Gielen Andrea Carlson, Ghandour Reem M, Burke Jessica G, Mahoney Patricia, McDonnell Karen A, O'Campo Patricia
Department of Health, Behaviour and Society, Johns Hopkins Bloomberg School of Public Health, USA.
Trauma Violence Abuse. 2007 Apr;8(2):178-98. doi: 10.1177/1524838007301476.
This article reviews 35 U.S. studies on the intersection of HIV and adult intimate partner violence (IPV). Most studies describe rates of IPV among women at risk or living with HIV/AIDS and identify correlates, using multiple types of convenience samples (e.g., women in methadone treatment, women in shelters or clinics), cross-sectional designs, and self-reported risk behaviors. HIV-positive women appear to experience any IPV at rates comparable to HIV-negative women from the same underlying populations; however, their abuse seems to be more frequent and more severe. The authors found only four relevant interventions and none addressed sexually transmitted HIV and partner violence risk reduction simultaneously. There is a critical need for research on (a) causal pathways and cumulative effects of the syndemic issues of violence, HIV, and substance abuse and (b) interventions that target IPV victims at risk for HIV, as well as HIV-positive women who may be experiencing IPV.
本文回顾了35项关于美国艾滋病毒与成年亲密伴侣暴力(IPV)交叉问题的研究。大多数研究描述了处于感染艾滋病毒风险中或感染艾滋病毒/艾滋病的女性中的亲密伴侣暴力发生率,并使用多种便利样本(例如接受美沙酮治疗的女性、收容所或诊所中的女性)、横断面设计和自我报告的风险行为来确定相关因素。艾滋病毒呈阳性的女性遭受任何亲密伴侣暴力的比率似乎与来自相同潜在人群的艾滋病毒呈阴性的女性相当;然而,她们遭受的虐待似乎更频繁、更严重。作者仅发现了四项相关干预措施,且没有一项措施同时解决性传播艾滋病毒和伴侣暴力风险降低问题。迫切需要开展以下研究:(a)暴力、艾滋病毒和药物滥用等综合征问题的因果途径和累积影响;(b)针对有感染艾滋病毒风险的亲密伴侣暴力受害者以及可能正在遭受亲密伴侣暴力的艾滋病毒呈阳性女性的干预措施。