is typically elevated, so dual vulnerabilities may further augment risk. Understanding violence risks can improve interventions. Participants were 614 HIV-infected outpatient drinkers in western Kenya enrolled in a randomized trial to reduce alcohol use. At baseline, past 90-day partner physical and sexual violence were examined descriptively and in gender-stratified regression models. We hypothesized higher reported violence against women than men, and positive violence association with HIV stigma and alcohol use across gender. Women reported significantly more current sexual (26.3% versus 5.7%) and physical (38.9% versus 24.8%) victimization than men. Rates were generally higher than Kenyan lifetime national averages. In both regression models, HIV stigma and alcohol-related sexual expectations were significantly associated with violence while alcohol use was not. For women, higher violence risk was also conferred by childhood violence, past-year transactional sex, and younger age. HIV-infected Kenyan drinkers, particularly women, endorse high current violence due to multiple risk factors. Findings have implications for HIV interventions. Longitudinal research is needed to understand development of risk.
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DOI：
10.15288/jsa.1984.45.75
发表时间：
1984-01-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
LEONARD, KE
通讯作者：
LEONARD, KE
影响因子：
8
作者：
Duke, Naomi N.;Pettingell, Sandra L.;Borowsky, Iris W.
通讯作者：
Borowsky, Iris W.
影响因子：
5.4
作者：
Dunkle, KL;Jewkes, RK;Harlow, SD
通讯作者：
Harlow, SD
影响因子：
56.9
作者：
DODGE, KA;BATES, JE;PETTIT, GS
通讯作者：
PETTIT, GS
影响因子：
7.4
作者：
Einterz, Robert M.;Kimaiyo, Sylvester;Mamlin, Joseph J.
通讯作者：
Mamlin, Joseph J.