Sareen Jitender, Pagura Jina, Grant Bridget
Community Health Sciences, Psychology, University of Manitoba, Winnipeg Manitoba, Canada R3E 3N4.
Gen Hosp Psychiatry. 2009 May-Jun;31(3):274-8. doi: 10.1016/j.genhosppsych.2009.02.004. Epub 2009 Mar 27.
This study sought to examine the association between intimate partner violence (IPV) and human immunodeficiency virus (HIV) infection among a large representative sample of US women.
Data came from the National Epidemiologic Survey on Alcohol and Related Conditions (age, 20 years and older). The present analysis utilized the subsample of women who reported being in a relationship in the last year (n=13,928). Participants were asked whether they had experienced physical or sexual violence from their partner in the last year, as well as whether they had been diagnosed with HIV by a health care professional.
Past year IPV and HIV prevalence estimates among women in romantic relationships in the United States were 5.5% and 0.17%, respectively. In models adjusting for sociodemographic factors and risky sexual behaviors (e.g., age of first intercourse), IPV was significantly associated with HIV infection (adjusted odds ratios=3.44, 95% confidence interval=1.28-9.22). We also found that 11.8% of the cases of HIV infection among women were attributable to past year IPV.
The present study demonstrates a strong association between IPV and HIV in a representative sample of US women. Screening and prevention programs need to be aware of this important association.
本研究旨在调查美国大量具有代表性的女性样本中亲密伴侣暴力（IPV）与人类免疫缺陷病毒（HIV）感染之间的关联。
数据来自全国酒精及相关疾病流行病学调查（年龄在20岁及以上）。本分析使用了去年报告处于恋爱关系中的女性子样本（n = 13,928）。参与者被问及去年是否遭受过伴侣的身体或性暴力，以及是否被医疗保健专业人员诊断出感染了HIV。
美国恋爱关系中女性过去一年的IPV患病率和HIV患病率估计分别为5.5%和0.17%。在调整了社会人口学因素和危险性行为（如初次性交年龄）的模型中，IPV与HIV感染显著相关（调整后的优势比 = 3.44，95%置信区间 = 1.28 - 9.22）。我们还发现，女性中11.8%的HIV感染病例可归因于过去一年的IPV。
本研究表明在美国女性的代表性样本中，IPV与HIV之间存在密切关联。筛查和预防项目需要意识到这一重要关联。
