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Forced sexual experiences as risk factor for self-reported HIV infection among southern African lesbian and bisexual women

机译：强迫性经历成为南部非洲女同性恋和双性恋女性自我报告为HIV感染的危险因素

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Even though women who have sex with women are usually understood to be at no or very low risk for HIV infection, we explored whether lesbian and bisexual women in a geographical area with high HIV prevalence (Southern Africa) get tested for HIV and whether, among those women who get tested, there are women who live with HIV/AIDS. The study was conducted in collaboration with community-based organizations in Botswana, Namibia, South Africa and Zimbabwe. Data were collected via written surveys of women who in the preceding year had had sex with a woman (18 years and older; N = 591). Most participating women identified as lesbian and black. Almost half of the women (47.2%) reported ever having had consensual heterosexual sex. Engagement in transactional sex (lifetime) was reported by 18.6% of all women. Forced sex by men or women was reported by 31.1% of all women. A large proportion of the women reported to ever have been tested for HIV (78.3%); number of lifetime female and male partners was independently associated with having been tested; women who had engaged in transactional sex with women only or with women and men were less likely to have been tested. Self-reported HIV prevalence among tested women who knew their serostatus was 9.6%. Besides age, the sole independent predictor of a positive serostatus was having experienced forced sex by men, by women, or by both men and women. Study findings indicate that despite the image of invulnerability, HIV/AIDS is a reality for lesbian and bisexual women in Southern Africa. Surprisingly, it is not sex with men per se, but rather forced sex that is the important risk factor for self-reported HIV infection among the participating women. HIV/AIDS policy should also address the needs of lesbian, bisexual and other women who have sex with women.
机译：尽管通常认为与女性发生性关系的女性感染艾滋病毒的风险没有或很小，但我们还是探讨了艾滋病毒感染率高的地理区域（南部非洲）的女同性恋和双性恋女性是否接受了艾滋病毒检测，以及那些接受测试的妇女中，有些人感染了艾滋病毒/艾滋病。这项研究是与博茨瓦纳，纳米比亚，南非和津巴布韦的社区组织合作进行的。通过对前一年与一名女性发生过性行为的女性（18岁及以上； N = 591）进行书面调查收集的数据。大多数参与调查的妇女被确定为女同性恋和黑人。据报告，几乎有一半的妇女（47.2％）曾经过自愿的异性恋性行为。据报告，在所有女性中，从事性交易（终身）的比例为18.6％。据报告，在所有女性中，男性或女性被强迫做爱的比例为31.1％。据报告，曾经接受过艾滋病毒检测的妇女中有很大一部分（78.3％）；一生中女性伴侣和男性伴侣的数量与接受测试独立相关；仅与女性或与男性进行性交易的女性接受测试的可能性较小。在接受测试的女性中，自我报告的艾滋病毒感染率为9.6％。除年龄外，阳性阳性血清的唯一独立预测因子是男性，女性或男性和女性都经历过强迫性行为。研究结果表明，尽管存在无坚不摧的形象，但南部非洲的女同性恋和双性恋妇女仍然存在艾滋病毒/艾滋病。令人惊讶的是，参与性女性中自我报告的艾滋病毒感染的重要危险因素不是与男性本身发生性行为，而是强迫性行为。艾滋病毒/艾滋病政策还应解决女同性恋，双性恋和其他与妇女发生性关系的妇女的需求。

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