A systematic review of the relationships between intimate partner violence and HIV/AIDS.

A systematic review of the relationships between intimate partner violence and HIV/AIDS.
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DOI:
10.1371/journal.pone.0081044
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发表时间:
2013
期刊:
影响因子:
3.7
通讯作者:
Calzavara LM
Calzavara LM
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Kouyoumdjian FG;Findlay N;Schwandt M;Calzavara LM

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亲密伴侣暴力(IPV)是一个重要的健康问题,在许多研究中与艾滋病毒感染有关。我们的目的是系统地回顾文献IPV和艾滋病毒之间的关系,以描述IPV的艾滋病毒感染者的患病率,艾滋病毒感染者的患病率经历IPV,IPV和艾滋病毒之间的关联,以及有关风险和干预机制的证据。数据来源为10个电子数据库和参考文献清单。如果研究报告了IPV和HIV之间关系的数据,则纳入研究。所有记录均由两位作者在标题和摘要审查以及全文审查阶段进行独立审查。对任一审查员认为合格的任何摘要进行全面审查,并通过讨论解决关于全文或提取数据合格性的任何分歧。 共纳入101篇文章。在大多数研究的未校正分析中,以及在许多研究的校正分析中,经历IPV和HIV感染相关。定性和定量研究的结果评估潜在的机制联系IPV和艾滋病毒是可变的。很少有干预措施进行了评估,但在这次审查中确定的两个有希望在预防IPV,但不是艾滋病毒感染。在未经调整的分析中,经历IPV和HIV感染往往相关,这表明IPV筛查和与相关项目和服务的联系可能是有价值的。目前尚不清楚IPV和HIV感染之间是否存在因果关系。研究的重点应是确定与艾滋病毒感染有关的IPV参数,包括IPV的类型、接触期和风险期,评估潜在的机制,以及制定和评估基于现有研究优势的干预措施。
Intimate partner violence (IPV) is a significant health problem that has been associated with HIV infection in numerous studies. We aimed to systematically review the literature on relationships between IPV and HIV in order to describe the prevalence of IPV in people with HIV, the prevalence of HIV in people experiencing IPV, the association between IPV and HIV, and evidence regarding mechanisms of risk and interventions. Data sources were 10 electronic databases and reference lists. Studies were included if they reported data on the relationship between IPV and HIV. All records were independently reviewed by two authors at the stages of title and abstract review and full text review. Any abstract considered eligible by either reviewer was reviewed in full, and any disagreement regarding eligibility of full texts or data extracted was resolved by discussion. 101 articles were included. Experiencing IPV and HIV infection were associated in unadjusted analyses in most studies, as well as in adjusted analyses in many studies. The findings of qualitative and quantitative studies assessing potential mechanisms linking IPV and HIV were variable. Few interventions have been assessed, but two identified in this review were promising in terms of preventing IPV, though not HIV infection. Experiencing IPV and HIV infection tend to be associated in unadjusted analyses, suggesting that IPV screening and linkage with relevant programs and services may be valuable. It is unclear whether there is a causal association between experiencing IPV and HIV infection. Research should focus on defining parameters of IPV which are relevant to HIV infection, including type of IPV and period of exposure and risk, on assessing potential mechanisms, and on developing and assessing interventions which build on the strengths of existing studies.
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