1 Department of Health Behavior and Health Education, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences , Little Rock, Arkansas.
2 Department of Medicine, Emory University School of Medicine , Atlanta, Georgia .
J Womens Health (Larchmt). 2018 Nov;27(11):1317-1326. doi: 10.1089/jwh.2017.6505. Epub 2018 Jun 15.
Using data from HIV Prevention Trials Network 064, a multisite, observational cohort study conducted to estimate HIV incidence rates among women living in areas of high poverty and HIV prevalence in the United States, we examined the use of HIV risk characteristics to predict emotional abuse, physical violence, and forced sex.
Participants included 2099 women, 18-44 years of age, who reported unprotected vaginal or anal sex with a male partner and an additional personal or perceived male partner HIV risk characteristic in the past 6 months. Adjusting for time-varying covariates, generalized estimating equations were used to assess the ability of HIV risk characteristics to predict violence 6 months later.
Reported analyses were limited to the 1980 study participants who reported having a male sex partner at that assessment. Exchanging sex, perceived partner concurrency, and perceived partner incarceration were significantly predictive of emotional abuse 6 months later (adjusted odds ratio [AOR]: 1.60; 1.59; 1.34, respectively). Prior sexually transmitted infection diagnosis, exchanging sex, and binge drinking were significantly predictive of physical violence 6 months later (AOR: 1.62; 1.71; 1.47, respectively). None of the variables measured was significantly predictive of forced sex.
Strategies that address reducing violence against women should be studied further in the context of HIV prevention programs.
利用来自 HIV 预防试验网络 064 的数据，这是一项多地点、观察性队列研究，旨在估计生活在美国高贫困和 HIV 高发地区的女性中的 HIV 发病率，我们研究了使用 HIV 风险特征来预测情感虐待、身体暴力和强迫性行为。
参与者包括 2099 名年龄在 18-44 岁之间的女性，她们报告在过去 6 个月内与一名男性伴侣发生了无保护的阴道或肛门性行为，并且还有另外一个个人或感知到的男性伴侣 HIV 风险特征。通过调整时变协变量，使用广义估计方程评估 HIV 风险特征在 6 个月后预测暴力的能力。
报告的分析仅限于在该评估中报告有男性性伴侣的 1980 年研究参与者。交换性伴侣、感知到的伴侣同时拥有多个性伴侣和感知到的伴侣入狱被证明是 6 个月后情感虐待的显著预测因素（调整后的优势比 [AOR]：分别为 1.60；1.59；1.34）。先前的性传播感染诊断、交换性伴侣和狂欢性饮酒是 6 个月后身体暴力的显著预测因素（AOR：分别为 1.62；1.71；1.47）。测量的变量均与强迫性行为无关。
在 HIV 预防计划的背景下，应该进一步研究针对减少针对妇女暴力的策略。
