Centro de Investigación de Enfermedades Tropicales, Universidad Autónoma de Guerrero, El Roble, Acapulco, Mexico.
AIDS Behav. 2012 Jan;16(1):189-98. doi: 10.1007/s10461-011-9912-3.
Interpersonal power gradients may prevent people implementing HIV prevention decisions. Among 7,464 youth aged 15-29 years in Botswana, Namibia and Swaziland we documented indicators of choice-disability (low education, educational disparity with partner, experience of sexual violence, experience of intimate partner violence (IPV), poverty, partner income disparity, willingness to have sex without a condom despite believing partner at risk of HIV), and risk behaviours like inconsistent use of condoms and multiple partners. In Botswana, Namibia and Swaziland, 22.9, 9.1, and 26.1% women, and 8.3, 2.8, and 9.3% men, were HIV positive. Among both women and men, experience of IPV, IPV interacted with age, and partner income disparity interacted with age were associated with HIV positivity in multivariate analysis. Additional factors were low education (for women) and poverty (for men). Choice disability may be an important driver of the AIDS epidemic. New strategies are needed that favour the choice-disabled.
人际权力梯度可能会阻止人们实施艾滋病毒预防决策。在博茨瓦纳、纳米比亚和斯威士兰的 7464 名 15-29 岁的年轻人中，我们记录了选择障碍的指标（教育程度低、与伴侣的教育差距、性暴力经历、亲密伴侣暴力经历、贫困、伴侣收入差距、尽管认为伴侣有感染艾滋病毒的风险但仍愿意无保护措施发生性行为）以及不安全套使用不一致和多个性伴侣等风险行为。在博茨瓦纳、纳米比亚和斯威士兰，22.9%、9.1%和 26.1%的女性和 8.3%、2.8%和 9.3%的男性艾滋病毒检测呈阳性。在女性和男性中，亲密伴侣暴力经历、年龄与亲密伴侣暴力经历的相互作用以及伴侣收入差距与年龄的相互作用均与多变量分析中的艾滋病毒阳性结果相关。其他因素包括教育程度低（对女性而言）和贫困（对男性而言）。选择障碍可能是艾滋病流行的一个重要驱动因素。需要采取新的策略来支持选择障碍者。
