Prevalence and correlates of intimate partner violence against HIV-seropositive pregnant women in a Nigerian population
Prevalence and correlates of intimate partner violence against HIV-seropositive pregnant women in a Nigerian population
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DOI：
10.1111/j.1600-0412.2011.01083.x
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发表时间：
2011-05-01
影响因子：
4.3
通讯作者：
Okonofua, Friday E.
中科院分区：
文献类型：
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作者：
Ezeanochie, Michael C.;Olagbuji, Biodun N.;Okonofua, Friday E.
Objective.评估尼日利亚艾滋病毒抗体阳性孕妇中亲密伴侣暴力行为的发生率和相关因素。设计横断面研究采用匿名半结构式访谈问卷。设置. 2008年6月至2009年12月，尼日利亚贝宁大学教学医院产前门诊。人口305名艾滋病毒呈阳性的妇女接受产前保健。方法.经过培训的女性访谈员向这些妇女发放了一份匿名的半结构化世界卫生组织修订问卷，以了解亲密伴侣暴力行为的经历。主要结局指标。与经历亲密伴侣暴力有关的流行率、模式和风险因素。结果妇女中亲密伴侣暴力的发生率为32.5%，心理暴力是报告的最常见的暴力形式（27.5%），身体暴力报告的最少（5.9%）。已确定的遭受暴力的风险因素是多产（比值比9.4; CI 1.23-71.33），HIV阳性儿童的受访者（比值比9.2; CI 4.53-18.84），在被诊断为艾滋病毒阳性之前的暴力经历（比值比44.4; 10.33-190.42）和伴侣未受过高等教育的妇女（比值比2.3; CI 1.40-3.91）。结论亲密伴侣暴力是我们社区感染艾滋病毒的孕妇中普遍存在的公共卫生问题，它可能会阻碍扩大预防母婴传播计划的努力，特别是在发展中国家。应将筛查亲密伴侣暴力行为以识别受虐待妇女的工作纳入这些方案，以便为这些妇女提供最佳护理。
Objective. To evaluate the prevalence and correlates of intimate partner violence among HIV-positive pregnant Nigerian women. Design. Cross-sectional study using an anonymous semi-structured interviewer-administered questionnaire. Setting. The antenatal clinic at the University of Benin Teaching Hospital, Nigeria, from June 2008 to December 2009. Population. 305 HIV-positive women receiving antenatal care. Methods. An anonymous semi-structured World Health Organization modified questionnaire that elicited information on the experiences of intimate partner violence, was administered to the women by trained female interviewers. Main Outcome Measures. Prevalence, pattern and risk factors associated with experiencing intimate partner violence. Results. The prevalence of intimate partner violence among the women was 32.5%, with psychological violence being the most common form of violence reported (27.5%) and physical violence the least reported (5.9%). Identified risk factors for experiencing violence were multiparity (Odds ratio 9.4; CI 1.23-71.33), respondents with an HIV-positive child (Odds ratio 9.2; CI 4.53-18.84), experience of violence before they were diagnosed HIV-positive (Odds ratio 44.4; 10.33-190.42) and women with partners without post-secondary education (Odds ratio 2.3; CI 1.40-3.91). Conclusion. Intimate partner violence is a prevalent public health problem among HIV-infected pregnant women in our community and it may hinder efforts to scale up prevention of mother child transmission programs, especially in developing countries. Screening for intimate partner violence to identify abused women should be incorporated into these programs to offer these women optimal care.