Stults Christopher, Javdani Shabnam, Greenbaum Chloe A, Barton Staci C, Kapadia Farzana, Halkitis Perry N
Center for Health, Identity, Behavior & Prevention Studies, The Steinhardt School of Culture, Education, and Human Development, New York University, 726 Broadway, New York, NY 10003, USA.
Department of Applied Psychology, The Steinhardt School of Culture, Education, and Human Development, New York University, 246 Greene Street, New York, NY 10003, USA.
Psychol Sex Orientat Gend Divers. 2015 Jun;2(2):152-158. doi: 10.1037/sgd0000104.
Research indicates that experiences of intimate partner violence (IPV) are common among young gay, bisexual, and other young men who have sex with men (YMSM). Yet, there is little understanding of the individual, mental health, and psychosocial variables associated with IPV in this population. The aim of this study is to assess the prevalence and correlates of IPV among a new generation of racially/ethnically diverse YMSM. Baseline data from a longitudinal cohort study of YMSM ( = 598) from New York City informed lifetime experiences of IPV victimization, perpetration, and mutual IPV (those reporting both victimization and perpetration). Multivariate logistic regression models were constructed to examine associations between IPV and individual, mental health, and psychosocial factors. Among YMSM, 39% reported IPV victimization, 31% reported perpetration, and 25% reported mutual IPV. Victimization and perpetration were highly correlated. Childhood mistreatment was related to all three IPV outcomes. With regard to psychosocial states, impulsivity was the only variable strongly related to all three IPV outcomes. PTSD was significantly related to IPV victimization but not IPV perpetration. In addition, personal gay-related stigma was associated with IPV victimization, whereas public gay-related stigma was associated with IPV perpetration. Findings extend previous research by identifying psychosocial and mental health variables associated with IPV, while controlling for childhood mistreatment. We recommend more systematic screening for IPV in healthcare settings that serve YMSM (e.g., HIV testing sites). Moreover, we suggest that IPV may be part of a larger syndemic disproportionately burdening YMSM.
研究表明,亲密伴侣暴力(IPV)经历在年轻的男同性恋者、双性恋者以及其他与男性发生性行为的年轻男性(YMSM)中很常见。然而,对于该人群中与IPV相关的个体、心理健康和社会心理变量却知之甚少。本研究的目的是评估新一代种族/族裔多样化的YMSM中IPV的患病率及其相关因素。来自纽约市一项针对YMSM(n = 598)的纵向队列研究的基线数据提供了IPV受害、施暴和相互IPV(那些既报告了受害又报告了施暴的情况)的终生经历。构建多变量逻辑回归模型以检验IPV与个体、心理健康和社会心理因素之间的关联。在YMSM中,39%报告曾遭受IPV,31%报告曾实施IPV,25%报告有相互IPV情况。受害和施暴高度相关。童年期受虐与所有三种IPV结果都有关。关于社会心理状态,冲动是唯一与所有三种IPV结果都密切相关的变量。创伤后应激障碍(PTSD)与IPV受害显著相关,但与IPV施暴无关。此外,个人层面与同性恋相关的耻辱感与IPV受害有关,而公众层面与同性恋相关的耻辱感与IPV施暴有关。研究结果通过识别与IPV相关的社会心理和心理健康变量,同时控制童年期受虐情况,扩展了先前的研究。我们建议在为YMSM提供服务的医疗环境(如艾滋病毒检测点)中对IPV进行更系统的筛查。此外,我们认为IPV可能是一个更大的综合征的一部分,给YMSM带来了不成比例的负担。