Intimate partner violence perpetration, standard and gendered STI/HIV risk behaviour, and STI/HIV diagnosis among a clinic-based sample of men

作者: Michele R Decker , GR , 3rd Seage , David Hemenway , Jhumka Gupta

DOI: 10.1136/STI.2009.036368

关键词:

摘要: Background: The estimated one in three women worldwide victimised by intimate partner violence (IPV) consistently demonstrate elevated STI/HIV prevalence, with their abusive male partners’ risky sexual behaviours and subsequent infection increasingly implicated. To date, little empirical data exist to characterise the nature of men’s risk as it relates both perpetration, infection. Methods: Data from a cross-sectional survey men ages 18–35 recruited community-based health clinics an urban metropolitan area northeastern US (n = 1585) were analysed estimate prevalence IPV perpetration associations such violent behaviour standard (eg, anal sex, injection drug use) gendered coercive condom practices, infidelity, transactional sex female partner) forms sexual-risk behaviour, self-reported diagnosis. Results: Approximately one-third participants (32.7%) reported perpetrating physical or against lifetime; eight (12.4%) history Men’s was associated behaviours, diagnosis (OR 4.85, 95% CI 3.54 6.66). association partially attenuated (adjusted odds ratio (AOR) 2.55, 1.77 3.67) multivariate model, subset found be independently diagnosis—for example, practices (AOR 1.67, 1.04 2.69), infidelity 2.46, 1.65 3.68), 2.03, 1.36 3.04). Conclusions: partners is common among this population. Abusive are at increased for STI/HIV, responsible association. Thus, likely pose partners. Findings indicate need interwoven promotion prevention efforts targeted men; critical may reduction modification norms masculinity that promote

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