Gaffoor Zakir, Wand Handan, Daniels Brodie, Ramjee Gita
HIV Prevention Research Unit, Medical Research Council, Durban, South Africa.
BMC Res Notes. 2013 Dec 12;6:532. doi: 10.1186/1756-0500-6-532.
Studies show Gender Based Violence (GBV) to be significantly associated with risky sexual behaviour. In South Africa the incidence of GBV is reportedly high, and there is a strong argument for GBV to be a driver of HIV infection rates. This study describes the prevalence of Forced Sex (FS) experiences of women who enrolled into an HIV biomedical intervention study, and its association with risky sexual behaviour.
In this study, sociodemographic and behavioural data from women enrolled in the Carraguard™ trial, were assessed in relation to FS using logistic regression. The results indicated that 193/1485 (13%) of women reported ever experiencing FS at the screening visit. Women who were 30 years and older; reported having sex for cash; multiple partners; changing partners during the trial; inconsistent condom use during the trial; and 3 or more sex acts in the 2 weeks prior to screening, were significantly more likely to have experienced forced sex.
The results of this study are broadly consistent with those found in other studies and are similar in profile to women at higher risk for HIV acquisition in our setting. This study indicates a need for GBV prevention to be integrated with HIV prevention programmes.
研究表明，基于性别的暴力（GBV）与危险性行为显著相关。据报道，南非的基于性别的暴力发生率很高，并且有充分理由认为基于性别的暴力是艾滋病毒感染率上升的一个驱动因素。本研究描述了参与一项艾滋病毒生物医学干预研究的女性中强迫性行为（FS）经历的患病率及其与危险性行为的关联。
在本研究中，使用逻辑回归分析了参与卡拉胶试验的女性的社会人口统计学和行为数据与强迫性行为之间的关系。结果表明，193/1485（13%）的女性报告在筛查访视时曾经历过强迫性行为。年龄在30岁及以上的女性；报告以性换钱；有多个性伴侣；在试验期间更换性伴侣；在试验期间避孕套使用不规律；以及在筛查前2周内有3次或更多次性行为的女性，经历强迫性行为的可能性显著更高。
本研究的结果与其他研究的结果大致一致，并且在特征上与我们环境中感染艾滋病毒风险较高的女性相似。本研究表明，需要将基于性别的暴力预防与艾滋病毒预防计划相结合。
