在大温哥华地区的异性恋女性中，较高的性关系权力与最佳的艾滋病毒治疗和护理结果相关

IF 1.7 3区社会学 Q1 WOMENS STUDIES

Violence Against Women Pub Date : 2025-04-24 DOI:10.1177/10778012251334769

Carol He, Kate Shannon, Melissa Braschel, Mika Ohtsuka, Charlie Zhou, Kathleen Deering

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引用次数: 0

摘要

在这项研究中，我们对加拿大大温哥华地区（2014-2019）感染人类免疫缺陷病毒（HIV）的女性进行了纵向队列研究，使用双变量和多变量logistic回归，并采用广义估计方程来研究异性恋女性中低、中、高关系权力与两种结局之间的关系：(1)接受抗逆转录病毒治疗（ART）；(2)抗逆转录病毒药物的最佳使用。多变量分析表明，高和中等关系权力与抗逆转录病毒治疗和最佳抗逆转录病毒治疗使用显著相关。这些发现表明，关系权力筛选、以力量为中心的夫妻干预以及解决性别不平等、规范和艾滋病毒污名的结构性方法至关重要。

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Higher Sexual Relationship Power Associated With Optimal HIV Treatment and Care Outcomes Among Women Living With HIV in Heterosexual Relationships in Metro Vancouver.

In this study among a longitudinal cohort of women living with human immunodeficiency virus (HIV) in Metro Vancouver, Canada (2014-2019), we used bivariate and multivariable logistic regression with generalized estimating equations to investigate associations between low, medium, and high relationship power and two outcomes among women in heterosexual relationships: (1) being on antiretroviral therapy (ART); (2) optimal ART use. Multivariable analysis suggested that high and medium relationship power were significantly associated with being on ART and optimal ART use. These findings suggest the critical importance of relationship power screening, strength-focused couples-based interventions and structural approaches to address gendered inequities, norms and HIV stigma.

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来源期刊

Violence Against Women WOMENS STUDIES-

CiteScore

4.10

自引率

4.50%

发文量

142

期刊介绍： Violence against Women is an international, interdisciplinary journal dedicated to the publication of research and information on all aspects of the problem of violence against women. The journal assumes a broad definition of violence; topics to be covered include, but are not limited to, domestic violence, sexual assault, incest, sexual harassment, female infantcide, female circumcision, and female sexual slavery.