Mthembu J C, Khan G, Mabaso M L H, Simbayi L C
a HIV/AIDS, STIs and TB Unit, Human Sciences Research Council , Pretoria , South Africa.
b Population Health, Health Systems and Innovation, Human Sciences Research Council , Pretoria , South Africa.
AIDS Care. 2016 Sep;28(9):1132-7. doi: 10.1080/09540121.2016.1146216. Epub 2016 Feb 28.
Globally intimate partner violence (IPV) is a public health problem that can be perpetrated by both males and females, although males are more likely to inflict severe IPV-related injuries on their female partners. In low- and middle-income countries like South Africa, few studies have conducted research to determine whether IPV perpetration by men may be a risk factor for engaging in other risk behaviours. The aim of this study is to determine whether IPV perpetration by men is a risk factor for engaging in other risk behaviours with a particular focus on risky sexual behaviours and alcohol misuse. The data for this study were drawn from a multilevel intervention study, which addressed the nexus of alcohol abuse and HIV prevention among men in South Africa. Men were screened and recruited from informal drinking places within 12 communities situated in one of the oldest, predominantly Xhosa-speaking African townships in Cape Town. Univariate and multivariate logistic regression models were used to analyse the associations between IVP and potential explanatory variables. Of the 975 men included in the survey, 39.9% reported to have been involved in Intimate Partner Violence. IPV perpetration was significantly more likely among men who reported having a child [OR 1.51 (1.07-2.14) p = .019], having a casual sexual partner [OR 1.51 (1.11-2.05) p = .008], and those with possible alcohol dependence [OR 3.46 (1.17-10.20) p = .024]. IPV was significantly less likely among men with matric educational qualification than those with no education [OR 0.30 (95% CI: 0.09-1.02) p = .053] and among those who reported using a condom at last sex [OR 0.69 (0.50-0.97) p = .034]. We therefore recommend that interventions aimed at reducing IPV need to address risky sexual and drinking behaviours amongst men simultaneously, while also focusing on intimate relationship power dynamics and gendered norms amongst couples.
在全球范围内，亲密伴侣暴力（IPV）是一个公共卫生问题，男性和女性都可能实施这种暴力行为，不过男性更有可能对其女性伴侣造成与亲密伴侣暴力相关的严重伤害。在南非等低收入和中等收入国家，很少有研究去确定男性实施亲密伴侣暴力是否可能是参与其他风险行为的一个风险因素。本研究的目的是确定男性实施亲密伴侣暴力是否是参与其他风险行为的一个风险因素，特别关注危险性行为和酒精滥用。本研究的数据来自一项多层次干预研究，该研究探讨了南非男性中酒精滥用与艾滋病毒预防之间的联系。研究人员在开普敦一个最古老、主要讲科萨语的非洲城镇的12个社区内的非正式饮酒场所对男性进行筛查和招募。使用单变量和多变量逻辑回归模型来分析亲密伴侣暴力与潜在解释变量之间的关联。在参与调查的975名男性中，39.9%报告曾参与亲密伴侣暴力。在报告有孩子的男性中实施亲密伴侣暴力的可能性显著更高[比值比（OR）为1.51（1.07 - 2.14），p = 0.019]，有临时性伴侣的男性中实施亲密伴侣暴力的可能性显著更高[OR为1.51（1.11 - 2.05），p = 0.008]，以及可能有酒精依赖的男性中实施亲密伴侣暴力的可能性显著更高[OR为3.46（1.17 - 10.20），p = 0.024]。与没有受过教育的男性相比，具有高中毕业学历的男性实施亲密伴侣暴力的可能性显著更低[OR为0.30（95%置信区间：0.09 - 1.02），p = 0.053]，以及在最后一次性行为时报告使用避孕套的男性中实施亲密伴侣暴力的可能性显著更低[OR为0.69（0.50 - 0.97），p = 0.034]。因此，我们建议旨在减少亲密伴侣暴力的干预措施需要同时解决男性中的危险性行为和饮酒行为问题，同时还要关注亲密关系中的权力动态以及夫妻之间基于性别的规范。
