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Intimate partner violence, depression, and sexual behaviour among gay, bisexual and other men who have sex with men in the PROUD trial

Miltz, Ada R ; Lampe, Fiona C ; Bacchus, Loraine J ; McCormack, Sheena ; Dunn, David ; White, Ellen ; Rodger, Alison ; Phillips, Andrew N ; Sherr, Lorraine ; Clarke, Amanda ; McOwan, Alan ; Sullivan, Ann ; Gafos, Mitzy

BMC public health, 2019-04, Vol.19 (1), p.431-17, Article 431 [Periódico revisado por pares]

England: BioMed Central Ltd

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Título:
Intimate partner violence, depression, and sexual behaviour among gay, bisexual and other men who have sex with men in the PROUD trial
Autor: Miltz, Ada R ; Lampe, Fiona C ; Bacchus, Loraine J ; McCormack, Sheena ; Dunn, David ; White, Ellen ; Rodger, Alison ; Phillips, Andrew N ; Sherr, Lorraine ; Clarke, Amanda ; McOwan, Alan ; Sullivan, Ann ; Gafos, Mitzy
Assuntos: Acquired immune deficiency syndrome ; Adolescent ; Adult ; Aggression ; AIDS ; Ambulatory care facilities ; Anal intercourse ; Anal sex ; Bisexuality ; Bisexuals ; Crime Victims - psychology ; Crime Victims - statistics & numerical data ; Crimes against ; Demographic aspects ; Demographics ; Demography ; Depression ; Depression (Mood disorder) ; Depression - epidemiology ; Depression - psychology ; Domestic violence ; Drug abuse ; Drug use ; Economic factors ; England - epidemiology ; Gay men ; Gays & lesbians ; Health risks ; HIV ; HIV Infections - prevention & control ; Homophobia ; Homosexuality ; Human immunodeficiency virus ; Humans ; Intimate partner violence ; Intimate partner violence (IPV) ; Intimate Partner Violence - statistics & numerical data ; Male ; Men who have sex with men ; Men who have sex with men (MSM) ; Mens health ; Mental depression ; Middle Aged ; MSM (Men who have sex with men) ; Pre-Exposure Prophylaxis ; Prevalence ; Prophylaxis ; Psychological aspects ; Psychosocial factors ; Public health ; Randomization ; Risk factors ; Sex ; Sexual and Gender Minorities - psychology ; Sexual behavior ; Sexual Behavior - psychology ; Sexual health ; Sexual Partners - psychology ; Sexual risk behaviour ; Sexually transmitted diseases ; Signs and symptoms ; Socioeconomic factors ; STD ; STI ; Substance-Related Disorders - epidemiology ; Substance-Related Disorders - psychology ; Victimization ; Violence ; Young Adult
É parte de: BMC public health, 2019-04, Vol.19 (1), p.431-17, Article 431
Descrição: Little is known about the prevalence and correlates of intimate partner violence (IPV) among gay, bisexual and other men who have sex with men (GBMSM) in the UK. The aim of this study was to investigate the prevalence of IPV, associations of socio-economic and psychosocial factors with IPV, and the association of IPV with depression and sexual behaviour, among GBMSM in the PROUD trial of pre-exposure prophylaxis (PrEP). PROUD enrolled 544 HIV-negative participants in England from 2012 to 2014; participants were randomised to immediate or deferred PrEP. This analysis included 436 GBMSM who had IPV data at month-12 and/or 24. Prevalence of IPV victimization and perpetration (lifetime, and in the past year) was assessed at these time-points. Generalized estimating equations were used to investigate associations with IPV, using pooled data from both time-points. At month-12 (N = 410), 44.9% of men reported ever being a victim of IPV, 15.6% in the last year, and 19.5% reported ever perpetrating IPV, 7.8% in the last year. At month-24 (N = 333), the corresponding prevalence was 40.2 and 14.7% for lifetime and past year IPV victimization and 18.0 and 6.9% for lifetime and past year IPV perpetration. IPV prevalence did not differ by randomised arm. Men reporting internalized homophobia and sexualized drug use were more likely to report IPV. Lifetime and last year experience of IPV victimization and perpetration were strongly associated with depressive symptoms (PHQ-9 ≥ 10) (adjusted for socio-demographics: lifetime IPV victimization PR 2.57 [95% CI: 1.71, 3.86]; past year IPV victimization PR 2.93 [95% CI: 1.96, 4.40]; lifetime IPV perpetration PR 2.87 [95% CI: 1.91, 4.32]; past year IPV perpetration PR 3.47 [95% CI: 2.13, 5.64], p < 0.001 for all); IPV was not consistently associated with measures of condomless anal sex or high partner numbers. GBMSM at high-risk of HIV who are seeking/taking PrEP may experience a high burden of IPV, which may be linked to depression. Training on awareness of and enquiry for IPV among GBMSM in sexual health clinics is recommended. ClinicalTrials.gov identifier: NCT02065986 . Registered 19 February 2014 (retrospectively registered).
Editor: England: BioMed Central Ltd
Idioma: Inglês

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Intimate partner violence, depression, and sexual behaviour among gay, bisexual and other men who have sex with men in the PROUD trial

Miltz, Ada R ; Lampe, Fiona C ; Bacchus, Loraine J ; McCormack, Sheena ; Dunn, David ; White, Ellen ; Rodger, Alison ; Phillips, Andrew N ; Sherr, Lorraine ; Clarke, Amanda ; McOwan, Alan ; Sullivan, Ann ; Gafos, Mitzy

England: BioMed Central Ltd

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