Pham Loc Quang, Sullivan Patrick S, Gilmore Amanda K, Kalokhe Ameeta S, Nguyen Thanh Cong, Nguyen Khanh Duc, Bui Hao Thi Minh, Giang Le Minh
School of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi.
Center for Training and Research on Substances Abuse-HIV, Hanoi Medical University, Hanoi.
medRxiv. 2024 Dec 2:2024.12.01.24318278. doi: 10.1101/2024.12.01.24318278.
Intimate partner violence (IPV) victimization is a pressing issue among men who have sex with men (MSM) and has profound health implications. This study aims to estimate the prevalence of IPV and identify factors associated with its occurrence among MSM in Hanoi, Vietnam.
A cross-sectional study was conducted from March to May 2023 at an MSM-friendly sexual health clinic in Hanoi. Participants completed a self-administered questionnaire on a tablet after screening for eligibility. IPV victimization was assessed using a 21-item scale (the IPV-GBM scale). Logistic regression models were used to identify factors associated with IPV victimization in the past 12 months.
Among 309 respondents, the mean age was 28 and half of participants reported using PrEP for 12 months or more. Two-thirds reported IPV victimization in the past 12 months (67%). Emotional IPV (47%) was most prevalent, followed by monitoring (39%), controlling (19%), and physical/sexual IPV (15%). Participants who were reported experiencing IPV in the past 12 months were more likely to be aged ≤ 24 years (aOR = 1.98, 95% CI: 1.14, 3.44), to report preferring the insertive sexual role (aOR = 2.02, 95% CI: 1.10, 3.70), or to report having more sexual partners (2-5 partners vs ≤ 1 partner: aOR = 2.02, 95% CI: 1.10, 3.70; ≥ 5 partners vs. ≤ 1 partner: aOR = 2.02, 95% CI: 1.10, 3.70).
IPV victimization among MSM on PrEP in Hanoi is highly prevalent. Tailored interventions are needed to address these vulnerabilities and promote safer behaviors and healthier relationships. Efforts should prioritize younger MSM. Further research is necessary to explore IPV dynamics across diverse settings.
亲密伴侣暴力（IPV）受害问题在男男性行为者（MSM）中是一个紧迫问题，且对健康有深远影响。本研究旨在估计越南河内男男性行为者中亲密伴侣暴力的患病率，并确定与其发生相关的因素。
2023年3月至5月在河内一家对男男性行为者友好的性健康诊所进行了一项横断面研究。参与者在筛选合格后在平板电脑上完成一份自填式问卷。使用一个包含21个条目的量表（IPV - GBM量表）评估亲密伴侣暴力受害情况。采用逻辑回归模型确定过去12个月中与亲密伴侣暴力受害相关的因素。
在309名受访者中，平均年龄为28岁，一半的参与者报告使用暴露前预防（PrEP）达12个月或更长时间。三分之二的人报告在过去12个月中遭受过亲密伴侣暴力（67%）。情感亲密伴侣暴力（47%）最为普遍，其次是监控（39%）、控制（19%）以及身体/性亲密伴侣暴力（15%）。在过去12个月中报告遭受亲密伴侣暴力的参与者更有可能年龄≤24岁（调整后比值比[aOR]=1.98，95%置信区间[CI]：1.14，3.44），报告更喜欢插入式性行为角色（aOR = 2.02，95% CI：1.10，3.70），或者报告有更多性伴侣（2 - 5个性伴侣与≤1个性伴侣相比：aOR = 2.02，95% CI：1.10，3.70；≥5个性伴侣与≤1个性伴侣相比：aOR = 2.02，95% CI：1.10，3.70）。
河内接受暴露前预防的男男性行为者中亲密伴侣暴力受害情况非常普遍。需要采取针对性的干预措施来解决这些脆弱性问题，并促进更安全的行为和更健康的关系。应优先关注年轻的男男性行为者。有必要进一步研究不同环境下的亲密伴侣暴力动态情况。
