A prospective study of frequency and correlates of intimate partner violence among African heterosexual HIV serodiscordant couples.
A prospective study of frequency and correlates of intimate partner violence among African heterosexual HIV serodiscordant couples.
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DOI：
10.1097/qad.0b013e32834b005d
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发表时间：
2011-10-23
期刊：
影响因子：
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通讯作者：
Partners in Prevention HSVHIV Transmission Study Team
中科院分区：
文献类型：
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作者：
Were E;Curran K;Delany-Moretlwe S;Nakku-Joloba E;Mugo NR;Kiarie J;Bukusi EA;Celum C;Baeten JM;Partners in Prevention HSVHIV Transmission Study Team
亲密伴侣暴力（IPV）在世界范围内很常见，是夫妻艾滋病毒自愿咨询和检测（CVCT）的一个重要考虑因素，特别是对于艾滋病毒血清不一致的夫妇（即只有一名成员感染艾滋病毒）。对来自东非和南部非洲 7 个国家的 3408 对 HIV 血清不一致的夫妇（其中 2299 个 HIV 感染伴侣为女性）进行了前瞻性研究。在长达 2 年的随访期间，每季度进行一次访视，参与者分别被询问其伴侣在过去 3 个月内针对他们实施的 IPV。 IPV 的相关性由广义估计方程确定。大多数夫妇已结婚并同居，平均伴侣关系持续时间约为 5 年。记录的季度访问量超过 39,000 次。感染 HIV 的女性、未感染 HIV 的女性、2.2%、0.9%、0.7% 的就诊者报告 IPV 感染。大多数 IPV 报告都是言语暴力或言语暴力和身体暴力的结合。 HIV 感染者更有可能报告 IPV（女性调整比值比 [AOR] 1.33，p=0.043；男性 AOR 2.20，p=0.001），但 IPV 与未感染 HIV 的参与者的 HIV 血清转化风险没有显着相关性。随访期间 IPV 发生率下降 (p<0.001)。在长达 2 年的前瞻性随访中，大多数接受过 CVCT 的稳定的 HIV 血清不一致伴侣关系中的人没有报告 IPV。感染 HIV 的伴侣（无论是男性还是女性）感染 IPV 的风险略有增加。
Intimate partner violence (IPV) is common worldwide and is an important consideration in couples HIV voluntary counseling and testing (CVCT), especially for HIV serodiscordant couples (i.e., in which only one member is HIV infected). Prospective study of 3408 HIV serodiscordant couples (2299 in which the HIV infected partner was female) from 7 countries from East and Southern Africa. At quarterly visits during up to 2 years of follow-up, participants were asked, separately, about IPV perpetrated against them by their partner during the prior 3 months. Correlates of IPV were determined by generalized estimating equations. The majority of couples were married and living together, with an average duration of partnership of approximately 5 years. More than 39,000 quarterly visits were recorded. IPV was reported in 2.7% of visits by HIV infected women, 2.2% by HIV uninfected women, 0.9% by HIV infected men, and 0.7% by HIV uninfected men. The majority of IPV reports were verbal or a combination of verbal and physical violence. Those who were HIV infected were more likely to report IPV (for women adjusted odds ratio [AOR] 1.33, p=0.043; for men AOR 2.20, p=0.001), but IPV was not significantly associated with risk of HIV seroconversion in HIV uninfected participants. IPV incidence decreased during follow-up (p<0.001). During up to 2 years of prospective follow-up, most persons in stable HIV serodiscordant partnerships who had undergone CVCT did not report IPV. A modest increased risk of IPV was seen for HIV infected partners, both female and male.