J Urban Health. 2014 Feb;91(1):122-35. doi: 10.1007/s11524-013-9817-8.
Men's violence against women-particularly intimate partner sexual violence (IPSV)-is associated with the transmission of HIV. Men who physically abuse their female intimate partners often also sexually abuse them. Latinas are one of the fastest growing populations in the USA and at high-risk for contracting HIV, though little is known about IPSV against physically abused Latinas, including whether there is an association between nativity of the victim and the likelihood of sexual violence by intimate partners. This study examined the (1) prevalence of recent (past 6 months) IPSV against 555 physically abused, help-seeking Latinas and (2) relationship of nativity to recent IPSV. This study used data collected in 2002–2003 from participants in one major city on the East Coast and one West Coast county, who were involved in the Risk Assessment Validation (RAVE) Study. The RAVE Study assessed the accuracy of four different methods for predicting risk of future intimate partner violence. IPSV was defined as an abusive male partner physically forcing sex (rape) or making the woman have sex without a condom. Recent IPSV was reported by 38 % of the sample. Among those reporting recent IPSV, multiple assaults were common: 30%of women were raped and 51%were made to have unprotected sex six or more times during the past 6 months. IPSV was significantly associated with nativity. Physically abused Latinas who were foreign born had two times greater odds of reporting recent IPSV than physically abused Latinas born in the USA, after controlling for other demographic covariates. Exploratory post hoc analyses examining all pairwise comparisons of IPSV against Latinas born in the USA, Mexico, Central America, South America, and the Caribbean also revealed some significant differences that warrant further study with larger samples. HIV prevention efforts aimed at reducing IPSV in this population are needed.
男性对女性的暴力行为——尤其是亲密伴侣的性暴力（IPSV）——与 HIV 的传播有关。身体虐待女性亲密伴侣的男性通常也会对其进行性虐待。拉丁裔是美国增长最快的人群之一，感染 HIV 的风险很高，尽管对于身体受虐的拉丁裔女性遭受 IPSV 的情况知之甚少，包括受害者的出生地与亲密伴侣实施性暴力的可能性之间是否存在关联。本研究调查了（1）555 名身体受虐、寻求帮助的拉丁裔女性最近（过去 6 个月内）遭受 IPSV 的流行率，以及（2）出生地与最近 IPSV 的关系。本研究使用了 2002 年至 2003 年期间在东海岸一个主要城市和西海岸一个县参与风险评估验证（RAVE）研究的参与者收集的数据。RAVE 研究评估了四种不同方法预测未来亲密伴侣暴力风险的准确性。IPSV 定义为虐待男性伴侣强迫发生性行为（强奸）或使女性在没有避孕套的情况下发生性行为。该样本中有 38%的人报告最近遭受了 IPSV。在报告最近遭受 IPSV 的人群中，多次袭击很常见：30%的女性被强奸，51%的女性在过去 6 个月内被迫进行了 6 次或更多次无保护的性行为。IPSV 与出生地显著相关。在控制了其他人口统计学协变量后，与在美国出生的身体受虐拉丁裔女性相比，出生在国外的身体受虐拉丁裔女性报告最近遭受 IPSV 的可能性是前者的两倍。对所有与在美国出生的拉丁裔女性进行的 IPSV 比较的探索性事后分析，还揭示了一些需要进一步研究的显著差异，需要使用更大的样本进行研究。需要针对该人群开展 HIV 预防工作，以减少 IPSV 的发生。
