Recent Partner Violence, Sexual Relationship Power, and STIs among Women Who Use Methamphetamine: Does Type of Sexual Partner Matter?

被引：2

作者：

Stockman, Jamila K. ^{[1
]}

Hayashi, Hitomi D. ^{[1
]}

Barnes, Richard F. W. ^{[2
]}

Al-Rousan, Tab ^{[1
]}

Semple, Shirley S. ^{[3
]}

Mittal, Mona ^{[4
]}

Zians, James ^{[5
]}

Patterson, Thomas L. ^{[3
]}

机构：

[1] Univ Calif San Diego, Sch Med, Dept Med, Div Infect Dis & Global Publ Hlth, 9500 Gilman Dr,MC 0507, La Jolla, CA 92093 USA

[2] Univ Calif San Diego, Hemophilia & Thrombosis Treatment Ctr, 9500 Gilman Dr,MC 0878, La Jolla, CA 92093 USA

[3] Univ Calif San Diego, Sch Med, Dept Psychiat, 9500 Gilman Dr, La Jolla, CA 92093 USA

[4] Univ Maryland, Sch Publ Hlth, Dept Family Sci, 4200 Valley Dr, College Pk, MD 20742 USA

[5] SUNY Coll Oneonta, Dept Psychol, 108 Ravine Pkwy, Oneonta, NY 13820 USA

来源：

JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE | 2020年 / 97卷 / 03期

关键词：

Methamphetamine; Partner violence; STI; Relationship power; Sexual partnership; Women; SUBSTANCE-ABUSE; USE BEHAVIORS; DRUG-USE; RISK; HIV; MEN; PREVENTION; PREDICTORS; EPIDEMICS; GIRLS;

D O I：

10.1007/s11524-020-00435-9

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Methamphetamine use, sexual relationship power (SRP), and partner violence (PV) are associated with increased risk of sexually transmitted infections (STIs) among women. The objective of our study was to examine the association of recent PV and SRP on STIs by partner type among HIV-negative, heterosexual women who use methamphetamine in San Diego, CA. Using baseline survey data from 209 women enrolled in FASTLANE II, an HIV behavioral intervention trial, we conducted logistic regression analyses to examine associations between PV, SRP, and self-reported lifetime STIs (e.g., chlamydia, gonorrhea). Models focused on PV perpetrated within the past 2 months by: (1) spouse, live-in, or steady sexual partners and (2) casual or anonymous sexual partners. Seventy-eight percent of women reported lifetime physical PV and 57% reported lifetime sexual PV. In the past 2 months, 19.6% reported physical and/or sexual violence by a spouse, live-in, or steady sexual partner, and 7.2% reported physical and/or sexual PV by a casual or anonymous partner. Median SRP score was 2.36 (interquartile range: 2.02-2.68). Twenty-six percent of women reported ever being diagnosed with >= 1 STI. While recent physical violence and sexual violence were not associated with STI history among women in steady relationships, women who reported recent sexual violence by casual/anonymous partners were approximately 8 times more likely to ever have an STI compared with those with no history of recent PV by casual/anonymous partners (AOR: 7.70; 95% CI: 1.32, 44.84). SRP was not associated with lifetime STIs among women who reported either partner type. Our findings support a relationship between recent sexual violence perpetrated by casual/anonymous partners and women's STI history. Women who use methamphetamine need help in navigating partner violence experiences. Risk reduction interventions to support this marginalized population are needed.

引用

页码：387 / 394

页数：8