Department of Community and Public Health, The Johns Hopkins University School of Nursing, Baltimore, MD 21205, USA.
J Acquir Immune Defic Syndr. 2010 Jan;53(1):136-43. doi: 10.1097/QAI.0b013e3181b3a8cc.
Recent evidence suggests that it is important to consider behavioral specific sexual violence measures in assessing women's risk behaviors. This study investigated associations of history and types of sexual coercion on HIV risk behaviors in a nationally representative sample of heterosexually active American women.
Analyses were based on 5857 women aged 18-44 participating in the 2002 National Survey of Family Growth. Types of lifetime sexual coercion included: victim given alcohol or drugs, verbally pressured, threatened with physical injury, and physically injured. Associations with HIV risk behaviors were assessed using logistic regression.
Of 5857 heterosexually active women, 16.4% reported multiple sex partners and 15.3% reported substance abuse. A coerced first sexual intercourse experience and coerced sex after sexual debut were independently associated with multiple sex partners and substance abuse; the highest risk was observed for women reporting a coerced first sexual intercourse experience. Among types of sexual coercion, alcohol or drug use at coerced sex was independently associated with multiple sex partners and substance abuse.
Our findings suggest that public health strategies are needed to address the violent components of heterosexual relationships. Future research should utilize longitudinal and qualitative research to characterize the relationship between continuums of sexual coercion and HIV risk.
最近的证据表明，在评估女性的风险行为时，考虑行为特定的性暴力措施非常重要。本研究调查了在具有代表性的美国异性恋活跃女性群体中，性胁迫的历史和类型与艾滋病毒风险行为之间的关联。
分析基于参与 2002 年全国家庭增长调查的 5857 名年龄在 18-44 岁的女性。一生中经历过的性胁迫类型包括：被给予酒精或毒品、被言语施压、受到身体伤害的威胁和身体受伤。使用逻辑回归评估与艾滋病毒风险行为的关联。
在 5857 名异性恋活跃的女性中，16.4%报告有多个性伴侣，15.3%报告有物质滥用。被迫发生首次性行为经历和性初体验后的强迫性行为与多个性伴侣和物质滥用独立相关；报告被迫发生首次性行为经历的女性风险最高。在性胁迫的类型中，强迫性行为时使用酒精或毒品与多个性伴侣和物质滥用独立相关。
我们的研究结果表明，需要制定公共卫生策略来解决异性恋关系中的暴力问题。未来的研究应利用纵向和定性研究来描述性胁迫连续性与艾滋病毒风险之间的关系。
