Frye Victoria, Latka Mary H, Wu YingFeng, Valverde Eduardo E, Knowlton Amy R, Knight Kelly R, Arnsten Julia H, O'Leary Ann
Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY 10029, USA.
J Acquir Immune Defic Syndr. 2007 Nov 1;46 Suppl 2:S101-9. doi: 10.1097/QAI.0b013e31815767e6.
Intimate partner violence (IPV) against women is a serious public health and social problem and is associated with a host of adverse health outcomes and behaviors, HIV risk behaviors included, among women who are victimized. Historically, research has focused on correlates of IPV victimization among women; thus, there is less information on the role of men in perpetrating IPV, particularly among men at risk for transmitting HIV to their female partners. We assessed the self-reported prevalence and correlates of perpetration and threat of perpetration of physical and/or sexual IPV against a main female partner among 317 HIV-positive men who were current injection drug users (IDUs). More than 40% of men reported perpetrating physical (39%) and/or sexual (4%) violence against their main female partners in the past year. Multivariate analyses revealed that low education, homelessness, psychologic distress, and unprotected sex with main and nonmain HIV-negative female partners were positively associated with IPV perpetration against main female partners. These findings reveal that IPV perpetration is prevalent among HIV-positive male IDUs and associated with sexual HIV transmission risk behaviors. IPV assessment and treatment among HIV-positive men in HIV care is recommended as a way to prevent IPV perpetration and victimization and to reduce potential HIV transmission.
针对女性的亲密伴侣暴力（IPV）是一个严重的公共卫生和社会问题，与一系列不良健康后果及行为相关，包括受侵害女性中的艾滋病毒风险行为。从历史上看，研究一直聚焦于女性中亲密伴侣暴力受害情况的相关因素；因此，关于男性实施亲密伴侣暴力的作用，特别是在有将艾滋病毒传播给其女性伴侣风险的男性中的相关信息较少。我们评估了317名当前为注射吸毒者（IDU）的艾滋病毒阳性男性中，针对主要女性伴侣实施身体和/或性亲密伴侣暴力及威胁实施此类暴力的自我报告患病率及其相关因素。超过40%的男性报告在过去一年中对其主要女性伴侣实施过身体暴力（39%）和/或性暴力（4%）。多变量分析显示，低教育水平、无家可归、心理困扰以及与主要和非主要艾滋病毒阴性女性伴侣发生无保护性行为，与针对主要女性伴侣实施亲密伴侣暴力呈正相关。这些发现表明，亲密伴侣暴力行为在艾滋病毒阳性男性注射吸毒者中普遍存在，并与艾滋病毒性传播风险行为相关。建议在艾滋病毒护理中对艾滋病毒阳性男性进行亲密伴侣暴力评估和治疗，以此作为预防亲密伴侣暴力行为和受害情况以及减少潜在艾滋病毒传播的一种方式。
