Health Systems Research Unit, Medical Research Council, P.O. Box 19070, Tygerberg 7505, Cape Town, South Africa.
AIDS Behav. 2011 Jan;15(1):132-41. doi: 10.1007/s10461-010-9680-5.
HIV/AIDS and intimate partner violence (IPV) are growing public health concerns in South Africa. Knowledge about adult men's perpetration of IPV and links between HIV risk behaviours and IPV is limited. Respondent driven sampling was used to recruit men who have multiple concurrent female sexual partners. Forty-one percent of the 428 recruited men had perpetrated IPV. Inconsistent condom use was associated with physical IPV; experiencing a symptom of a sexually transmitted infection and engaging in transactional sex were associated with physical and sexual IPV; problem alcohol use was associated with physical, and any IPV, but not sexual IPV; having five or more partners was associated with sexual IPV; perceptions of partners' infidelity were associated with physical and any IPV. HIV risk reduction interventions among men, especially those with multiple female sex partners, should incorporate strategies to change the underlying construction of masculinity that combines the anti-social and risky behaviours of IPV perpetration, inconsistent condom use, transactional sex and heavy alcohol consumption.
艾滋病毒/艾滋病和亲密伴侣暴力（IPV）是南非日益严重的公共卫生问题。人们对成年男性实施 IPV 的行为以及艾滋病毒风险行为与 IPV 之间的联系知之甚少。研究采用了回应者驱动抽样法，招募了有多个同时发生性关系的女性伴侣的男性。在招募的 428 名男性中，有 41%的人实施过 IPV。 condom 使用不一致与身体暴力有关；性传播感染症状和交易性行为与身体和性暴力有关；酗酒与身体暴力和任何形式的暴力有关，但与性暴力无关；有五个或更多性伴侣与性暴力有关；对伴侣不忠的看法与身体暴力和任何形式的暴力有关。在男性中，特别是那些有多个女性性伴侣的男性中，应实施艾滋病毒风险减少干预措施，包括改变将 IPV 实施、 condom 使用不一致、交易性行为和酗酒等反社会和危险行为结合在一起的男性气质的基本结构。
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