伴侣暴力和与物质有关的服务使用:女性艾滋病毒状况的差异
Shannon N Ogden1, Paul R Shafer2, Melissa E Dichter3
1Division of Research, Kaiser Permanente Northern California, Pleasanton, California; Department of Health Policy, Law, & Management, Boston University School of Public Health, Boston, Massachusetts.
American journal of preventive medicine
|March 27, 2025
概括
亲密伴侣暴力 (IPV) 与女性使用物质使用服务有关. 最近的IPV增加了酒精服务使用,但最近的性IPV减少了艾滋病毒感染妇女的服务使用,突出了复杂的相互作用.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 行为科学 行为科学
背景情况:
- 药物使用障碍 (SUD) 在艾滋病毒感染的妇女和经历亲密伴侣暴力 (IPV) 的妇女中很常见.
- 了解IPV,艾滋病毒状况和SUD服务利用的交叉关系对于有效的医疗保健至关重要.
- 本研究调查了艾滋病毒感染和没有艾滋病毒感染的女性中IPV和与物质有关的服务使用之间的关联.
研究的目的:
- 检查亲密伴侣暴力 (IPV) 如何影响使用毒品和酒精服务.
- 根据女性艾滋病毒状况,探索这种关联中的差异.
主要方法:
- 分析来自妇女机构间艾滋病毒研究 (2013-2019) 的数据.
- 线性回归模型被用来估计最近/终身IPV和SUD服务利用率之间的关联.
- 模型根据共变量进行了调整,并包括IPV和HIV状态的相互作用术语.
主要成果:
- 最近的IPV,特别是心理和性IPV,与增加的酒精服务使用有关.
- 最近的性IPV也增加了毒品和酒精服务的使用.
- 然而,最近经历过性IPV的艾滋病毒感染女性,使用毒品和酒精服务的比例下降.
- 终身IPV与减少服务酒精使用有关.
结论:
- IPV与SUD服务利用有着复杂的关系,根据暴力类型,持续时间和艾滋病毒状况而产生不同的影响.
- 建议采用创伤信息的方法,以改善SUD服务的获取和IPV和/或艾滋病毒感染妇女的结果.
- 整合IPV,HIV和SUD的护理对于提高整体福祉至关重要.
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