基于伴侣的 HIV/性传播感染干预在刑事法律系统中经历亲密伴侣暴力的异性恋夫妇中的适度分析:一项随机对照试验的结果。

Moderation Analysis of a couple-based HIV/STI Intervention Among Heterosexual Couples in the Criminal Legal System Experiencing Intimate Partner Violence: Results from a Randomized Controlled Trial.

机构信息

Social Intervention Group, Columbia University School of Social Work, 1255 Amsterdam Avenue, Room 801, New York, NY, 10027, USA.

Brown School, Washington University, 1 Brookings Dr, 63130, St Louis, MO, 63130, USA.

出版信息

AIDS Behav. 2023 May;27(5):1653-1665. doi: 10.1007/s10461-022-03897-x. Epub 2022 Nov 2.

Abstract

Since the COVID-19 pandemic, intimate partner violence (IPV) rates have increased in the United States. Although accumulating research has documented the effectiveness of couple-based interventions in reducing HIV/STIs, it remains unclear whether they are effective and safe for couples experiencing IPV. We used moderation analysis from a randomized clinical trial to evaluate whether a couples-based HIV/STI intervention may have differential effectiveness in reducing HIV/STI risks among couples where one or both partners reported experiencing IPV compared to couples without such IPV among a sample of 230 men at risk for HIV/STIs who reported using drugs and were mandated to community supervision settings in New York City and their main female sexual partners. The findings of this study suggest that the effectiveness of this evidence-based couple HIV intervention in reducing condomless sex and other HIV/STI risks did not differ between couples with IPV compared to couples without IPV. Intimate partners who use drugs and are involved in the criminal legal system are disproportionately impacted by both HIV/STIs and IPV, underscoring the importance of couple-level interventions that may be scaled up to address the dyadic HIV risks and IPV together in community supervision settings.

摘要

自 COVID-19 大流行以来,美国的亲密伴侣暴力(IPV)发生率有所上升。尽管越来越多的研究记录了基于伴侣的干预措施在降低 HIV/性传播感染(STIs)方面的有效性,但对于正在经历 IPV 的伴侣来说,这些干预措施是否有效和安全仍然不清楚。我们使用一项随机临床试验中的调节分析来评估基于伴侣的 HIV/STI 干预措施是否可能在降低 HIV/STI 风险方面具有差异效果,即在报告使用毒品并被强制进入纽约市社区监督场所的 230 名有 HIV/STIs 风险的男性及其主要女性性伴侣中,与没有这种 IPV 的伴侣相比,一对或双方报告经历过 IPV 的伴侣中。这项研究的结果表明,与没有 IPV 的伴侣相比,这种基于证据的伴侣 HIV 干预措施在减少无保护性行为和其他 HIV/STI 风险方面的有效性并没有差异。使用毒品且涉及刑事法律系统的亲密伴侣不成比例地受到 HIV/STIs 和 IPV 的影响,这凸显了在社区监督环境中,针对二元 HIV 风险和 IPV 进行扩大规模的伴侣层面干预措施的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a57b/9629199/38612747ebd2/10461_2022_3897_Fig1_HTML.jpg

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