Raj Anita, Santana M Christina, La Marche Ana, Amaro Hortensia, Cranston Kevin, Silverman Jay G
Department of Social and Behavioral Sciences, Boston University School of Public Health, Mass 02118, USA.
Am J Public Health. 2006 Oct;96(10):1873-8. doi: 10.2105/AJPH.2005.081554. Epub 2006 May 2.
We assessed the association between intimate partner violence (IPV) perpetration and sexual risk behaviors and fatherhood (having fathered children) among young men.
Sexually active men aged 18 to 35 years who visited an urban community health center and who reported having sexual intercourse with a steady female partner during the past 3 months (N = 283) completed a brief self-administered survey about sexual risk behaviors, IPV perpetration, and demographics. We conducted logistic regression analyses adjusted for demographics to assess associations between IPV and sexual risk behaviors and fatherhood.
Participants were predominantly Hispanic (74.9%) and Black (21.9%). Participants who reported IPV perpetration during the past year (41.3%) were significantly more likely to report (1) inconsistent or no condom use during vaginal and anal sexual intercourse, (2) forcing sexual intercourse without a condom, (3) having sexual intercourse with other women, and (4) having fathered 3 or more children.
IPV perpetration was common among our sample and was associated with increased sexual risk behaviors. Urban community health centers may offer an important venue for reaching this at-risk population.
我们评估了亲密伴侣暴力行为与年轻男性的性风险行为及为人父情况(育有子女)之间的关联。
年龄在18至35岁之间、前往城市社区健康中心就诊、且报告在过去3个月内与固定女性伴侣发生过性行为的性活跃男性(N = 283),完成了一项关于性风险行为、亲密伴侣暴力行为及人口统计学特征的简短自填式调查。我们进行了针对人口统计学特征调整的逻辑回归分析,以评估亲密伴侣暴力行为与性风险行为及为人父情况之间的关联。
参与者主要为西班牙裔(74.9%)和黑人(21.9%)。报告在过去一年中有亲密伴侣暴力行为的参与者(41.3%)更有可能报告以下情况:(1)在阴道性交和肛交时未始终使用或未使用避孕套;(2)无避孕套情况下强迫性交;(3)与其他女性发生性行为;(4)育有3个或更多子女。
亲密伴侣暴力行为在我们的样本中很常见,且与性风险行为增加有关。城市社区健康中心可能是接触这一高危人群的重要场所。