University of North Carolina, Chapel Hill, 27599, USA.
J Interpers Violence. 2010 Oct;25(10):1855-72. doi: 10.1177/0886260509354498. Epub 2009 Dec 4.
There is growing evidence of the association between gender-based violence and HIV from the perspective and experiences of women. The purpose of this study is to examine these associations from the perspective of young men living in Dar es Salaam, Tanzania. A community-based sample of 951 men were interviewed, of whom 360 had sex in the past 6 months and were included in these analyses. Almost a third of the men (29.2%) reported that they had been physically violent at least once with an intimate partner. Men who reported more lifetime sexual partners (OR = 8.75; 95% CI = 2.65, 28.92), experienced physical violence as a child at home (OR = 1.73; 95% CI = 1.09, 2.76), and were more educated (OR = 1.91; 95% CI = 1.18, 3.11) were significantly more likely to report perpetrating violence. These associations persisted after adjusting for other variables. These data from the perspective of young men reinforce earlier findings from women that HIV risk and violence are occurring together in relationships of young adults. Interventions are needed to identify men at high risk for HIV and engage them in interventions that are designed to change norms and behaviors related to power and control with their sexual partners.
越来越多的证据表明，从女性的角度和经验来看，性别暴力与艾滋病毒之间存在关联。本研究旨在从坦桑尼亚达累斯萨拉姆的年轻男性的角度来研究这些关联。对 951 名男性进行了基于社区的抽样调查，其中 360 名在过去 6 个月中有过性行为，这些人被纳入了这些分析。近三分之一的男性（29.2%）报告说他们至少曾经对亲密伴侣实施过一次身体暴力。报告有更多的性伴侣（OR=8.75；95%CI=2.65，28.92）、在家中经历过身体暴力（OR=1.73；95%CI=1.09，2.76）和受教育程度更高（OR=1.91；95%CI=1.18，3.11）的男性更有可能实施暴力行为。在调整了其他变量后，这些关联仍然存在。这些来自年轻男性的观点强化了早期从女性身上获得的发现，即艾滋病毒风险和暴力行为在年轻成年人的关系中同时发生。需要采取干预措施，以确定有感染艾滋病毒高风险的男性，并让他们参与旨在改变与性伴侣的权力和控制有关的规范和行为的干预措施。
