Michele R. Decker|George R. Seage|David Hemenway|Jhumka Gupta|Anita Raj|Jay G. Silverman
Intimate partner violence perpetration, standard and gendered STI/HIV risk behaviour, and STI/HIV diagnosis among a clinic-based sample of men
Harvard University|Harvard University|Yale University|Boston University
estimated one three women worldwide victimized intimate partner violence ipv consistently demonstrate elevated stihiv prevalence abusive male partners risky sexual behaviours subsequent infection increasingly implicated date little empirical data exist characterise nature mens sexual risk relates violence perpetration stihiv infectiondata crosssectional survey men ages 1835 recruited three communitybased health clinics urban metropolitan area northeastern us n 1585 analysed estimate prevalence ipv perpetration associations violent behaviour standard eg anal sex injection drug use gendered eg coercive condom practices sexual infidelity transactional sex female partner forms sexualrisk behaviour selfreported stihiv diagnosisapproximately onethird participants 327 reported perpetrating physical sexual violence female intimate partner lifetime one eight 124 participants selfreported history stihiv diagnosis mens ipv perpetration associated standard gendered stihiv risk behaviours stihiv diagnosis 485 95 ci 354 666 association mens ipv perpetration stihiv diagnosis partially attenuated adjusted odds ratio aor 255 95 ci 177 367 multivariate model subset gendered sexualrisk behaviours found independently associated stihiv diagnosisfor example coercive condom practices aor 167 95 ci 104 269 sexual infidelity aor 246 95 ci 165 368 transactional sex female partner aor 203 95 ci 136 304mens perpetration physical sexual violence intimate partners common among population abusive men increased risk stihiv gendered forms sexualrisk behaviour partially responsible association thus men likely pose elevated infection risk female partners findings indicate need interwoven sexual health promotion violence prevention efforts targeted men critical efforts may reduction gendered sexualrisk behaviours modification norms masculinity likely promote sexual risk violence