Ramachandran Shruti, Yonas Michael A, Silvestre Anthony J, Burke Jessica G
Department of Behavioral and Community Health Sciences, University of Pittsburgh Graduate School of Public Health, PA, USA.
AIDS Care. 2010 Dec;22(12):1536-43. doi: 10.1080/09540121.2010.482199.
While the intersection of HIV/AIDS and intimate partner violence (IPV) has gained increased attention, little focus has been given to the relationship among minority men and men who have sex with men (MSM). This pilot study, conducted at an urban clinic, explores the IPV experiences of HIV-positive persons involved in both heterosexual and homosexual relationships. Fifty-six HIV-positive individuals were interviewed to assess for verbal, physical, and sexual IPV, and for HIV-related abuse and attitudes regarding routine IPV screening. Approximately three quarters (73%) of the sample reported lifetime IPV and 20% reported current abuse. Physical IPV (85%) was cited the most by abused participants. IPV rates were highest among African-Americans and MSM. More than one-fourth (29%) of those abused felt the abuse was related to their HIV status. A majority of participants favored IPV screening by providers, but felt it might increase risk of IPV. IPV and its association to HIV are significant issues among this sample. Findings support the need for developing new programs that address these epidemics simultaneously.
虽然艾滋病毒/艾滋病与亲密伴侣暴力（IPV）之间的交叉问题已受到越来越多的关注，但对少数族裔男性和男男性行为者（MSM）之间的关系却很少关注。这项在城市诊所进行的试点研究，探讨了参与异性恋和同性恋关系的艾滋病毒阳性者的亲密伴侣暴力经历。对56名艾滋病毒阳性个体进行了访谈，以评估言语、身体和性方面的亲密伴侣暴力，以及与艾滋病毒相关的虐待和对常规亲密伴侣暴力筛查的态度。大约四分之三（73%）的样本报告有过终身亲密伴侣暴力经历，20%报告目前遭受虐待。身体方面的亲密伴侣暴力（85%）被受虐参与者提及最多。亲密伴侣暴力发生率在非裔美国人和男男性行为者中最高。超过四分之一（29%）的受虐者认为虐待与他们的艾滋病毒感染状况有关。大多数参与者赞成由医疗服务提供者进行亲密伴侣暴力筛查，但认为这可能会增加亲密伴侣暴力的风险。亲密伴侣暴力及其与艾滋病毒的关联是该样本中的重要问题。研究结果支持开发同时应对这些流行病的新方案的必要性。
