Laughon Kathryn, Gielen Andrea Carlson, Campbell Jacquelyn C, Burke Jessica, McDonnell Karen, O'Campo Patricia
University of Virginia, School of Nursing, McLeod Hall, P.O. Box 800782, Charlottesville, VA 22908-0782, USA.
Res Nurs Health. 2007 Aug;30(4):413-28. doi: 10.1002/nur.20226.
This study was a secondary analysis of the relationships among lifetime experiences of violence, depressive symptoms, substance use, safer sex behaviors use, and past-year sexually transmitted infection (STI) treatment among a sample of 445 low income, primarily African American women (257 HIV-, 188 HIV+) reporting a male intimate partner within the past year. Twenty-one percent of HIV- and 33% of HIV+ women reported past-year STI treatment. Violence victimization increased women's odds of past-year STI treatment, controlling for HIV status and age. Depressive symptoms increased, and use of safer sex behaviors decreased, women's odds of past-year STI treatment. Results suggest that positive assessment for violence and/or depression indicates need for STI screening.
本研究是一项对445名低收入、主要为非裔美国女性(257名HIV阴性,188名HIV阳性)样本中暴力的终生经历、抑郁症状、物质使用、安全性行为以及过去一年性传播感染(STI)治疗之间关系的二次分析,这些女性在过去一年中报告有男性亲密伴侣。21%的HIV阴性和33%的HIV阳性女性报告过去一年接受过STI治疗。在控制HIV状态和年龄的情况下,暴力受害增加了女性过去一年接受STI治疗的几率。抑郁症状增加,而安全性行为的使用减少,女性过去一年接受STI治疗的几率。结果表明,对暴力和/或抑郁的积极评估表明需要进行STI筛查。