Intimate partner violence and symptoms of sexually transmitted infections: Are the women from low socio-economic strata in Bangladesh at increased risk.
Intimate partner violence and symptoms of sexually transmitted infections: Are the women from low socio-economic strata in Bangladesh at increased risk.
复制标题
亲密伴侣暴力和性传播感染症状：孟加拉国社会经济低层的妇女面临的风险是否增加。
DOI：
10.1007/s12529-013-9302-5
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Kizuki M.
中科院分区：
文献类型：
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作者：
Rahman M;Nakamura K;Seino K;Kizuki M.
背景很少有关于经历过亲密伴侣暴力（IPV）的贫困或文盲妇女是否具有独特的性传播感染（STI）风险的研究。大多数这类研究涉及因战争和冲突而流离失所的家庭。我们的目标是通过（1）解决过去一年内身体和/或性IPV的经历与STI症状之间是否存在关联以及（2）探索低社会-经济地位和IPV和相对的作用，他们发挥的障碍，以减少妇女的风险STI在全国代表性的样本Bangladesh.MethodThis本文使用的数据从2007年孟加拉国人口健康调查。这些分析是基于4 195名已婚妇女的答复。暴露是根据妇女在过去一年中的身体和性IPV经历确定的。生殖器溃疡和生殖器分泌物被用作STI症状的替代结果变量。结果任何物理和/或性IPV的经验与生殖器溃疡（调整后的比值比[AOR] = 1.79; 95%CI]，1.28-2.51）和生殖器分泌物（AOR 1.90，95%CI 1.42-2.53）。物理IPV的严重程度似乎对测量的结果有更深远的影响。研究结果还表明，对于性传播感染的风险，妇女在贫困或文盲和IPV的联系并没有更独特的disadvantageous.ConclusionsThe结果表明，对于性传播感染的风险，经历过IPV的负面影响延伸到所有的社会经济背景，并不限于妇女在贫困或文盲和IPV的联系。调查结果强调，作为减少性传播感染风险的干预措施的一部分，需要保护妇女免受丈夫的一切形式的身体暴力和性暴力。
BackgroundThere is little research on whether women who are either poor or illiterate and have experienced intimate partner violence (IPV) have a unique risk of sexually transmitted infections (STIs). Most such research concerns families displaced by wars and conflicts.PurposeTherefore, we aimed to further this important area of inquiry by (1) addressing whether an association exists between experiences of physical and/or sexual IPV within the past year and symptoms of STI and (2) exploring the relationship between low socio-economic status and IPV and the relative roles they play as obstacles to reducing women’s risk of STI in a nationally representative sample of Bangladesh.MethodThis paper used data from the 2007 Bangladesh Demographic Health Survey. The analyses were based on the responses of 4,195 currently married women. Exposure was determined from women’s experiences of physical and sexual IPV within the past year. Genital sores and genital discharge were used as proxy outcome variables of the symptoms of STI. Descriptive statistics and multivariate logistic regression analysis were used in the study.ResultsExperience of any physical and/or sexual IPV were associated with genital sores (adjusted odds ratio [AOR] = 1.79; 95 % confidence interval [CI], 1.28–2.51) and genital discharge (AOR 1.90, 95 % CI 1.42–2.53). Severity of physical IPV appeared to have more profound consequences on the outcome measured. Findings also demonstrated that for the risk of STI, women at the nexus of poverty or illiteracy and IPV were not more uniquely disadvantaged.ConclusionsThe results suggest that for the risk of STI, the negative effect of having experienced IPV extends across all socio-economic backgrounds and is not limited to women at either at the nexus of poverty or illiteracy and IPV. Findings underscore the calls for protecting women from all forms of physical and sexual violence from their husbands as a part of interventions to reduce the risk of STI.