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初级卫生保健机构中城市少数族裔女性的亲密伴侣暴力与感染艾滋病毒风险

Intimate partner violence and HIV risk among urban minority women in primary health care settings.

作者信息

Wu Elwin, El-Bassel Nabila, Witte Susan S, Gilbert Louisa, Chang Mingway

机构信息

Social Intervention Group, Columbia University School of Social Work, 475 Riverside Drive #1842, New York, NY 10115, USA.

出版信息

AIDS Behav. 2003 Sep;7(3):291-301. doi: 10.1023/a:1025447820399.

Abstract

This study describes the associations between intimate partner violence (IPV) and HIV risk among urban, predominantly minority women. Interviews were conducted with 1,590 women, predominantly African American and Latina, attending hospital-based health care clinics. Approximately 1 in 5 women reported experiencing IPV in their current primary heterosexual relationships; about 1 in 8 women reported experiencing IPV in the preceding 6 months. Compared to women who reported no IPV in their primary relationships, women reporting past or current IPV perpetrated by their primary partners were more likely to report having multiple sexual partners, a past or current sexually transmitted infection (STI), inconsistent use or nonuse of condoms, and a partner with known HIV risk factors. These findings indicate that urban minority women experiencing IPV are at elevated risk for HIV infection, results that carry important implications in the efforts to improve HIV and IPV risk assessment protocols and intervention/prevention strategies for women in primary health care settings.

摘要

本研究描述了城市中以少数族裔女性为主的亲密伴侣暴力(IPV)与HIV感染风险之间的关联。对1590名主要为非裔美国人和拉丁裔、前往医院医疗诊所就诊的女性进行了访谈。约五分之一的女性报告称在其当前的主要异性恋关系中遭受过IPV;约八分之一的女性报告称在过去6个月内遭受过IPV。与在主要关系中未报告遭受IPV的女性相比,报告过去或当前在主要关系中遭受IPV的女性更有可能报告有多个性伴侣、过去或当前患有性传播感染(STI)、未坚持使用或未使用避孕套,以及伴侣有已知的HIV风险因素。这些发现表明,遭受IPV的城市少数族裔女性感染HIV的风险更高,这一结果对于改进初级卫生保健环境中女性的HIV和IPV风险评估方案及干预/预防策略具有重要意义。

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