Klein H, Elifson K W, Sterk C E
Kensington Research Institute, Kensington MD and Rollins School of Public Health, Emory University, Atlanta GA, United States.
Rollins School of Public Health, Emory University, Atlanta GA, United States.
J AIDS HIV Infect. 2016 Jul;2(1). doi: 10.15744/2454-499X.2.105. Epub 2016 Aug 31.
Previous research has demonstrated that HIV risk practices often differ based on gender and on whether or not people experienced sexual abuse during their formative (i.e., childhood and adolescence) years. The interaction of these two factors, which is the focus of this paper, has received limited attention.
Based on a model derived from Social Disorganization Theory and Syndemics Theory, interviews were conducted between 2009 and 2012 with 1,864 African American adults residing in Atlanta, Georgia in 80 strategically-chosen consensus block groups.
Based on multiple regression and structural equation analyses, the interaction of sexual abuse and gender was found to be a significant predictor of involvement in (un)protected sex. The interaction of sexual abuse and gender also was related to condom use self-efficacy, which was one of the strongest factors underlying (un)protected sex.
The relationship of sexual abuse history and gender is relevant in the understanding of HIV risk practices. The interaction of these factors with one another and with other relevant influences that shape people's HIV risk profiles is complex. The Syndemics Theory approach used to conceptualize the relationships among relevant variables in this study is an effective way of trying to understand and address HIV risk practices.
先前的研究表明，艾滋病病毒（HIV）风险行为往往因性别以及人们在成长阶段（即童年和青少年时期）是否遭受过性虐待而有所不同。本文重点关注的这两个因素之间的相互作用，受到的关注有限。
基于社会失序理论和共病理论衍生出的一个模型，于2009年至2012年期间，在佐治亚州亚特兰大市80个经过策略性挑选的共识街区组中，对1864名非裔美国成年人进行了访谈。
基于多元回归和结构方程分析，发现性虐待与性别的相互作用是参与（未）采取保护措施性行为的一个重要预测因素。性虐待与性别的相互作用还与使用避孕套的自我效能感有关，而自我效能感是（未）采取保护措施性行为的最强影响因素之一。
性虐待史与性别的关系在理解HIV风险行为方面具有相关性。这些因素彼此之间以及与塑造人们HIV风险特征的其他相关影响因素之间的相互作用是复杂的。本研究中用于概念化相关变量之间关系的共病理论方法，是试图理解和应对HIV风险行为的一种有效方式。
