González-Guarda Rosa María, Peragallo Nilda, Lynch Ami, Nemes Susanna
School of Nursing and Health Studies, University of Miami. Coral Gables, FL, USA.
Rev Colomb Psiquiatr. 2010 Sep 1;39(Supplement):66s-83s. doi: 10.1016/s0034-7450(14)60268-7.
To explore the collective and individual experiences that Latin American females in the U.S. have with substance abuse, violence and risky sexual behaviors. METHODS: This study was conducted in two phases from July 2006 to June 2007 in south Florida. This paper covers Phase 2. In Phase 2, questionnaires were provided to women to test whether there is a relationship between demographics, acculturation, depression, self-esteem and substance use/abuse; whether there is a relationship between demographics, acculturation, depression, self-esteem and violence exposure and victimization; whether there is a relationship between demographics, acculturation, depression, self-esteem, HIV knowledge and STD and HIV/AIDS risks among respondents; and whether there is a relationship between substance abuse, violence victimization and HIV/AIDS risks among respondents. RESULTS: Participants reported high rates of alcohol and drug abuse among their current or most recent partners. This is a major concern because partner alcohol use and drug use was related to partner physical, sexual and psychological abuse. Only two factors were associated with lifetime drug use: income and acculturation. Over half of the participants reported being victims of at least one form of abuse during childhood and adulthood. A substantial component of abuse reported during adulthood was perpetrated by a currently or recent intimate partner. CONCLUSIONS: The results from this study suggest that substance abuse, violence and HIV should be addressed in an integrative and comprehensive manner. Recommendations for the development of policies, programs and services addressing substance abuse, violence and risk for HIV among Latinos are provided.
探究在美国的拉丁裔女性在药物滥用、暴力及危险性行为方面的集体和个人经历。
本研究于2006年7月至2007年6月在佛罗里达州南部分两个阶段进行。本文涵盖第二阶段。在第二阶段,向女性发放问卷,以测试人口统计学特征、文化适应、抑郁、自尊与药物使用/滥用之间是否存在关联;人口统计学特征、文化适应、抑郁、自尊与暴力暴露及受害情况之间是否存在关联;人口统计学特征、文化适应、抑郁、自尊、艾滋病毒知识与受访者中的性传播疾病及艾滋病毒/艾滋病风险之间是否存在关联;以及受访者中的药物滥用、暴力受害情况与艾滋病毒/艾滋病风险之间是否存在关联。
参与者报告其现任或最近一任伴侣中酒精和药物滥用率很高。这是一个主要问题,因为伴侣饮酒和吸毒与伴侣的身体、性和心理虐待有关。仅两个因素与终生吸毒有关:收入和文化适应。超过一半的参与者报告在童年和成年期间至少遭受过一种形式的虐待。成年期报告的大量虐待行为是由现任或最近的亲密伴侣实施的。
本研究结果表明,应综合全面地解决药物滥用、暴力和艾滋病毒问题。提供了有关制定解决拉丁裔药物滥用、暴力和艾滋病毒风险的政策、方案和服务的建议。