He Carol, Shannon Kate, Braschel Melissa, Ohtsuka Mika, Zhou Charlie, Deering Kathleen
Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Violence Against Women. 2025 Apr 24:10778012251334769. doi: 10.1177/10778012251334769.
In this study among a longitudinal cohort of women living with human immunodeficiency virus (HIV) in Metro Vancouver, Canada (2014-2019), we used bivariate and multivariable logistic regression with generalized estimating equations to investigate associations between low, medium, and high relationship power and two outcomes among women in heterosexual relationships: (1) being on antiretroviral therapy (ART); (2) optimal ART use. Multivariable analysis suggested that high and medium relationship power were significantly associated with being on ART and optimal ART use. These findings suggest the critical importance of relationship power screening, strength-focused couples-based interventions and structural approaches to address gendered inequities, norms and HIV stigma.
在这项针对加拿大温哥华都会区感染人类免疫缺陷病毒（HIV）的女性纵向队列研究（2014 - 2019年）中，我们使用带有广义估计方程的双变量和多变量逻辑回归，来研究低、中、高关系权力与异性恋关系女性中的两个结果之间的关联：（1）接受抗逆转录病毒疗法（ART）；（2）最佳ART使用情况。多变量分析表明，高关系权力和中关系权力与接受ART及最佳ART使用情况显著相关。这些发现表明关系权力筛查、基于力量的夫妻干预措施以及解决性别不平等、规范和HIV耻辱感的结构性方法至关重要。
