Seth Puja, Raiford Jerris L, Robinson LaShun S, Wingood Gina M, Diclemente Ralph J
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30332, USA.
Sex Health. 2010 Mar;7(1):25-30. doi: 10.1071/SH08075.
Intimate partner violence and other partner-related factors have been associated with acquiring sexually transmissible infections (STIs) and engaging in risky sexual behaviour. The present study examined partner-related risk factors for STIs and risky sexual behaviours among an urban sample of African American women.
African American women, between 18 and 29 years (n = 848), participated in the study at baseline. Participants completed a 40-min Audio Computer Assisted Survey Interview assessing sociodemographics, partner-related factors and HIV/STI-associated sexual risk behaviours. Subsequently, participants provided two vaginal swab specimens for STIs.
The findings indicated that risky sexual behaviours and STIs were prevalent in this sample: 35.6% reported a risky sexual partner, 65.4% reported inconsistent condom use and 17% tested positive for a laboratory-confirmed STI. Women reporting a history of intimate partner violence were more likely to report risky sexual partners (adjusted odds ratio (AOR) = 2.00; 95% confidence interval (CI) = 1.5-2.8), inconsistent condom use (AOR = 1.60; 95% CI = 1.1-2.3) and test positive for an STI (AOR = 1.46; 95% CI = 0.99-2.1). Women reporting high partner-related barriers to condom use were more likely to report risky sexual partners (AOR = 1.69; 95% CI = 1.2-2.3), inconsistent condom use (AOR = 2.13; 95% CI = 1.5-3.0) and test positive for an STI (AOR = 1.98; 95% CI = 1.3-3.0). Finally, women with older partners were more likely to report risky sexual partners (AOR = 1.53; 95% CI = 1.1-2.1) and test positive for an STI (AOR = 1.46; 95% CI = 1.0-2.2).
This study examines partner-related risk factors for STIs and risky sexual behaviours among African American women. These findings underscore the need for combined intimate partner violence and HIV/STI prevention programs for this disproportionately affected high-risk group.
亲密伴侣暴力及其他与伴侣相关的因素已被证实与性传播感染（STIs）的感染以及危险的性行为有关。本研究调查了非裔美国城市女性样本中性传播感染和危险性行为的伴侣相关风险因素。
18至29岁的非裔美国女性（n = 848）在基线时参与了本研究。参与者完成了一项40分钟的音频计算机辅助调查访谈，评估社会人口统计学、伴侣相关因素以及与艾滋病毒/性传播感染相关的性风险行为。随后，参与者提供了两份用于性传播感染检测的阴道拭子样本。
研究结果表明，危险的性行为和性传播感染在该样本中很普遍：35.6%的人报告有危险性行为伴侣，65.4%的人报告避孕套使用不一致，17%的人经实验室确诊性传播感染检测呈阳性。报告有亲密伴侣暴力史的女性更有可能报告有危险性行为伴侣（调整后的优势比（AOR）= 2.00；95%置信区间（CI）= 1.5 - 2.8）、避孕套使用不一致（AOR = 1.60；95% CI = 1.1 - 2.3）以及性传播感染检测呈阳性（AOR = 1.46；95% CI = 0.99 - 2.1）。报告与伴侣相关的避孕套使用障碍较高的女性更有可能报告有危险性行为伴侣（AOR = 1.69；95% CI = 1.2 - 2.3）、避孕套使用不一致（AOR = 2.13；95% CI = 1.5 - 3.0）以及性传播感染检测呈阳性（AOR = 1.98；95% CI = 1.3 - 3.0）。最后，伴侣年龄较大的女性更有可能报告有危险性行为伴侣（AOR = 1.53；95% CI = 1.1 - 2.1）以及性传播感染检测呈阳性（AOR = 1.46；95% CI = 1.0 - 2.2）。
本研究调查了非裔美国女性中性传播感染和危险性行为的伴侣相关风险因素。这些发现强调了为这个受影响尤为严重的高危群体制定综合的亲密伴侣暴力和艾滋病毒/性传播感染预防项目的必要性。
