美国印第安/阿拉斯加原住民农村女性的创伤后应激障碍与艾滋病病毒风险行为
Post-traumatic stress disorder and HIV risk behaviors among rural American Indian/Alaska Native women.
作者信息
Pearson Cynthia R, Kaysen Debra, Belcourt Annie, Stappenbeck Cynthia A, Zhou Chuan, Smartlowit-Briggs Lucy, Whitefoot Patricia
出版信息
Am Indian Alsk Native Ment Health Res. 2015;22(3):1-20. doi: 10.5820/aian.2203.2015.1.
Abstract
We assessed the relationship between post-traumatic stress disorder (PTSD), binge drinking, and HIV sexual risk behavior by examining number of unprotected sex acts and number of sexual partners in the past 6 months among 129 sexually active American Indian women. A total of 51 (39.5%) young women met PTSD criteria. Among women who met the PTSD criteria, binge drinking was associated with a 35% increased rate of unprotected sex (IRR 1.35, p < .05), and there was a stronger association between increased binge drinking and risk of more sexual partners (IRR 1.21, p < .001) than among women who did not meet PTSD criteria (IRR 1.08, p < .01) with a difference of 13% (p < .05). HIV intervention and prevention interventions in this population likely would benefit from the inclusion of efforts to reduce binge drinking and increase treatment of PTSD symptoms.
摘要
我们通过检查129名有性活动的美国印第安女性在过去6个月中的无保护性行为次数和性伴侣数量，评估了创伤后应激障碍（PTSD）、暴饮与艾滋病毒性行为风险之间的关系。共有51名（39.5%）年轻女性符合PTSD标准。在符合PTSD标准的女性中，暴饮与无保护性行为发生率增加35%相关（发病率比值比[IRR]为1.35，p<0.05），而且与性伴侣增多风险之间的关联（IRR为1.21，p<0.001）比不符合PTSD标准的女性（IRR为1.08，p<0.01）更强，差异为13%（p<0.05）。该人群中的艾滋病毒干预和预防干预措施可能会受益于减少暴饮和增加PTSD症状治疗的努力。
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