Perpetration of partner violence and HIV risk behaviour among young men in the rural Eastern Cape, South Africa
Perpetration of partner violence and HIV risk behaviour among young men in the rural Eastern Cape, South Africa
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DOI：
10.1097/01.aids.0000247582.00826.52
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发表时间：
2006-10-24
期刊：
影响因子：
3.8
通讯作者：
Duvvury, Nata
中科院分区：
文献类型：
--
作者：
Dunkle, Kristin L.;Jewkes, Rachel K.;Duvvury, Nata
目的：研究南非农村青年男性亲密伴侣暴力行为与HIV危险行为之间的关系。设计：对参加行为干预的随机对照试验Steps Stones的男性的基线数据进行分析。方法：对来自东开普省70个村庄的1275名15-26岁有性经验的男性进行结构化访谈。参与者被问及针对女性伴侣的暴力行为的类型、频率和时间，以及一系列关于艾滋病毒危险行为的问题。结果：共有31.8%的男性报告对女性主要伴侣实施过身体或性暴力。性行为与过去一年和一生中较多的性伴侣数量、最近的性行为以及报告随意性伴侣、有问题的物质使用、对非伴侣的性侵犯和交易性行为的可能性更大相关。报告对伴侣实施身体和性暴力的男性，在过去12个月前和过去12个月内都实施过暴力行为，或者发生一次以上的暴力行为，报告的艾滋病毒风险行为水平显著高于报告不那么严重或较不频繁实施暴力行为的男性。结论：实施伴侣暴力的年轻男性从事艾滋病毒风险行为的水平显著高于未实施暴力的青年男性，并且更严重的暴力行为与更高水平的危险行为相关。艾滋病毒预防干预措施必须明确处理实施亲密伴侣暴力行为与男子艾滋病毒风险行为之间的联系，以及促成这两种行为的根本性别和权力动态。(C)2006年，Lippincott Williams&Wilkins。
Objectives: To examine associations between the perpetration of intimate partner violence and HIV risk behaviour among young men in rural South Africa.Design: An analysis of baseline data from men enrolling in a randomized controlled trial of the behavioural intervention, Stepping Stones.Methods: Structured interviews with 1275 sexually experienced men aged 15-26 years from 70 villages in the rural Eastern Cape. Participants were asked about the type, frequency, and timing of violence against female partners, as well as a range of questions about HIV risk behaviours.Results: A total of 31.8% of men reported the perpetration of physical or sexual violence against female main partners. Perpetration was correlated with higher numbers of past year and lifetime sexual partners, more recent intercourse, and a greater likelihood of reporting casual sex partners, problematic substance use, sexual assault of non-partners, and transactional sex. Men who reported both physical and sexual violence against a partner, perpetration both before and within the past 12 months, or more than one episode of perpetration reported significantly higher levels of HIV risk behaviour than men who reported less severe or less frequent perpetration of violence.Conclusion: Young men who perpetrate partner violence engage insignificantly higher levels of HIV risk behaviour than non-perpetrators, and more severe violence is associated with higher levels of risky behaviour. HIV prevention interventions must explicitly address the links between the perpetration of intimate partner violence and HIV risk behaviour among men, as well as the underlying gender and power dynamics that contribute to both. (c) 2006 Lippincott Williams & Wilkins.