Actor-partner effects associated with experiencing intimate partner violence or coercion among male couples enrolled in an HIV prevention trialReportar como inadecuado




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BMC Public Health

, 14:209

Health behavior, health promotion and society

Abstract

BackgroundIntimate partner violence IPV and coercion have been associated with negative health outcomes, including increased HIV risk behaviors, among men who have sex with men MSM. This is the first study to describe the prevalence and factors associated with experiencing IPV or coercion among US MSM dyads using the actor-partner interdependence model APIM, an analytic framework to describe interdependent outcomes within dyads.

MethodsAmong MSM couples enrolled as dyads in an HIV prevention randomized controlled trial RCT, two outcomes are examined in this cross-sectional analysis: 1 the actor experiencing physical or sexual IPV from the study partner in the past 3-months and 2 the actor feeling coerced to participate in the RCT by the study partner. Two multilevel APIM logistic regression models evaluated the association between each outcome and actor, partner, and dyad-level factors.

ResultsOf 190 individuals 95 MSM couples, 14 reported experiencing physical or sexual IPV from their study partner in the past 3 months 7.3% and 12 reported feeling coerced to participate in the RCT by their study partner 6.3%. Results of multivariate APIM analyses indicated that reporting experienced IPV was associated p < 0.1 with non-Black-African American actor race, lower actor education, and lower partner education. Reporting experienced coercion was associated p < 0.1 with younger actor age and lower partner education.

ConclusionsThese findings from an HIV prevention RCT for MSM show considerable levels of IPV experienced in the past 3-months and coercion to participate in the research study, indicating the need for screening tools and support services for these behaviors. The identification of factors associated with IPV and coercion demonstrate the importance of considering actor and partner effects, as well as dyadic-level effects, to improve development of screening tools and support services for these outcomes.

KeywordsActor-partner interdependence model Coercion HIV Intimate partner violence MSM AbbreviationsAPIMActor-partner interdependence model

CVCTCouples’ voluntary HIV counseling and testing

IPVIntimate partner violence

IQRInterquartile range

MSMMen who have sex with men

NVAWSNational violence against women survey

RCTRandomized controlled trial

UAIUnprotected anal intercourse.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-14-209 contains supplementary material, which is available to authorized users.

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Autor: Kristin M Wall - Patrick S Sullivan - David Kleinbaum - Rob Stephenson

Fuente: https://link.springer.com/







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