美国初级保健成年患者概率样本中HIV感染后的暴力受害情况。
Violence victimization after HIV infection in a US probability sample of adult patients in primary care.
作者信息
Zierler S, Cunningham W E, Andersen R, Shapiro M F, Nakazono T, Morton S, Crystal S, Stein M, Turner B, St Clair P, Bozzette S A
机构信息
Department of Community Health, Brown University School of Medicine, Providence, RI, USA.
出版信息
Am J Public Health. 2000 Feb;90(2):208-15. doi: 10.2105/ajph.90.2.208.
OBJECTIVES
This study estimated the proportion of HIV-infected adults who have been assaulted by a partner or someone important to them since their HIV diagnosis and the extent to which they reported HIV-seropositive status as a cause of the violence.
METHODS
Study participants were from a nationally representative probability sample of 2864 HIV-infected adults who were receiving medical care and were enrolled in the HIV Costs and Service Utilization Study. All interviews (91% in person, 9% by telephone) were conducted with computer-assisted personal interviewing instruments. Interviews began in January 1996 and ended 15 months later.
RESULTS
Overall, 20.5% of the women, 11.5% of the men who reported having sex with men, and 7.5% of the heterosexual men reported physical harm since diagnosis, of whom nearly half reported HIV-seropositive status as a cause of violent episodes.
CONCLUSIONS
HIV-related care is an appropriate setting for routine assessment of violence. Programs to cross-train staff in antiviolence agencies and HIV care facilities need to be developed for men and women with HIV infection.
目的
本研究估计了自确诊感染艾滋病毒以来，遭受伴侣或对其重要之人攻击的成年艾滋病毒感染者的比例，以及他们将艾滋病毒血清阳性状态报告为暴力起因的程度。
方法
研究参与者来自全国具有代表性的概率样本，该样本包含2864名接受医疗护理并参与艾滋病毒成本与服务利用研究的成年艾滋病毒感染者。所有访谈（91%为面对面访谈，9%通过电话访谈）均使用计算机辅助个人访谈工具进行。访谈于1996年1月开始，15个月后结束。
结果
总体而言，自确诊以来，20.5%的女性、11.5%报告有男男性行为的男性以及7.5%的异性恋男性报告遭受过身体伤害，其中近一半将艾滋病毒血清阳性状态报告为暴力事件的起因。
结论
与艾滋病毒相关的护理是对暴力进行常规评估的合适场所。需要为感染艾滋病毒的男性和女性制定相关项目，以便在反暴力机构和艾滋病毒护理机构对工作人员进行交叉培训。
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