Feldman Matthew B, Díaz Rafael M, Ream Geoffrey L, El-Bassel Nabila
Medical and Health Research Association of New York City, Inc., 71 West 23rd Street, 14th Floor, New York, NY 10010, USA.
J LGBT Health Res. 2007;3(2):9-19. doi: 10.1300/J463v03n02_02.
This study examined the relationship between intimate partner violence (IPV) and HIV sexual risk behavior using a probability sample of 912 Latino gay and bisexual men from three U.S. cities. Prevalence estimates of psychological, physical, and sexual abuse are higher in our sample than usually found in the general population of gay and bisexual or heterosexual men, with 52% reporting some type of abuse. IPV also was associated with being HIV positive. Controlling for HIV status, age, and immigrant status, all three dimensions of IPV--psychological, [RR = 2.42; 95% CI = 1.02, 5.78], physical, [RR = 2.86; 95% CI = 1.21, 6.74], and sexual abuse [RR = 4.63; 95% CI = 1.63, 13.18]--were, overall, associated with significantly greater likelihood of unprotected receptive anal intercourse with a non-monogamous partner. Sexual abuse [RR = 3.22; 95% CI = 1.00, 10.37], emerged as significant even while controlling for the other two dimensions of IPV.
本研究使用来自美国三个城市的912名拉丁裔男同性恋者和双性恋男性的概率样本,考察了亲密伴侣暴力(IPV)与艾滋病毒性行为风险之间的关系。我们样本中心理、身体和性虐待的患病率估计高于同性恋、双性恋或异性恋男性总体人群中的通常水平,52%的人报告遭受过某种形式的虐待。亲密伴侣暴力也与艾滋病毒呈阳性有关。在控制艾滋病毒感染状况、年龄和移民身份后,亲密伴侣暴力的所有三个维度——心理虐待,[相对风险(RR)=2.42;95%置信区间(CI)=1.02,5.78],身体虐待,[RR = 2.86;95% CI = 1.21,6.74],以及性虐待[RR = 4.63;95% CI = 1.63,13.18]——总体上与与非一夫一妻制伴侣进行无保护被动肛交的可能性显著增加有关。即使在控制亲密伴侣暴力的其他两个维度后,性虐待[RR = 3.22;95% CI = 1.00,10.37]仍然具有显著性。