McCabe Brian E, Gonzalez-Guarda Rosa M, Peragallo Nilda P, Mitrani Victoria B
University of Miami, Coral Gables, FL, USA
University of Miami, Coral Gables, FL, USA.
J Interpers Violence. 2016 Aug;31(13):2316-37. doi: 10.1177/0886260515575608. Epub 2015 Mar 24.
The objective of this study was to test whether partner communication about HIV and/or alcohol intoxication mediated reductions in intimate partner violence (IPV) in SEPA (Salud [health], Educación [education], Promoción [promotion], y [and] Autocuidado [self-care]), a culturally specific, theoretically based group HIV-risk reduction intervention for Hispanic women. SEPA had five sessions covering sexually transmitted infection (STI)/HIV prevention, partner communication, condom negotiation and use, and IPV. SEPA reduced IPV and alcohol intoxication, and improved partner communication compared with controls in a randomized trial with adult U.S. Hispanic women (SEPA, n = 274; delayed intervention control, n = 274) who completed structured interviews at baseline and 3, 6, and 12 months post-baseline. Parallel process latent growth curve models indicated that partner communication about HIV mediated the reduction in male-to-female IPV in SEPA, B = -0.78, SE = 0.14, p< .001, but alcohol intoxication did not, B = -0.15, SE = 0.19, p = .431. Male-to-female IPV mediated the intervention effect on female-to-male IPV, B = -1.21, SE = 0.24, p< .001. Skills building strategies originally designed to enhance women's communication with their partners about sexual risk behaviors also worked to reduce male-to-female IPV, which in turn reduced female-to-male IPV. These strategies could be integrated into other types of health promotion interventions.
本研究的目的是检验在SEPA（健康、教育、推广和自我护理）项目中，伴侣间关于艾滋病毒和/或酒精中毒的沟通是否能介导亲密伴侣暴力（IPV）的减少。SEPA是一项针对西班牙裔女性的具有文化特异性、基于理论的群体艾滋病毒风险降低干预措施。SEPA有五个环节，涵盖性传播感染（STI）/艾滋病毒预防、伴侣沟通、避孕套谈判和使用以及亲密伴侣暴力。在一项针对成年美国西班牙裔女性的随机试验中（SEPA组，n = 274；延迟干预对照组，n = 274），这些女性在基线以及基线后3个月、6个月和12个月完成了结构化访谈，结果显示与对照组相比，SEPA减少了亲密伴侣暴力和酒精中毒，并改善了伴侣沟通。平行过程潜在增长曲线模型表明，SEPA项目中伴侣间关于艾滋病毒的沟通介导了男性对女性亲密伴侣暴力的减少，B = -0.78，标准误 = 0.14，p <.001，但酒精中毒并未介导，B = -0.15，标准误 = 0.19，p = 0.431。男性对女性的亲密伴侣暴力介导了干预对女性对男性亲密伴侣暴力的影响，B = -1.21，标准误 = 0.24，p <.001。最初旨在增强女性与伴侣就性风险行为进行沟通的技能培养策略，也有助于减少男性对女性的亲密伴侣暴力，进而减少女性对男性的亲密伴侣暴力。这些策略可以整合到其他类型的健康促进干预措施中。
