Intimate partner violence perptration, standard and gendered STI/HIV risk behavior, and STI/HIV diagnosis among a clinic based sample of men

Harvard School of Public Health, Department of Society, Human Development and Health, Boston, Massachusetts 02115, USA.
Sexually transmitted infections (Impact Factor: 3.4). 08/2009; 85(7):555-60. DOI: 10.1136/sti.2009.036368
Source: PubMed


The estimated one in three women worldwide victimized by intimate partner violence (IPV) consistently demonstrate elevated STI/HIV prevalence, with their abusive male partners' risky sexual behaviours and subsequent infection increasingly implicated. To date, little empirical data exist to characterise the nature of men's sexual risk as it relates to both their violence perpetration, and STI/HIV infection.
Data from a cross-sectional survey of men ages 18-35 recruited from three community-based health clinics in an urban metropolitan area of the northeastern US (n = 1585) were analysed to estimate the prevalence of IPV perpetration and associations of such violent behaviour with both standard (eg, anal sex, injection drug use) and gendered (eg, coercive condom practices, sexual infidelity, transactional sex with a female partner) forms of sexual-risk behaviour, and self-reported STI/HIV diagnosis.
Approximately one-third of participants (32.7%) reported perpetrating physical or sexual violence against a female intimate partner in their lifetime; one in eight (12.4%) participants self-reported a history of STI/HIV diagnosis. Men's IPV perpetration was associated with both standard and gendered STI/HIV risk behaviours, and to STI/HIV diagnosis (OR 4.85, 95% CI 3.54 to 6.66). The association of men's IPV perpetration with STI/HIV diagnosis was partially attenuated (adjusted odds ratio (AOR) 2.55, 95% CI 1.77 to 3.67) in the multivariate model, and a subset of gendered sexual-risk behaviours were found to be independently associated with STI/HIV diagnosis-for example, coercive condom practices (AOR 1.67, 95% CI 1.04 to 2.69), sexual infidelity (AOR 2.46, 95% CI 1.65 to 3.68), and transactional sex with a female partner (AOR 2.03, 95% CI 1.36 to 3.04).
Men's perpetration of physical and sexual violence against intimate partners is common among this population. Abusive men are at increased risk for STI/HIV, with gendered forms of sexual-risk behaviour partially responsible for this association. Thus, such men likely pose an elevated infection risk to their female partners. Findings indicate the need for interwoven sexual health promotion and violence prevention efforts targeted to men; critical to such efforts may be reduction in gendered sexual-risk behaviours and modification of norms of masculinity that likely promote both sexual risk and violence.

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Available from: Jhumka Gupta, Jan 14, 2015
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    • "A large and growing body of literature examines patterns and trends in intimate partner violence as a phenomenon in its own right (Alhabib, Nur, and Jones 2010; Garcia-Moreno et al. 2006; Hindin, Kishor, and Ansara 2008; Kishor and Bradley 2012; Kishor and Johnson 2004), as well as the association intimate partner violence may have with broad range of health outcomes. These health outcomes include mental health and/or substance abuse (Ellsberg et al. 2008; Fals- Stewart and Kennedy 2005; González-Guarda, Florom-Smith, and Thomas 2011; Meyer, Springer, and Altice 2001), sexually transmitted infections and HIV (Barros, Schraiber, and França-Junior 2011; Campbell et al. 2008; Decker, Seage, Hemenway, Gupta, et al. 2009; Dude 2011; Jewkes et al. 2010; Kishor 2012; Raj et al. 2008; Silverman et al. 2007), and contraceptive use and other reproductive outcomes (Hindin, Kishor, and Ansara 2008; Krug et al. 2002; Speizer et al. 2009; Stephenson, Koenig, and Ahmed 2006; Swan and O'Connell 2011; Tello et al. 2008; Watts and Mayhew 2004). "
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