Armed conflict, HIV, and syndemic risk markers of mental distress, alcohol misuse, and intimate partner violence among couples in Uganda.
Armed conflict, HIV, and syndemic risk markers of mental distress, alcohol misuse, and intimate partner violence among couples in Uganda.
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DOI：
10.1002/jts.22740
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发表时间：
2021-10
影响因子：
3.3
通讯作者：
Khoshnood K
中科院分区：
文献类型：
--
作者：
Mootz JJ;Basaraba CN;Corbeil T;Johnson K;Kubanga KP;Wainberg ML;Khoshnood K
乌干达东北部遭受长期武装冲突和艾滋病毒/艾滋病的影响，并在全球范围内拥有最高的亲密伴侣暴力（IPV）发生率。人们对冲突和艾滋病毒如何影响个人或其伴侣的综合风险标志知之甚少。我们在乌干达东北部的三个地区进行了一项以人口为基础的研究，采用多阶段抽样。我们随机调查了605名年龄在13-49岁之间的女性，并估计了目前有伴侣的女性（N = 561）报告其男性伴侣的综合征问题。低冲突区的并发症问题低于高冲突区，p = 0.009。冲突暴露与夫妻的症状评分相关，应答者：β = 0.182，p <0.001;伴侣：β = 0.181，p <0.001。与伴侣为艾滋病毒阴性的妇女相比，伴侣为艾滋病毒阳性（p = 0.031）或艾滋病毒状况未知（p = 0.016）的妇女的问题得分显著较高。妇女（β = 0.15，p = 0.034）和男子（β = 0.137，p = 0.038）武装冲突暴露对男女IPV的总影响是显著的。对于男性伴侣，未知（β = 0.669，p <0.001）或阳性（β = 1.143，p <0.001）HIV状态对经历女性对男性IPV有显著的总体影响。这些结果提示，综合症问题和相应的治疗应考虑夫妇的影响。解决精神痛苦和酒精滥用的调解问题可能会降低男性对女性IPV的风险。提供以夫妇为基础的艾滋病毒心理社会干预措施可以减少男子对IPV的接触。
Northeastern Uganda has suffered from protracted armed conflict and HIV/AIDS and has some of the highest rates of intimate partner violence (IPV) globally. Little is known about how exposure to conflict and HIV influence individuals’ syndemic risk markers or those of their partners. We conducted a population-based study using multistage sampling across three districts in Northeastern Uganda. We randomly surveyed 605 women aged 13–49 years and estimated syndemic problems for currently partnered women (N = 561) who reported for their male partners. Syndemic problems were lower in the low-conflict district than the high-conflict district, p = .009. Conflict exposure was associated with couples’ syndemic scores, respondent: β = 0.182, p < .001; partner: β = .181, p < .001. Problem scores were significantly higher among women whose partner was either HIV positive, p = .031, or had an unknown HIV status, p = .016, compared with those whose partner was HIV negative. The total effects of women’s, β = .15, p = .034, and men’s, β = .137, p = .038, armed conflict exposure on male-to-female IPV were significant. For male partners, there were significant total effects of having an unknown, β = .669, p < .001, or positive, β = 1.143, p < .001, HIV status on experiencing female-to-male IPV. These results suggest that syndemic problems and corresponding treatments should consider couple influences. Addressing mediating problems of mental distress and alcohol misuse may reduce the risk of male-to-female IPV. Providing couple-based HIV psychosocial interventions could reduce men’s exposure to IPV.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
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作者：
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通讯作者：
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影响因子：
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DOI：
10.1016/j.socscimed.2018.08.006
发表时间：
2018-10
期刊：
Social science & medicine (1982)
影响因子：
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作者：
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