Intimate partner violence and correlates in pregnant HIV positive Nigerians

Intimate partner violence and correlates in pregnant HIV positive Nigerians
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DOI:
10.1007/s00404-009-0956-9
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发表时间:
2009-11-01
影响因子:
2.6
通讯作者:
Herbertson, Ebiere
Herbertson, Ebiere
中科院分区:
医学3区
文献类型:
--
作者:
Ezechi, Oliver Chukwujekwu;Gab-Okafor, Chidinma;Herbertson, Ebiere

文献摘要

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为了确定感染艾滋病毒的尼日利亚孕妇中亲密伴侣暴力(IPV)的流行率、类型和相关因素,一项对拉各斯尼日利亚医学研究所652名艾滋病毒阳性孕妇的横断面研究,尼日利亚,24个月期间,艾滋病毒诊断后亲密伴侣暴力行为的发生率,在接受采访的妇女中,有423人(65.8%)报告受到虐待。在74.0%的受虐待妇女中,虐待是在艾滋病毒诊断后开始的。虽然有一个艾滋病毒阴性的配偶和艾滋病毒状态的披露与滥用,只有有一个艾滋病毒阴性的合作伙伴保留其与IPV(OR 3.1; CI 2.4-5.3)控制混杂变量后。62名妇女(9.6%)由于害怕被拒绝而没有透露自己的艾滋病毒状况。言语虐待(51.7%)、暴力威胁(22.9%)和性剥夺(21.5%)是报告的常见虐待形式。IPV在HIV阳性的孕妇中很常见;在HIV血清不一致的妇女中风险增加三倍。
To determine the prevalence, types and correlates of intimate partner violence (IPV) in pregnant Nigerian living with HIV.Cross sectional study.HIV positive pregnant women.A large HIV comprehensive treatment centre.A cross sectional study of 652 HIV positive pregnant Nigerians seen at Nigerian Institute of Medical Research, Lagos, Nigeria over a 24 months period.Prevalence of intimate partner violence after HIV diagnosis.Among the women interviewed, 423 (65.8%) reported abuse. In 74.0% of abused women, the abuse started after HIV diagnosis. Though having a HIV negative spouse and disclosure of HIV status were associated with abuse, only having a HIV negative partner retained its association with IPV (OR 3.1; CI 2.4-5.3) after controlling for confounding variables. Sixty-two (9.6%) women have not disclosed their HIV status because of fear of rejection. Verbal abuse (51.7%), threat of violence in 97 (22.9%) and sexual deprivation in 91 (21.5%) were the common forms of abuse reported.IPV is common among HIV positive pregnant Nigerians; with a threefold increased risk in women in HIV serodiscordant relationship.