Teitelman Anne M, Jemmott John B, Bellamy Scarlett L, Icard Larry D, O'Leary Ann, Heeren G Anita, Ngwane Zolani, Ratcliffe Sarah J
University of Pennsylvania.
University of Pennsylvania, Perelman School of Medicine.
Health Psychol. 2016 Jul;35(7):751-760. doi: 10.1037/hea0000351. Epub 2016 Apr 25.
Low relationship power and victimization by intimate partner violence (IPV) have been linked to HIV risks among adult and adolescent women. This article examines associations of IPV and relationship power with sexual-risk behaviors and whether the associations differ by gender among South African adolescents.
Sexual-risk behaviors (multiple partners in past 3 months; condom use at last sex), IPV, and relationship power were collected from 786 sexually experienced adolescents (mean age = 16.9) in Eastern Cape Province, South Africa, during the 54-month follow-up of a HIV/sexually transmitted infection (STI) risk-reduction intervention trial. The data were analyzed with logistic regression models.
Adolescent boys were less likely to report condom use at last sex (p = .001) and more likely to report multiple partners (p < .001). A Gender × IPV interaction (p = .002) revealed that as IPV victimization increased, self-reported condom use at last sex decreased among girls, but increased among boys. A Gender × Relationship Power interaction (p = .004) indicated that as relationship power increased, self-reported condom use at last sex increased among girls, but decreased among boys. A Gender × IPV interaction (p = .004) indicated that as IPV victimization increased, self-reports of having multiple partners increased among boys, but not among girls. As relationship power increased, self-reports of having multiple partners decreased irrespective of gender.
HIV risk-reduction interventions and policies should address gender differences in sexual-risk consequences of IPV and relationship power among adolescents and promote gender equity. (PsycINFO Database Record
在成年和青春期女性中，低关系权力以及亲密伴侣暴力（IPV）造成的伤害与感染艾滋病毒的风险相关。本文研究了南非青少年中IPV和关系权力与性风险行为之间的关联，以及这些关联是否因性别而异。
在一项降低艾滋病毒/性传播感染（STI）风险干预试验的54个月随访期间，从南非东开普省786名有性经历的青少年（平均年龄 = 16.9岁）中收集了性风险行为（过去3个月内有多个性伴侣；最近一次性行为时使用避孕套）、IPV和关系权力的数据。使用逻辑回归模型对数据进行分析。
青少年男性在最近一次性行为时报告使用避孕套的可能性较小（p = 0.001），而报告有多个性伴侣的可能性较大（p < 0.001）。性别×IPV交互作用（p = 0.002）显示，随着IPV伤害的增加，女孩最近一次性行为时自我报告的避孕套使用减少，而男孩则增加。性别×关系权力交互作用（p = 0.004）表明，随着关系权力的增加，女孩最近一次性行为时自我报告的避孕套使用增加，而男孩则减少。性别×IPV交互作用（p = 0.004）表明，随着IPV伤害的增加，男孩自我报告的有多个性伴侣的情况增加，而女孩则没有。随着关系权力的增加，无论性别如何，自我报告的有多个性伴侣的情况都减少。
降低艾滋病毒风险的干预措施和政策应解决青少年中IPV和关系权力在性风险后果方面的性别差异，并促进性别平等。（PsycINFO数据库记录）
