Exploring risk of experiencing intimate partner violence after HIV infection: a qualitative study among women with HIV attending postnatal services in Swaziland.
Exploring risk of experiencing intimate partner violence after HIV infection: a qualitative study among women with HIV attending postnatal services in Swaziland.
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DOI：
10.1136/bmjopen-2014-006907
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发表时间：
2015-05-14
期刊：
影响因子：
2.9
通讯作者：
Integra Initiative
中科院分区：
文献类型：
--
作者：
Mulrenan C;Colombini M;Howard N;Kikuvi J;Mayhew SH;Integra Initiative
探讨斯威士兰产后护理环境中感染艾滋病毒的妇女在感染艾滋病毒后遭受亲密伴侣暴力的风险。一个定性的半结构化的深入访谈研究，使用主题分析与演绎和归纳编码，IPV的经验，艾滋病毒感染后提取的服务整合访谈成绩单。斯威士兰. 19名妇女艾滋病毒，年龄在18-44岁，有目的地抽样进行深入采访，他们的服务，艾滋病毒和IPV的经验，从一个定量的产后队列参与评估艾滋病毒和生殖健康服务整合在斯威士兰。结果表明，妇女在感染艾滋病毒后有经历IPV的风险，19人中有9人透露在感染艾滋病毒后有过身体暴力和/或强制控制的经历。IPV是通过两个关键途径启动的：（1）急性人际触发（例如，状态披露，母婴传播艾滋病毒）和（2）慢性规范紧张（例如，生育意图，开始避孕）。研究结果强调，需要在斯威士兰短期和长期内减轻感染艾滋病毒的妇女的IPV风险。虽然需要更广泛的变革来解决性别差距，但可以在卫生设施内采取实际步骤，减少或避免增加感染艾滋病毒妇女的IPV途径。这些措施可能包括伙伴之间相互披露，斯威士兰男性更多地参与艾滋病毒服务，以及促进支持和保护妇女的积极的男子气概。NCT01694862。
To explore risks of experiencing intimate partner violence (IPV) after HIV infection among women with HIV in a postnatal care setting in Swaziland. A qualitative semistructured in-depth interview study, using thematic analysis with deductive and inductive coding, of IPV experiences after HIV infection extracted from service-integration interview transcripts. Swaziland. 19 women with HIV, aged 18–44, were purposively sampled for an in-depth interview about their experiences of services, HIV and IPV from a quantitative postnatal cohort participating in an evaluation of HIV and reproductive health services integration in Swaziland. Results indicated that women were at risk of experiencing IPV after HIV infection, with 9 of 19 disclosing experiences of physical violence and/or coercive control post-HIV. IPV was initiated through two key pathways: (1) acute interpersonal triggers (eg, status disclosure, mother-to-child transmission of HIV) and (2) chronic normative tensions (eg, fertility intentions, initiating contraceptives). The results highlight a need to mitigate the risk of IPV for women with HIV in shorter and longer terms in Swaziland. While broader changes are needed to resolve gender disparities, practical steps can be institutionalised within health facilities to reduce, or avoid increasing, IPV pathways for women with HIV. These might include mutual disclosure between partners, greater engagement of Swazi males with HIV services, and promoting positive masculinities that support and protect women. NCT01694862.
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影响因子：
6
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