首页|男男性行为者亲密伴侣暴力和高危性行为相关性的Meta分析

男男性行为者亲密伴侣暴力和高危性行为相关性的Meta分析

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目的 探讨MSM的亲密伴侣暴力经历与发生高危性行为风险的相关性.方法 计算机检索Web of Sci-ence、PubMed、Embase、Cochrane Library、中国知网、中国生物医学文献数据库、万方医学、维普数据库等文献数据平台,收集关于MSM亲密伴侣暴力及高危性行为的相关性研究.检索时间为建库至2024年2月.采用Revman 5.4和stata 17.0进行系统评价.结果 最终纳入22篇研究,横断面研究20篇、队列研究2篇,总样本量为16 748人.结果 显示,经历亲密伴侣暴力可显著增加MSM发生无保护性行为(OR=1.64,95%CI:1.47~1.84)、临时性行为(OR=1.60,95%CI:1.36~1.88)、商业性性行为(OR=1.73,95%CI:1.53~1.96)、多性伴(OR=1.22,95%CI:1.01~1.46)等高危性行为的风险.结论 根据现有MSM亲密伴侣暴力的研究,提示经历亲密伴侣暴力的MSM会增加高危性行为发生风险.未来需要进行更多前瞻性、大样本量的研究,为该人群的艾滋病防制提供临床决策和干预战略.
Meta-analysis of the association between intimate partner violence and high risk sexual behavior among men who have sex with men
Objective This meta-analysis explores the association between experiences of intimate partner violence(IPV)among men who have sex with men(MSM)and their risk of engaging in high risk sexual behaviors.Methods A comprehensive search for correlational studies about IPV and high risk sexual behaviors among MSM was conducted on electronic databases,including Web of Science,PubMed,Embase,Cochrane Library,China National Knowledge Internet(CNKI),Chinese Biomedical Literature Database,Wanfang Data Knowledge Service Platform,VIP Chinese Journal Service Platform,from database inception to February 2024.Studies were evaluated using Revman 5.4 and Stata 17.0.Results Twenty-two studies(20 cross-sectional and two cohort studies)with a total of 16 748 MSM were included.Experiencing IPV significantly increased the likelihood of unprotected sex(OR=1.64,95%CI:1.47-1.84),casual sex(OR=1.60,95%CI:1.36-1.88),commercial sex(OR=1.73,95%CI:1.53-1.96),and multiple sex partners(OR=1.22,95%CI:1.01-1.46).Conclusions Based on existing research,MSM experiencing IPV are at increased risk for various high risk sexual behaviors.Further prospective studies with larger samples are needed to inform clinical decision-making and intervention strategies for HIV/AIDS prevention in MSM.

Men who have sex with men(MSM)intimate partner violence(IPV)high risk sexual behaviormeta-analysis

苏丹、万彬、谢鹏、严茜、曾艳、赵霞

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成都中医药大学护理学院,成都 610032

成都市公共卫生临床医疗中心,成都 610066

男男性行为者 亲密伴侣暴力 高危性行为 Meta分析

四川省护理学会重大科研课题四川省卫健委科研课题四川省卫健委科研课题四川省护理学会科研课题

H2200820PJ22020PJ221H21038

2024

中国艾滋病性病
中国性病艾滋病防治协会

中国艾滋病性病

CSTPCD北大核心
影响因子:1.292
ISSN:1672-5662
年,卷(期):2024.30(7)
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