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首页> 外文期刊>Sexual Health >Intimate partner violence and other partner-related factors: correlates of sexually transmissible infections and risky sexual behaviours among young adult African American women
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Intimate partner violence and other partner-related factors: correlates of sexually transmissible infections and risky sexual behaviours among young adult African American women

机译：亲密伴侣的暴力行为和其他与伴侣相关的因素：年轻成年非洲裔美国妇女中的性传播感染和危险的性行为相关

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摘要

Intimate partner violence and other partner-related factors have been associated with acquiring sexually transmissible infections (STIs) and engaging in risky sexual behaviour. The present study examined partner-related risk factors for STIs and risky sexual behaviours among an urban sample of African American women. Methods: African American women, between 18 and 29 years (n = 848), participated in the study at baseline. Participants completed a 40-min Audio Computer Assisted Survey Interview assessing sociodemographics, partner-related factors and HIV/STI-associated sexual risk behaviours. Subsequently, participants provided two vaginal swab specimens for STIs. Results: The findings indicated that risky sexual behaviours and STIs were prevalent in this sample: 35.6% reported a risky sexual partner, 65.4% reported inconsistent condom use and 17% tested positive for a laboratory-confirmed STI. Women reporting a history of intimate partner violence were more likely to report risky sexual partners (adjusted odds ratio (AOR) = 2.00; 95% confidence interval (CI) = 1.5–2.8), inconsistent condom use (AOR = 1.60; 95% CI = 1.1–2.3) and test positive for an STI (AOR = 1.46; 95% CI = 0.99–2.1). Women reporting high partner-related barriers to condom use were more likely to report risky sexual partners (AOR = 1.69; 95% CI = 1.2–2.3), inconsistent condom use (AOR = 2.13; 95% CI = 1.5–3.0) and test positive for an STI (AOR = 1.98; 95% CI = 1.3–3.0). Finally, women with older partners were more likely to report risky sexual partners (AOR = 1.53; 95% CI = 1.1–2.1) and test positive for an STI (AOR = 1.46; 95% CI = 1.0–2.2). Conclusions: This study examines partner-related risk factors for STIs and risky sexual behaviours among African American women. These findings underscore the need for combined intimate partner violence and HIV/STI prevention programs for this disproportionately affected high-risk group.
机译：亲密伴侣的暴力行为和其他与伴侣相关的因素与获得性传播感染（STI）和从事危险的性行为有关。本研究检查了城市女性非裔美国人样本中性传播感染和性行为危险的伴侣相关危险因素。方法：18至29岁（n = 848）之间的非洲裔美国妇女在基线时参加了该研究。参与者完成了一个40分钟的音频计算机辅助调查访谈，评估了社会人口统计学，伴侣相关因素以及与HIV / STI相关的性风险行为。随后，参与者提供了两个阴道拭子标本用于性传播感染。结果：调查结果表明，该样本中普遍存在危险的性行为和性传播感染：35.6％的人报告说是有风险的性伴侣，65.4％的人报告的避孕套使用不一致，并且17％的实验室确认的STI呈阳性。报告有亲密伴侣暴力史的女性更有可能报告危险的性伴侣（调整后的优势比（AOR）= 2.00； 95％的置信区间（CI）= 1.5-2.8），使用安全套不一致（AOR = 1.60； 95％CI = 1.1–2.3），STI呈阳性（AOR = 1.46； 95％CI = 0.99–2.1）。报告伴侣使用安全套的障碍较高的女性更有可能报告危险的性伴侣（AOR = 1.69； 95％CI = 1.2–2.3），使用避孕套不一致（AOR = 2.13； 95％CI = 1.5–3.0）和测试STI阳性（AOR = 1.98； 95％CI = 1.3–3.0）。最后，具有较老伴侣的女性更有可能报告有风险的性伴侣（AOR = 1.53； 95％CI = 1.1–2.1），并且性传播感染呈阳性（AOR = 1.46； 95％CI = 1.0–2.2）。结论：这项研究检查了非洲裔美国女性中性传播感染和危险性行为的伴侣相关危险因素。这些发现突出表明，对于这个受影响不大的高风险人群，需要结合亲密伴侣暴力和艾滋病毒/性传播感染预防计划。

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