上海市艾滋病自愿咨询检测门诊男性异性恋者亲密伴侣暴力行为及影响因素研究

刘瑛; 杨咏梅; 宁镇; 郑煌; 刘慧; 唐海丰; 张宇艳; 何纳

Abstract

刘瑛,杨咏梅,宁镇,郑煌,刘慧,唐海丰,张宇艳,何纳.上海市艾滋病自愿咨询检测门诊男性异性恋者亲密伴侣暴力行为及影响因素研究[J].Chinese journal of Epidemiology,2016,37(7):960-964

上海市艾滋病自愿咨询检测门诊男性异性恋者亲密伴侣暴力行为及影响因素研究

Prevalence of intimate partner violence in heterosexual men attending HIV voluntary counsel and test clinics and related factors in Shanghai

Received:February 17, 2016

DOI：10.3760/cma.j.issn.0254-6450.2016.07.011

KeyWord: 亲密伴侣暴力自愿咨询检测男性异性恋者艾滋病病毒

English Key Word: Intimate partner violence Voluntary counseling and testing for HIV Heterosexual men HIV

FundProject:上海市卫生和计划生育委员会科研课题（201540066）

Author Name	Affiliation	E-mail
Liu Ying	School of Public Health, Fudan University, the Key Laboratory of Public Health Safety of Ministry of Education, Shanghai 200032, China Putuo District Center for Disease Control and Prevention, Shanghai 200333, China
Yang Yongmei	Putuo District Center for Disease Control and Prevention, Shanghai 200333, China
Ning Zhen	Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
Zheng Huang	Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China
Liu Hui	Putuo District Center for Disease Control and Prevention, Shanghai 200333, China
Tang Haifeng	Putuo District Center for Disease Control and Prevention, Shanghai 200333, China
Zhang Yuyan	Putuo District Center for Disease Control and Prevention, Shanghai 200333, China
He Na	School of Public Health, Fudan University, the Key Laboratory of Public Health Safety of Ministry of Education, Shanghai 200032, China	nhe@shmu.edu.cn

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Abstract:

目的了解上海市艾滋病自愿咨询检测（voluntary counseling and testing，VCT）门诊就诊男性异性恋者（HM）亲密伴侣暴力（intimate partner violence，IPV）发生情况及其影响因素。方法采用横断面研究设计，于2015年3-8月对上海市2个艾滋病VCT门诊就诊的全部HM进行问卷调查和血样采集。应用WHO多国女性健康和家庭内暴力研究项目调查表。结果共调查327名HM，平均年龄29.4岁，26～35岁占60.2%（197/327）、未婚者占57.8%（189/327）、大学及以上文化程度占78.8%（260/327），外地户籍占49.5%（162/327）；有固定女性性伴占72.2%（236/327）；72.2%（236/327）过去一年中有2个及以上的女性性伴；6.1%（20/327）报告有性病史。确证HIV阳性者占1.8%（6/327）。28.4%（93/327）曾向女性性伴施加过IPV，躯体暴力、性暴力、情感暴力、冷淡忽视和控制暴力发生率依次分别为5.5%（18/327）、5.5%（18/327）、9.8%（32/327）和22.6%（74/327）。曾与暗娼发生过性行为（aOR=2.19，95%CI：1.16～4.15）、曾看到过家庭内躯体暴力行为（aOR=3.19，95%CI：1.58～6.45）者更倾向于向女性性伴施加IPV。结论上海市VCT门诊就诊的男性异性恋者中存在一定程度的IPV，有必要研究探讨在VCT门诊中开展IPV行为干预的必要性和可行性，与暗娼发生性行为、曾看到过家庭内躯体暴力行为与施加IPV有关联，应进一步开展IPV与HIV之间关联的研究。

English Abstract:

Objective To understand prevalence of intimate partner violence (IPV) in heterosexual men (HM) attending HIV voluntary counseling and testing (VCT) clinics and related factors in Shanghai. Methods All the HM attending two VCT clinics in Shanghai during March-August, 2015 were recruited to participate in a cross-sectional survey with questionnaire interview and blood test for HIV. IPV was evaluated by using the questionnaire developed by WHO Multi-Country Study on Women's Health and Domestic Violence against Women. Results A total of 327 participants were recruited, their average age was 29.4 years (s:6.1). Among them 60.2% (197/327) were aged 26-35, 57.8% (189/327) never married, 78.8% (260/327) had educational level of≥college degree, 49.5% (162/327) were not local residents; 72.2% (236/327) had steady female partners, 72.2% (236/327) had 2 or more female partners in the past year, 6.1% (20/327) reported being diagnosed with sexually transmitted disease (STD). 1.8% (6/327) were tested to be HIV-positive. 28.4% (93/327) had IPV behaviors against heterosexual partners. Multivariate logistic regression analysis indicated that IPV behavior against heterosexual partners was significantly associated with experience of commercial sex (aOR=2.19, 95%CI:1.16-4.15) and witness of domestic violence in early life (aOR=3.19; 95%CI:1.58-6.45). Conclusions IPV prevalence was relatively high in HM attendants in VCT clinics in Shanghai and IPV intervention is needed to conduct in VCT clinics. Multivariate regression analysis showed that the factors associated with IPV behaviors included having sex with female sex workers and the witness of domestic violence between parents. Future research is needed to further explore the association between IPV and HIV infection.

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