Champion J D, Shain R N
School of Nursing, University of Texas Health Science Center at San Antonio 75238, USA.
Issues Ment Health Nurs. 1998 Sep-Oct;19(5):463-79. doi: 10.1080/016128498248908.
Approximately 25%-50% of women with sexually transmitted diseases (STDs), including AIDS, are involved in abusive relationships. Numerous characteristics associated with a past history of abuse are also risk factors for STD infection, including multiple partner relationships, substance abuse, early age at first coitus, and partner control of the relationship. Research has identified psychological effects of previous abuse, including depression, minimal control in relationships, and decreased self-efficacy. These effects may prevent abused women with STDs from making behavioral changes to prevent recurrence and transmission of disease. Life history methodology was used to understand the context of the interrelationships between STD and woman abuse in 30 Mexican American and African American women's lives. A focus on the context of abused women's partner relationships and aspects of personal control within these relationships may facilitate effective behavioral change, risk reduction, and subsequent decrease in incidence of STDs and woman abuse.
包括艾滋病在内,约25%至50%的性传播疾病(STD)女性患者身处虐待关系之中。诸多与过往虐待史相关的特征也是性传播疾病感染的风险因素,包括多伴侣关系、药物滥用、首次性交年龄过早以及伴侣对关系的掌控。研究已明确先前虐待造成的心理影响,包括抑郁、在关系中几乎没有掌控力以及自我效能感降低。这些影响可能会阻碍患有性传播疾病的受虐女性做出行为改变以预防疾病复发和传播。采用生活史方法来了解30名墨西哥裔美国女性和非裔美国女性生活中性传播疾病与女性受虐之间相互关系的背景情况。关注受虐女性伴侣关系的背景以及这些关系中个人掌控的各个方面,可能有助于实现有效的行为改变、降低风险,并随后减少性传播疾病的发病率和女性受虐情况。