Norris Alison H, Decker Michele R, Weisband Yiska L, Hindin Michelle J
Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio, USA.
Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Sex Transm Infect. 2017 Jun;93(4):253-258. doi: 10.1136/sextrans-2016-052873. Epub 2017 Jan 4.
Physical intimate partner violence (IPV) and STIs, including HIV, are highly prevalent in east Africa. While we have some evidence about women's experience with physical IPV, little is known about men's experience with physical IPV, particularly in sub-Saharan Africa. Our objective was to examine, in Tanzanian male migrant plantation residents, the prevalence of, and associations among, experience and enactment of physical IPV and prevalent STI/HIV.
Data from a cross-sectional survey of male plantation residents (n=158) in northern Tanzania were analysed to estimate prevalence of physical IPV experience and enactment. We assessed associations between IPV and sexual risk behaviours, and serodiagnosis of HIV, herpes simplex virus type-2 (HSV-2) and syphilis.
Overall, 30% of men had experienced and/or enacted physical IPV with their main sexual partner: 19% of men had ever experienced physical IPV with their main sexual partner; 22% had enacted physical IPV with their main sexual partner. Considering overlaps in these groups, 11% of all participants reported reciprocal (both experienced and enacted) physical IPV. 9% of men were HIV seropositive, 51% were HSV-2 seropositive and 10% were syphilis seropositive-54% had at least one STI. Men who reported reciprocal physical IPV had increased odds of STI/HIV (adjusted OR (AOR) 8.85, 95% CI 1.78 to 44.6); the association retained statistical significance (AOR 14.5, 95% CI 1.4 to 147.0) with sexual risk behaviours included in the multivariate model.
Men's physical IPV experience and enactment was common among these migrant plantation residents. Men reporting reciprocal physical IPV had significantly increased odds of prevalent STI/IPV, and we hypothesise that they have unstable relationships. Physical IPV is an important risk factor for STI/HIV transmission, and programmatic activities are needed to prevent both.
身体暴力亲密伴侣暴力（IPV）和性传播感染（包括艾滋病毒）在东非极为普遍。虽然我们掌握了一些关于女性遭受身体暴力亲密伴侣暴力的证据，但对于男性遭受身体暴力亲密伴侣暴力的经历，尤其是在撒哈拉以南非洲地区，却知之甚少。我们的目标是调查坦桑尼亚男性移民种植园居民中身体暴力亲密伴侣暴力的经历、实施情况以及普遍存在的性传播感染/艾滋病毒的患病率及其之间的关联。
对坦桑尼亚北部男性种植园居民（n = 158）进行横断面调查的数据进行分析，以估计身体暴力亲密伴侣暴力经历和实施情况的患病率。我们评估了亲密伴侣暴力与性风险行为以及艾滋病毒、2型单纯疱疹病毒（HSV - 2）和梅毒血清学诊断之间的关联。
总体而言，30%的男性与他们的主要性伴侣经历过和/或实施过身体暴力亲密伴侣暴力：19%的男性曾与他们的主要性伴侣经历过身体暴力亲密伴侣暴力；22%的男性对他们的主要性伴侣实施过身体暴力亲密伴侣暴力。考虑到这些群体之间的重叠情况，所有参与者中有11%报告了相互（既经历过又实施过）身体暴力亲密伴侣暴力。9%的男性艾滋病毒血清呈阳性，51%的男性HSV - 2血清呈阳性，10%的男性梅毒血清呈阳性——54%的人至少感染了一种性传播感染。报告相互身体暴力亲密伴侣暴力的男性感染性传播感染/艾滋病毒的几率增加（调整后的比值比（AOR）为8.85，95%置信区间为1.78至44.6）；在多变量模型中纳入性风险行为后，这种关联仍具有统计学意义（AOR为14.5，95%置信区间为1.4至147.0）。
在这些移民种植园居民中，男性的身体暴力亲密伴侣暴力经历和实施情况很常见。报告相互身体暴力亲密伴侣暴力的男性感染性传播感染/艾滋病毒的几率显著增加，我们推测他们的关系不稳定。身体暴力亲密伴侣暴力是性传播感染/艾滋病毒传播的一个重要风险因素，需要开展相关项目活动来预防这两者。
