Zablotska Iryna B, Gray Ronald H, Koenig Michael A, Serwadda David, Nalugoda Fred, Kigozi Godfrey, Sewankambo Nelson, Lutalo Tom, Wabwire Mangen Fred, Wawer Maria
National Centre in HIV Social Research, University of New South Wales, Sydney 2052, Australia.
AIDS Behav. 2009 Apr;13(2):225-33. doi: 10.1007/s10461-007-9333-5. Epub 2007 Dec 7.
Disinhibition due to alcohol may induce intimate partner violence and sexual coercion and increased risk of HIV infection. In a sample of 3,422 women aged 15-24 from the Rakai cohort, Uganda, we examined the association between self-reported alcohol use before sex, physical violence/sexual coercion in the past and prevalent HIV, using adjusted odds ratios (Adj OR) and 95% confidence intervals (95% CI). During the previous year, physical violence (26.9%) and sexual coercion (13.4%) were common, and alcohol use before sex was associated with a higher risk of physical violence/sexual coercion. HIV prevalence was significantly higher with alcohol consumption before sex (Adj OR = 1.45, 95% CI: 1.06-1.98) and especially when women reported both prior sexual coercion and alcohol use before sex (Adj OR = 1.79, 95% CI: 1.25-2.56). Alcohol use before sex was associated with physical violence and sexual coercion, and both are jointly associated with HIV infection risk in young women.
酒精导致的行为抑制解除可能引发亲密伴侣暴力和性胁迫，并增加感染艾滋病毒的风险。在乌干达拉凯队列研究中选取的3422名15至24岁女性样本中，我们使用校正比值比（Adj OR）和95%置信区间（95% CI），研究了性行为前自我报告的饮酒情况、过去的身体暴力/性胁迫与艾滋病毒感染率之间的关联。在前一年，身体暴力（26.9%）和性胁迫（13.4%）很常见，性行为前饮酒与身体暴力/性胁迫的较高风险相关。性行为前饮酒的女性艾滋病毒感染率显著更高（校正比值比=1.45，95%置信区间：1.06 - 1.98），尤其是当女性报告既有先前的性胁迫又有性行为前饮酒时（校正比值比=1.79，95%置信区间：1.25 - 2.56）。性行为前饮酒与身体暴力和性胁迫相关，而这两者都与年轻女性的艾滋病毒感染风险共同相关。
