感染艾滋病毒的无家可归和住房不稳定成年人中的身体虐待和性虐待：患病率及相关风险。
Physical and sexual abuse among homeless and unstably housed adults living with HIV: prevalence and associated risks.
作者信息
Henny Kirk D, Kidder Daniel P, Stall Ron, Wolitski Richard J
机构信息
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, NE MS E-37, Atlanta, GA 30333, USA.
出版信息
AIDS Behav. 2007 Nov;11(6):842-53. doi: 10.1007/s10461-007-9251-6. Epub 2007 Jun 19.
Abstract
We examined the prevalence and risks associated with interpersonal (physical and sexual) abuse among HIV-seropositive homeless or unstably housed adults. Data were obtained from the Housing and Health Study of participants living in Baltimore, Chicago, and Los Angeles (n = 644). We used logistic regression to identify risks associated with abuse. About 77% of men and 86% of women reported ever experiencing abuse. Women were at greater risk than men for intimate partner physical abuse, childhood sexual abuse (CSA), and adulthood sexual abuse. Men and women experiencing intimate partner physical abuse reported increased risk of unprotected sex. Other risks associated with abuse include sex exchange; lifetime alcohol abuse; and depressive symptoms. Abuse prevalence among sample exceeds those found in other samples of general USA, HIV-seropositive, and homeless populations. Identifying persons at risk of abuse is needed to reduce risk among homeless or unstably housed persons living with HIV.
摘要
我们调查了艾滋病毒血清呈阳性的无家可归者或居住不稳定的成年人中人际（身体和性）虐待的患病率及相关风险。数据来自对居住在巴尔的摩、芝加哥和洛杉矶的参与者进行的住房与健康研究（n = 644）。我们使用逻辑回归来确定与虐待相关的风险。约77%的男性和86%的女性报告曾遭受过虐待。在亲密伴侣身体虐待、童年性虐待（CSA）和成年期性虐待方面，女性比男性面临的风险更大。经历亲密伴侣身体虐待的男性和女性报告称无保护性行为的风险增加。与虐待相关的其他风险包括性交易、终身酗酒和抑郁症状。样本中的虐待患病率高于在美国普通人群、艾滋病毒血清呈阳性人群和无家可归人群的其他样本中所发现的患病率。为降低感染艾滋病毒的无家可归者或居住不稳定者的风险，需要识别有虐待风险的人群。
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