Intimate partner violence among HIV-positive women in Nairobi, Kenya
Intimate partner violence among HIV-positive women in Nairobi, Kenya
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DOI：
10.2147/ijwh.s203327
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发表时间：
2019-01-01
影响因子：
2.3
通讯作者：
Jaoko, W. G.
中科院分区：
文献类型：
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作者：
Brooks, R. D.;Jolly, P. E.;Jaoko, W. G.
目的：本研究的目的是确定与四种形式的亲密伴侣暴力（IPV）艾滋病毒阳性的妇女参加综合护理中心在肯雅塔国家医院在内罗毕，Kenya.Methods的患病率和社会人口因素：进行了一项横断面研究，其中600名性活跃的艾滋病毒阳性的妇女，年龄在18-69岁，从2012年5月至8月。一个结构化的问卷调查，包括有关的社会人口特征，卫生保健的决定，和IPV（控制行为，情感虐待，身体暴力和性暴力）的形式的问题被管理到每个woman.Results：所有妇女报告经历情感虐待; 20%，17%，和15%的经验，分别控制行为，身体暴力和性暴力。报告低/低于平均社会经济地位（SES）的女性比高/平均SES的女性更有可能经历控制行为（调整后的比值比[aOR] = 1.62，95% CI 1.05-2.51）。失业妇女遭受身体暴力的可能性大于就业妇女（aOR = 2.35，95% CI 1.31-4.23）。非基督徒女性比基督徒女性更容易经历控制行为、身体暴力和性暴力（aOR = 4.41，95%CI 1.81-10.76和aOR = 3.33，95%CI 1.43-7.80）。根据IPV的患病率和本研究中确定的与女性IPV相关的社会人口学因素，将IPV筛查作为艾滋病毒抗体阳性妇女和其他妇女的常规门诊的一部分。此外，不应忽视报告配偶情绪虐待或控制行为的妇女，因为这两种形式的IPV可能先于或伴随身体和性IPV。报告在诊所就诊期间经历IPV的妇女可能会被转介到肯尼亚为受虐妇女提供的组织和资源。增加对反IPV方案的资助和政策的改变也可能有助于减少肯尼亚艾滋病毒阳性妇女和其他妇女的IPV。
Purpose: This study was conducted to identify the prevalence and sociodemographic factors associated with four forms of intimate partner violence (IPV) among HIV-positive women attending the Comprehensive Care Centre at the Kenyatta National Hospital in Nairobi, Kenya.Methods: A cross-sectional study was conducted among 600 sexually active HIV-positive women aged 18-69 years from May to August of 2012. A structured questionnaire including questions pertaining to sociodemographic characteristics, health care decisions, and forms of IPV (controlling behavior, emotional abuse, physical violence, and sexual violence) was administered to each woman.Results: All women reported experiencing emotional abuse; 20%, 17%, and 15% experienced controlling behavior, physical violence, and sexual violence, respectively. Women who reported low/below average socioeconomic status (SES) had a greater likelihood of experiencing controlling behavior than women with high/average SES (adjusted odds ratio [aOR] = 1.62, 95% CI 1.05-2.51). Women who were unemployed had greater odds of experiencing physical violence than those who were employed (aOR = 2.35, 95% CI 1.31-4.23). Non-Christian women had higher odds of experiencing controlling behavior, physical violence, and sexual violence than Christian women (aOR = 4.41, 95% CI 1.81-10.76 and aOR = 3.33, 95% CI 1.43-7.80).Conclusion: Based on the prevalence of IPV and the sociodemographic factors identified to be associated with IPV among women in this study it may be beneficial to include IPV screening as part of routine clinic visits for HIV-positive and other women. Furthermore, women who report emotional abuse or controlling behavior from spouse should not be overlooked, as these two forms of IPV may precede or accompany physical and sexual IPV. Women who report experiencing IPV during clinic visits may be referred to organizations and resources available to battered women in Kenya. Increased funding for anti-IPV programs and changes in policy may also contribute to a reduction in IPV among HIV-positive and other women in Kenya.