Bogart Laura M, Collins Rebecca L, Cunningham William, Beckman Robin, Golinelli Daniela, Eisenman David, Bird Chloe E
Health Program, RAND Corporation, Santa Monica, California 90407-2138, USA.
AIDS Behav. 2005 Sep;9(3):325-33. doi: 10.1007/s10461-005-9006-1.
Prior studies have found that partner abuse is related to risky sexual behavior. However, few studies have explored gender, sexual orientation, or substance use differences in this association, especially among people with HIV. We examined data from the Risk and Prevention survey from the HIV Cost and Services Utilization Study (HCSUS) sample on 726 sexually-active individuals in three gender/orientation groups (286 women, 148 heterosexual men, and 292 gay/bisexual men). The study assessed whether individuals with HIV who experienced or perpetrated abuse within a close relationship were likely to engage in unprotected intercourse with that same partner. Both abuse perpetration and victimization were significantly associated with having any unprotected intercourse. In multivariate tests, gender/orientation and substance use during sex moderated the perpetration effects. Secondary HIV prevention interventions need to take into account potentially abusive contexts in which sexual activity may occur for both men and women.
先前的研究发现，伴侣虐待与危险性行为有关。然而，很少有研究探讨这种关联中的性别、性取向或物质使用差异，尤其是在艾滋病毒感染者中。我们分析了来自艾滋病毒成本与服务利用研究（HCSUS）样本的风险与预防调查数据，该样本涉及三个性别/取向组的726名性活跃个体（286名女性、148名异性恋男性和292名男同性恋/双性恋男性）。该研究评估了在亲密关系中经历或实施虐待的艾滋病毒感染者是否可能与同一伴侣进行无保护性行为。虐待行为的实施和成为受害者都与进行任何无保护性行为显著相关。在多变量测试中，性别/取向以及性行为期间的物质使用调节了实施虐待行为的影响。二级艾滋病毒预防干预措施需要考虑到男性和女性可能发生性活动的潜在虐待情境。
