亲密伴侣强迫性行为对遭受身体虐待的非裔美国和非洲加勒比女性艾滋病毒风险因素的影响。
Impact of Intimate Partner Forced Sex on HIV Risk Factors in Physically Abused African American and African Caribbean Women.
作者信息
Draughon Jessica E, Lucea Marguerite B, Campbell Jacquelyn C, Paterno Mary T, Bertrand Desiree R, Sharps Phyllis W, Campbell Doris W, Stockman Jamila K
机构信息
Johns Hopkins University School of Nursing, Baltimore, MD, USA,
出版信息
J Immigr Minor Health. 2015 Oct;17(5):1313-21. doi: 10.1007/s10903-014-0112-x.
We examined associations between intimate partner forced sex (IPFS) and HIV sexual risk behaviors among physically abused Black women. Women aged 18-55 in intimate relationships were interviewed in health clinics in Baltimore, MD and St. Thomas and St. Croix, US Virgin Islands (USVI). Of 426 physically abused women, 38% experienced IPFS; (Baltimore = 44 and USVI = 116). USVI women experiencing IPFS were more likely to have 3+ past-year sex partners (AOR 2.06, 95% CI 1.03-4.14), casual sex partners (AOR 2.71, 95% CI 1.42-5.17), and concurrent sex partners (AOR 1.94, 95% CI 1.01-3.73) compared to their counterparts. Baltimore women reporting IPFS were more likely to have exchanged sex (AOR 3.57, 95% CI 1.19-10.75). Women experiencing IPFS were more likely to report their abuser having other sexual partners in Baltimore (AOR 3.30, 95% CI 1.22-8.88) and USVI (AOR 2.03, 95% CI 1.20-3.44). Clinicians should consider the influence of IPFS on individual and partnership HIV sexual risk behaviors.
我们研究了遭受身体虐待的黑人女性中亲密伴侣强迫性行为（IPFS）与艾滋病毒性行为风险之间的关联。在马里兰州巴尔的摩以及美属维尔京群岛圣托马斯和圣克罗伊岛的健康诊所，对年龄在18 - 55岁处于亲密关系中的女性进行了访谈。在426名遭受身体虐待的女性中，38%经历过亲密伴侣强迫性行为（巴尔的摩 = 44人，美属维尔京群岛 = 116人）。与未经历亲密伴侣强迫性行为的美属维尔京群岛女性相比，经历过亲密伴侣强迫性行为的美属维尔京群岛女性更有可能在过去一年有3个以上性伴侣（调整后比值比[AOR]为2.06，95%置信区间[CI]为1.03 - 4.14）、有临时性伴侣（AOR为2.71，95%CI为1.42 - 5.17）以及有同时性伴侣（AOR为1.94，95%CI为1.01 - 3.73）。报告经历过亲密伴侣强迫性行为的巴尔的摩女性更有可能进行过性交易（AOR为3.57，95%CI为1.19 - 10.75）。在巴尔的摩（AOR为3.30，95%CI为1.22 - 8.88）和美属维尔京群岛（AOR为2.03，95%CI为1.20 - 3.44），经历过亲密伴侣强迫性行为的女性更有可能报告其施虐者有其他性伴侣。临床医生应考虑亲密伴侣强迫性行为对个人及伴侣艾滋病毒性行为风险的影响。
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