| In recent years,the proportion of men who have sex with men(MSM)among newly diagnosed HIV-infected individuals has been increasing annually.New drugs are popular among MSM,and some MSM continue to use these drugs even after being infected with HIV,leading to frequent intimate partner violence.Studies in other HIV-negative MSM populations have shown that new drug use is associated with intimate partner violence(IPV),risky sexual behavior,poor mental health,and even a risk factor for HIV infection.In view of this,we conducted a study on intimate partner violence among HIV-positive MSM-users using novel drugs in order to provide evidence for effective interventions in this population in the future.This study employed a cross-sectional design with consecutive sampling to investigate Socio-demographic data and other general characteristics,new drug use,disclosure of HIV status to partners,six types of intimate partner violence(Control,emotional violence,security threats,physical violence,sexual violence,threats to disclose identity),high-risk behaviors,adherence to antiretroviral therapy(ART),and mental health status including depression,anxiety,and suicidal ideation among HIV-positive MSM who use new drugs.Subsequently,the study calculated the incidence of IPV in HIV-positive MSM using novel drugs,and used binary Logistic analysis to analyze the correlation between the use of new drugs,HIV partner notification,sexual orientation and IPV experience.The relationship between IPV experience and risky sexual behavior,ART compliance,depression,anxiety and suicidal ideation was further analyzed.The results showed that: 71.1% of 294 respondents had experienced at least one type of IPV in the past 6 months;55.1% have risky sex;53.4%ART adherence is good.In the past 2 weeks,48.3% had depression and 32.3% had anxiety;65.0% had suicidal ideation in the past week or at the height of depression.The results of multivariate analysis showed that the use of Methamphetamine(a OR:2.79,95%CI:1.43～5.45;P=0.003),Methcathinone(a OR:2.68,95%CI:1.31～5.47;P=0.007),Zero Capsule or Poppers(a OR:3.16,95%CI:1.51～6.60;P=0.002),other new drugs(a OR:2.87,95%CI:1.52～5.43;P=0.001),informing partners of HIV infection results(a OR:2.03,95%CI:1.10～3.78;P=0.025)were positively correlated with the experience of IPV with HIV-positive MSM using new drugs,and compared to bisexual men,gay men(a OR=3.32;95% CI: 1.820 ～ 6.05;P < 0.001)were more likely to experience IPV;However,experience of IPV was associated with risky sexual behavior(a OR=2.02;95%CI:1.16～3.53;P=0.013),depression(a OR=3.83;95%CI:2.09～7.02;P<0.001),anxiety(a OR=2.27;95%CI:1.19～4.35;P=0.013),suicidal ideation(a OR=3.78;95%CI:2.11～6.80;P<0.001)was positively correlated with ART obedience(a OR=2.63;95%CI: 1.46～4.74;P=0.011)showed a negative correlation.Research suggests that the use of new drugs,HIV-positive disclosure and being gay increases the likelihood that HIV-positive MSM who use new drugs will experience IPV,Experience with IPV may lead to new drug users of HIV-positive MSM to engage in risky sexual behavior,reduce their adherence to ART and aggravate their mental health problems such as depression,anxiety and suicidal ideation,thus leading to the risk of continued HIV transmission.There is therefore a need for educational interventions targeting the use of new drugs among MSM,especially gay man,and for the inclusion of intimate partner violence in HIV disclosure interventions.It should also consider integrating primary IPV prevention interventions,establishing routine IPV screening,and deploying services for victims of violence. |
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