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A cross-sectional analysis of exposure to poly-drug use and IPV among MSM in San Diego, CA enrolled in the STAHR-II
x, 30 pages : illustrations
Intimate partner violence (IPV) is a significant health problem. Drug abuse, intimate partner violence, and human immunodeficiency virus (HIV) function in a unique environment. The purpose of this study was to examine the association between exposure to poly-drug use compared to single-drug use and sexual intimate partner violence among men who have sex with men (MSM). Using UCSD's STAHR-II study, a cross-sectional study was conducted to evaluate the relationship between poly-drug use and sexual intimate partner violence among MSM. The final adjusted multivariable logistic regression model showed higher education, being HIV positive and having an unknown HIV status were associated with sexual intimate partner violence. The odds of a lifetime forced sexual experience among MSM with higher education were 2.0 (1.2-3.3 95% CI, p-value=0.01) times higher than those who have a high school education. The odds of a lifetime forced sexual experience among MSM with either HIV positive status or unknown status had the strongest risk relationships throughout the study. The odds of a lifetime forced sexual experience among MSM who are HIV positive are 2.3 (1.1-4.7 95% CI, p-value=0.03) times higher than those who are HIV negative. The odds of a lifetime forced sexual experience among MSM who do not know their HIV status are 4.2 (1.2-15.0 95% CI, p-value=0.03) times higher than those who are HIV negative. The results of this study have important implications for the treatment of related high risk behaviors such as substance abuse.
Public Health with a Concentration in Epidemiology
Health and Human Services
San Diego State University
Master of Public Health (M.P.H.) San Diego State University, 2015
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