Bacchus L J, Buller A M, Ferrari G, Peters T J, Devries K, Sethi G, White J, Hester M, Feder G S
1 Faculty of Public Health and Policy, Gender Violence and Health Centre, London School of Hygiene and Tropical Medicine, UK.
2 Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, UK.
Int J STD AIDS. 2017 Jan;28(1):16-27. doi: 10.1177/0956462415622886. Epub 2016 Jul 10.
This cross-sectional survey measured adult experience and perpetration of negative and potentially abusive behaviours with partners and its associations with mental and sexual health problems, drug and alcohol abuse in gay and bisexual men attending a UK sexual health service. Of 532 men, 33.9% (95% CI: 29.4-37.9) experienced and 16.3% (95% CI: 13.0-19.8) reported carrying out negative behaviour. Ever being frightened of a partner (aOR 2.5; 95% CI: 2.0-3.1) and having to ask a partner's permission (aOR 2.7; 95% CI: 1.6-4.7) were associated with increased odds of being anxious. There were increased odds of cannabis use in the last 12 months amongst men who reported ever being physically hurt (aOR 2.4; 95% CI: 1.7-3.6). Being frightened (aOR 2.2; 95% CI: 1.5-3.2), being physically hurt (aOR 2.3; 95% CI: 1.4-3.8), being forced to have sex (aOR 2.5; 95% CI: 1.3-4.9) and experiencing negative behaviour in the last 12 months (aOR 1.7; 95% CI: 1.2-2.5) were associated with increased odds of using a Class A drugs in the last 12 months. Sexual health practitioners should be trained with regards to the risk indicators associated with domestic violence and abuse, how to ask about domestic violence and abuse and refer to support.
这项横断面调查对英国一家性健康服务机构中男同性恋者和双性恋男性与伴侣之间负面及潜在虐待行为的经历和实施情况，及其与心理和性健康问题、药物和酒精滥用之间的关联进行了测量。在532名男性中，33.9%（95%置信区间：29.4 - 37.9）有过负面行为经历，16.3%（95%置信区间：13.0 - 19.8）报告实施过负面行为。曾被伴侣吓到（调整后比值比2.5；95%置信区间：2.0 - 3.1）以及必须征得伴侣同意（调整后比值比2.7；95%置信区间：1.6 - 4.7）与焦虑几率增加有关。在过去12个月中报告曾遭受身体伤害的男性使用大麻的几率增加（调整后比值比2.4；95%置信区间：1.7 - 3.6）。感到害怕（调整后比值比2.2；95%置信区间：1.5 - 3.2）、遭受身体伤害（调整后比值比2.3；95%置信区间：1.4 - 3.8）、被迫发生性行为（调整后比值比2.5；95%置信区间：1.3 - 4.9）以及在过去12个月中经历负面行为（调整后比值比1.7；95%置信区间：1.2 - 2.5）与过去12个月中使用A类药物的几率增加有关。性健康从业者应接受关于与家庭暴力和虐待相关的风险指标、如何询问家庭暴力和虐待情况以及如何转介获得支持方面的培训。
