Intimate partner violence and HIV infection among women: a systematic review and meta-analysis
Intimate partner violence and HIV infection among women: a systematic review and meta-analysis
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DOI：
10.7448/ias.17.1.18845
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发表时间：
2014-02-13
影响因子：
6
通讯作者：
Ehiri, John E.
中科院分区：
文献类型：
--
作者：
Li, Ying;Marshall, Caitlin M.;Ehiri, John E.
方法：检索Medline/PubMed、Embase、Web of Science、EBSCO、Ovid、Cochrane HIV/AIDS Group‘s Special Register和Cochrane Central Register of Control Trials，检索截至2013年5月20日的关于亲密伴侣暴力(IPV)与女性HIV感染之间关系的研究。结果：共纳入28项研究[(19项横断面研究，5个队列和4个病例对照研究)，涉及16个国家的331,468人--美国(8项研究)、南非(4项研究)、东非(10项研究)、印度(3项研究)、巴西(1项研究)和多个低收入国家(2项研究)]。结果用Revman 5.0汇总。为了缓和效应估计，我们使用随机效应模型分析了所有数据，而不考虑异质性水平。队列研究的汇总结果显示，物理IPV[合并RR(95%CI)：1.22(1.01，1.46)]和任何类型IPV[合并RR(95%CI)：1.28(1.00，1.64)]与女性HIV感染显著相关。横断面研究的结果表明，女性中身体上的IPV与HIV感染显著相关[合并OR(95%CI)：1.44(1.10，1.87)]。同样，横断面研究结果表明，身体和性别IPV[合并OR(95%CI)：2.00(1.24，3.22)]和任何类型IPV[合并OR(95%CI)：1.41(1.16，1.73)]与女性HIV感染显著相关。结论：现有证据表明，IPV与女性HIV感染之间存在中等统计学意义的相关性。为了进一步阐明IPV与妇女感染艾滋病毒之间的联系，需要在世界不同的地理区域以及在具有不同种族/文化背景和不同艾滋病毒风险水平的个人中进行高质量的后续研究。
Introduction: To assess evidence of an association between intimate partner violence (IPV) and HIV infection among women.Methods: Medline/PubMed, Embase, Web of Science, EBSCO, Ovid, Cochrane HIV/AIDS Group's Specialized Register and Cochrane Central Register of Controlled Trials were searched up to 20 May 2013 to identify studies that examined the association between IPV and HIV infection in women. We included studies on women aged] 15 years, in any form of sexually intimate relationship with a male partner.Results: Twenty-eight studies [(19 cross-sectional, 5 cohorts and 4 case-control studies) involving 331,468 individuals in 16 countries - the US (eight studies), South Africa (four studies), East Africa (10 studies), India (three studies), Brazil (one study) and multiple low-income countries (two studies)] were included. Results were pooled using RevMan 5.0. To moderate effect estimates, we analyzed all data using the random effects model, irrespective of heterogeneity level. Pooled results of cohort studies indicated that physical IPV [pooled RR (95% CI): 1.22 (1.01, 1.46)] and any type of IPV [pooled RR (95% CI): 1.28 (1.00, 1.64)] were significantly associated with HIV infection among women. Results of cross-sectional studies demonstrated significant associations of physical IPV with HIV infection among women [pooled OR (95% CI): 1.44 (1.10, 1.87)]. Similarly, results of cross-sectional studies indicated that combination of physical and sexual IPV [pooled OR (95% CI): 2.00 (1.24, 3.22) and any type of IPV [pooled OR (95% CI): 1.41 (1.16, 1.73)] were significantly associated with HIV infection among women.Conclusions: Available evidence suggests a moderate statistically significant association between IPV and HIV infection among women. To further elucidate the strength of the association between IPV and HIV infection among women, there is a need for high-quality follow-up studies conducted in different geographical regions of the world, and among individuals of diverse racial/cultural backgrounds and varying levels of HIV risks.