Section of Infectious Diseases, Department of Internal Medicine, West Virginia University School of Medicine, 2181 Health Sciences Center North, Morgantown, WV, 26506-9163, USA.
Department of Social and Behavioral Sciences, West Virginia University, Morgantown, WV, USA.
AIDS Behav. 2019 Nov;23(11):3002-3014. doi: 10.1007/s10461-019-02438-3.
There has been limited study of the syndemic link between HIV and intimate partner violence (IPV) among rural populations in the United States. We utilized the Revised Conflict Tactics Scale-2 to examine the past year prevalence, type (psychological aggression, physical assault, and sexual assault), and the impact of IPV on HIV clinical outcomes among men living with HIV in rural Appalachia. Approximately 39% of participants experienced some type of IPV in the preceding year, with 67% of those individuals experiencing more than 1 type of IPV. Approximately 77% of participants endorsing IPV exposure experienced psychological aggression. Most participants exposed to psychological aggression (70%) and/or physical assault (57%) were both victims and perpetrators, and those experiencing sexual assault reported being exclusively victims (65%). There were no significant differences in clinical outcomes including viral load and CD4 count, which may be secondary to small sample size derived from a clinic population with a high rate of virologic suppression (94%). This study demonstrates the need to assess IPV exposure in men living with HIV and further highlights the intricacies of relationship violence in these individuals.
在美国农村人群中，艾滋病毒与亲密伴侣暴力（IPV）之间的综合征关联研究有限。我们利用修订后的冲突策略量表-2 来检查过去一年中艾滋病毒感染者中 IPV 的流行率、类型（心理攻击、身体攻击和性侵犯），以及 IPV 对艾滋病毒临床结果的影响。大约 39%的参与者在过去一年中经历了某种类型的 IPV，其中 67%的人经历了超过 1 种类型的 IPV。大约 77%的报告 IPV 暴露的参与者经历了心理攻击。大多数经历心理攻击（70%）和/或身体攻击（57%）的参与者既是受害者又是加害者，而经历性侵犯的参与者则报告为纯粹的受害者（65%）。临床结果（包括病毒载量和 CD4 计数）没有显著差异，这可能是由于从病毒学抑制率高（94%）的诊所人群中获得的小样本量所致。这项研究表明需要评估艾滋病毒感染者中 IPV 的暴露情况，并进一步强调了这些人群中关系暴力的复杂性。
