Prevalence and correlates of violence among sexual and injecting partners of people who inject drugs living with HIV in Kenya: a cross-sectional study.
Prevalence and correlates of violence among sexual and injecting partners of people who inject drugs living with HIV in Kenya: a cross-sectional study.
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DOI：
10.1186/s12954-023-00895-7
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发表时间：
2023-11-02
影响因子：
4.4
通讯作者：
Guthrie, Brandon L.
中科院分区：
文献类型：
--
作者：
Aung, Sai Win Kyaw Htet;Kingston, Hanley;Mbogo, Loice W.;Sambai, Betsy;Monroe-Wise, Aliza;Ludwig-Barron, Natasha T.;Bukusi, David;Sinkele, William;Gitau, Esther;Masyuko, Sarah;Herbeck, Joshua T.;Farquhar, Carey;Guthrie, Brandon L.
在肯尼亚，暴力行为在感染艾滋病毒的注射毒品者及其性伴侣和注射伴侣中很常见，可能导致艾滋病毒服务的使用减少，艾滋病毒风险行为增加，艾滋病毒传播增加。暴力是指在过去一年中对一个人造成的任何身体伤害、威胁伤害或强迫性行为。了解暴力的性质及其与艾滋病毒/艾滋病感染者及其伙伴之间的相互关系，将为针对特定人群的公共卫生干预措施和政策建议提供信息。这是一项在肯尼亚内罗毕、基利菲和蒙巴萨县的8个公共卫生中心、美沙酮诊所和针头注射器项目中进行的前瞻性队列研究中嵌套的横断面研究。3，302名感染艾滋病毒的PWID的性伴侣和/或注射伴侣通过协助伴侣服务招募并参与了这项研究。使用Wald检验和负二项回归确定暴力的流行率和相关因素。在3302名研究参与者中，有1439人（44%）在过去一年中经历过暴力。身体暴力是最常见的暴力形式（35%），其次是受到威胁（23%）或遭受性暴力（7%）。在调整后的分析中，女性参与者报告的性暴力经历高于男性参与者（患病率[PR] = 2.46; 95%置信区间[CI] 1.62，3.74; p < 0.001）。在调整后的分析中，沿海居民比居住在内罗毕的居民有更高的总体暴力经历（PR = 1.48; 95% CI 1.27，1.72; p < 0.001）。这种区域效应在女性受访者中相对较强（pinteraction = 0.025）。在调整潜在的混杂因素后，参与者的性别改变了地区和经历暴力之间的关联。该研究揭示了残疾人中暴力行为的普遍性，并确定了高风险亚群体，包括妇女（特别是性暴力）和沿海居民。针对他们的独特需求采取有针对性的干预措施至关重要。将暴力预防和应对、全面减少伤害、医疗保健获得和社区支持相结合的整体方法对于解决肯尼亚PWID中药物使用和艾滋病毒负担的复杂问题以改善健康结果至关重要。
In Kenya, violence is common among people who inject drugs (PWID) living with HIV and their sexual and injecting partners and may lead to decreased uptake of HIV services, increased HIV risk behaviors, and increased HIV transmission. Violence is defined as any physical harm, threatened harm, or forced sexual acts inflicted on a person in the past year. Understanding the nature of violence and its correlates among PWID and their partners will inform population-specific public health interventions and policy recommendations. This is a cross-sectional study nested in a prospective cohort study conducted in eight public health centers, methadone clinics, and needle syringe programs in Nairobi, Kilifi, and Mombasa counties in Kenya. 3,302 sexual and/or injecting partners of PWID living with HIV were recruited through assisted partner services and participated in the study. Prevalence and correlates of violence were identified using the Wald test and negative binomial regression. Out of 3302 study participants, 1439 (44%) had experienced violence within the past year. Physical violence was the most common form of violence experienced (35%), followed by being threatened (23%) or subjected to sexual violence (7%). In an adjusted analysis, female participants reported higher experiences of sexual violence (prevalence ratio [PR] = 2.46; 95% confidence interval [CI] 1.62, 3.74; p < 0.001) compared to male participants. In adjusted analysis, coastal residents had a higher experience of overall violence (PR = 1.48; 95% CI 1.27, 1.72; p < 0.001) than those living in Nairobi. This regional effect was relatively stronger among the female respondents (pinteraction = 0.025). Participants’ sex modified the association between region and experiencing violence after adjusting potential confounding factors. The study reveals the prevalence of violence among PWID and identifies high-risk sub-groups, including women, specifically for sexual violence, and coastal residents. Tailored interventions addressing their unique needs are essential. A holistic approach that combines violence prevention and response, comprehensive harm reduction, healthcare access, and community support is crucial to address the complex issue of drug use and HIV burden among PWID in Kenya for improved health outcomes.
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影响因子：
168.9
作者：
Shannon, Kate;Strathdee, Steffanie A.;Goldenberg, Shira M.;Duff, Putu;Mwangi, Peninah;Rusakova, Maia;Reza-Paul, Sushena;Lau, Joseph;Deering, Kathleen;Pickles, Michael R.;Boily, Marie-Claude
通讯作者：
Boily, Marie-Claude
DOI：
10.1097/qai.0000000000000769
发表时间：
2015-12-01
影响因子：
3.6
作者：
Kurth, Ann E.;Cleland, Charles M.;Cherutich, Peter
通讯作者：
Cherutich, Peter
影响因子：
4.5
作者：
Shi, Chyun-Fung;Kouyoumdjian, Fiona G.;Dushoff, Jonathan
通讯作者：
Dushoff, Jonathan
影响因子：
4.4
作者：
Mburu G;Ayon S;Tsai AC;Ndimbii J;Wang B;Strathdee S;Seeley J
通讯作者：
Seeley J
影响因子：
4.5
作者：
Oguya FO;Kenya PR;Ongecha F;Mureithi P;Musyoka H;Muraguri N;Mundia B;Angira C;Shose M;Basheeb TA;Mohamed AA;Oyore JP;Ochieng OG;Dida GO;Abdalla S;Abdool R
通讯作者：
Abdool R