Risks of Intimate Partner Violence for Women Living with HIV Receiving Cash Transfers: A Qualitative Study in Shinyanga, Tanzania.
Risks of Intimate Partner Violence for Women Living with HIV Receiving Cash Transfers: A Qualitative Study in Shinyanga, Tanzania.
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亲密伴侣暴力暴力对艾滋病毒的妇女接受现金转移的风险：坦桑尼亚Shinyanga的定性研究。
DOI：
10.1007/s10461-023-03997-2
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发表时间：
2023-08
影响因子：
4.4
通讯作者：
McCoy, Sandra I.
中科院分区：
文献类型：
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作者：
Hemono, Rebecca;Mnyippembe, Agatha;Kalinjila, Atuganile;Msoma, Jesca;Prata, Ndola;Dow, William H.;Snell-Rood, Claire;Sabasaba, Amon;Njau, Prosper;McCoy, Sandra I.
现金转移越来越多地用于激励坚持艾滋病毒护理。然而，关于现金转移和亲密伴侣暴力的证据好坏参半，而且对感染艾滋病毒的妇女的安全知之甚少。我们对参加一项随机试验的艾滋病毒感染者进行了深入采访，该试验提供了6个月的现金转移（约4.5美元或11美元），条件是在坦桑尼亚的Shinyanga的艾滋病毒诊所就诊，以评估接受现金如何影响IPV和关系动态。符合条件的参与者年龄在18-49岁之间，接受现金转移，并在基线处建立伙伴关系。在Dedoose中使用组合归纳-演绎编码方法分析数据。在2019年11月至2020年2月期间进行了25次访谈。妇女就业被认为是家庭关系紧张和暴力的根源。没有参与者报告与现金转移有关的身体或性IPV，但是，一些妇女经历了控制行为或情感暴力，包括指责和扣留金钱，特别是那些失业的妇女。现金转移主要用于小额家庭开支，不被视为足以改变关系中的财务动态或权力平衡。我们的研究结果表明，小额，短期的现金转移不会增加艾滋病毒感染妇女的身体或性IPV，但会加剧控制行为或情感暴力。作为改善健康结果的行为推动的适度激励措施可能会对妇女产生不同于就业或更大规模现金转移的影响。然而，应优先考虑与受益人协商，以保护妇女免受潜在的IPV风险。
Cash transfers are increasingly used to motivate adherence to HIV care. However, evidence on cash transfers and intimate partner violence (IPV) is mixed and little is known about their safety for women living with HIV. We conducted in-depth interviews with women living with HIV who participated in a randomized trial providing 6 months of cash transfers (~$4.5 or $11 USD) conditional on HIV clinic attendance in Shinyanga, Tanzania to assess how receiving cash affects IPV and relationship dynamics. Eligible participants were 18–49 years, received cash transfers, and in a partnership at baseline. Data were analyzed in Dedoose using a combined inductive-deductive coding approach. 25 interviews were conducted between November 2019-February 2020. Women’s employment was found to be a source of household tension and violence. None of the participants reported physical or sexual IPV in relation to cash transfers, however, some women experienced controlling behaviors or emotional violence including accusations and withholding of money, particularly those who were unemployed. Cash transfers were predominantly used for small household expenses and were not viewed as being substantial enough to shift the financial dynamic or balance of power within relationships. Our findings suggest that small, short-term cash transfers do not increase physical or sexual IPV for women living with HIV however can exacerbate controlling behaviors or emotional violence. Modest incentives used as a behavioral nudge to improve health outcomes may affect women differently than employment or larger cash transfers. Nonetheless, consultations with beneficiaries should be prioritized to protect women from potential IPV risks.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
DOI：
10.1016/s2352-3018(20)30230-7
发表时间：
2020-11
期刊：
The lancet. HIV
影响因子：
--
作者：
Fahey CA;Njau PF;Katabaro E;Mfaume RS;Ulenga N;Mwenda N;Bradshaw PT;Dow WH;Padian NS;Jewell NP;McCoy SI
通讯作者：
McCoy SI
DOI：
10.1016/s2352-3018(19)30233-4
发表时间：
2019-10
期刊：
The lancet. HIV
影响因子：
--
作者：
Galárraga O;Sosa-Rubí SG
通讯作者：
Sosa-Rubí SG
影响因子：
3.5
作者：
Hidrobo, Melissa;Fernald, Lia
通讯作者：
Fernald, Lia
影响因子：
4.5
作者：
Abramsky, Tanya;Lees, Shelley;Kapiga, Saidi
通讯作者：
Kapiga, Saidi