The University of North Carolina at Chapel Hill, USA.
Universidad del Valle de Guatemala, Guatemala City, Guatemala.
J Interpers Violence. 2022 Feb;37(3-4):NP1637-NP1657. doi: 10.1177/0886260520928960. Epub 2020 Jun 17.
Gay, bisexual, and other men who have sex with men (MSM) are disproportionately affected by poor mental health compared to their heterosexual counterparts. One factor that may increase mental health problems among MSM is intimate partner violence (IPV) victimization. The objectives of this study are to (a) describe the prevalence of different forms of IPV victimization experienced by MSM living with HIV in Guatemala City and (b) examine the relationship between IPV victimization and mental health. We analyzed cross-sectional survey data from a cohort of MSM living with HIV in Guatemala City ( = 374) to describe the burden of IPV, including physical, sexual, and emotional IPV. We then examined relationships between lifetime IPV and each form of recent IPV (past 12 months) with self-reported anxiety and depression using multivariable logistic regression. Over a quarter (27.3%) of the participants screened positive for anxiety and nearly one fifth (17.9%) screened positive for depression. Over a quarter of the participants (28.6%) reported ever having experienced any IPV victimization and 8.8% reported having experienced any form of recent IPV. In multivariable analyses, participants who experienced any form of lifetime IPV had roughly twice the odds of experiencing anxiety (OR: 1.86; 95% CI = [1.03, 3.38]) and depression (OR: 2.02; 95% CI = [1.02, 3.99]) compared to those who had not. Participants who experienced recent emotional IPV had over seven times the odds of experiencing anxiety (OR: 7.23; 95% CI = [1.46, 38.85]) compared to those who had not. MSM living with HIV in Guatemala experience a high burden of anxiety, depression, and IPV victimization. Those participants who had experienced lifetime IPV and recent emotional IPV were significantly more likely to screen for anxiety and depression. To improve their mental health, HIV clinics and other health services should provide support for MSM who have experienced IPV victimization.
男同性恋、双性恋和其他与男性发生性关系的男性（MSM）与异性恋者相比，心理健康问题的发生率不成比例地更高。可能增加 MSM 心理健康问题的一个因素是亲密伴侣暴力（IPV）受害。本研究的目的是：（a）描述危地马拉市 HIV 感染者中 MSM 经历的不同形式 IPV 受害的流行率；（b）研究 IPV 受害与心理健康之间的关系。我们分析了危地马拉市 HIV 感染者队列的横断面调查数据（n=374），以描述包括身体、性和情感 IPV 在内的 IPV 负担。然后，我们使用多变量逻辑回归检验了一生中 IPV 与每种最近（过去 12 个月）的 IPV 与自我报告的焦虑和抑郁之间的关系。超过四分之一（27.3%）的参与者筛查出焦虑，近五分之一（17.9%）筛查出抑郁。超过四分之一的参与者（28.6%）报告曾经历过任何形式的 IPV 受害，8.8%报告经历过任何形式的最近的 IPV。在多变量分析中，经历过任何形式的一生中 IPV 的参与者出现焦虑的几率大约是没有经历过 IPV 的参与者的两倍（OR：1.86；95%CI[1.03, 3.38]）和抑郁（OR：2.02；95%CI[1.02, 3.99]）。与没有经历过最近情感 IPV 的参与者相比，经历过最近情感 IPV 的参与者出现焦虑的几率高出 7 倍以上（OR：7.23；95%CI[1.46, 38.85]）。危地马拉的 HIV 感染者中，焦虑、抑郁和 IPV 受害的负担很重。经历过一生中 IPV 和最近情感 IPV 的参与者筛查出焦虑和抑郁的可能性明显更高。为了改善他们的心理健康，HIV 诊所和其他卫生服务机构应为经历过 IPV 受害的 MSM 提供支持。
