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亲密伴侣暴力与艾滋病毒风险行为:评估回避型应对作为调节因素的作用。

Intimate Partner Violence and HIV-Risk Behaviors: Evaluating Avoidant Coping as a Moderator.

作者信息

Weiss Nicole H, Peasant Courtney, Sullivan Tami P

机构信息

Division of Prevention and Community Research, Department of Psychiatry, Yale University School of Medicine, 389 Whitney Ave, New Haven, CT, 06511, USA.

Substance Use, Gender, and Applied Research Program, RTI International, Research Triangle Park, NC, USA.

出版信息

AIDS Behav. 2017 Aug;21(8):2233-2242. doi: 10.1007/s10461-016-1588-2.

Abstract

Women who experience intimate partner violence (IPV) report higher rates of HIV-risk behaviors. However, few studies have examined factors that may influence the strength of the link between IPV and HIV-risk behaviors. The goal of the current study was to extend extant research by evaluating the potential moderating role of avoidant coping in this relation. Participants were 212 women currently experiencing IPV (M age = 36.63, 70.8 % African American) who were recruited from the community. Significant positive associations were found between physical, psychological, and sexual IPV severity and both avoidant coping and HIV-risk behaviors. Avoidant coping moderated the relations between both physical and psychological IPV severity and HIV-risk behaviors, such that physical and psychological IPV severity were significantly associated with HIV-risk behaviors when avoidant coping was high (but not low). Findings underscore avoidant coping as an important factor in identifying and subsequently treating IPV-victimized women vulnerable to HIV-risk behaviors.

摘要

遭受亲密伴侣暴力(IPV)的女性报告称,她们的艾滋病毒风险行为发生率更高。然而,很少有研究探讨可能影响IPV与艾滋病毒风险行为之间联系强度的因素。本研究的目的是通过评估回避应对在这种关系中的潜在调节作用来扩展现有研究。参与者为212名目前正在遭受IPV的女性(平均年龄 = 36.63岁,70.8%为非裔美国人),她们是从社区招募而来的。研究发现,身体暴力、心理暴力和性暴力的严重程度与回避应对及艾滋病毒风险行为之间均存在显著的正相关。回避应对调节了身体暴力和心理暴力严重程度与艾滋病毒风险行为之间的关系,即当回避应对程度较高(而非较低)时,身体暴力和心理暴力的严重程度与艾滋病毒风险行为显著相关。研究结果强调,回避应对是识别并随后治疗易出现艾滋病毒风险行为的IPV受害女性的一个重要因素。

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