Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 2213 McElderry Street, 4th Floor, M409, Baltimore, MD 21205, USA.
AIDS Behav. 2010 Apr;14(2):318-27. doi: 10.1007/s10461-009-9623-1.
Posttraumatic stress disorder resulting from intimate partner violence (IPV-related PTSD), drug problems, and alcohol problems were tested as correlates of women's sexual risk behavior. Participants were 136 low-income women experiencing physical violence by a male partner during the past 6 months. Sexual risk behavior was assessed by whether women had unprotected sex with a risky primary partner (i.e., HIV-positive, injection drug user, and/or nonmonogamous), unprotected sex with a risky nonprimary partner (i.e. HIV-positive or unknown status), or traded sex during the past 6 months. Nearly one in five women engaged in these recent sexual risk behaviors. Simultaneous logistic regression results revealed IPV-related PTSD, but not drug or alcohol problems, was significantly associated with sexual risk behavior while controlling for childhood abuse and demographic covariates. Women with IPV-related PTSD had four times greater odds of recent sexual risk behavior compared to women without IPV-related PTSD. Implications for HIV prevention interventions are discussed.
创伤后应激障碍源于亲密伴侣暴力（与 IPV 相关的 PTSD）、药物问题和酒精问题，被视为女性性行为风险的相关因素。参与者为 136 名在过去 6 个月中经历过男性伴侣身体暴力的低收入女性。性行为风险通过女性与高危主要伴侣（即 HIV 阳性、注射吸毒者和/或多性伴者）、与高危非主要伴侣（即 HIV 阳性或未知状态）发生无保护性行为，或在过去 6 个月中进行性交易来评估。近五分之一的女性最近发生了这些性行为风险。同时进行的逻辑回归结果显示，在控制儿童期虐待和人口统计学协变量的情况下，与 PTSD 相关的 IPV 而不是药物或酒精问题与性行为风险显著相关。与没有 PTSD 相关的 IPV 的女性相比，患有 PTSD 相关的 IPV 的女性发生近期性行为风险的可能性要高出四倍。讨论了这些发现对 HIV 预防干预的意义。
