Intimate partner violence against women in eastern Uganda: implications for HIV prevention
Intimate partner violence against women in eastern Uganda: implications for HIV prevention
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DOI：
10.1186/1471-2458-6-284
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发表时间：
2006-11-20
影响因子：
4.5
通讯作者：
Heggenhougen, Kristian
中科院分区：
文献类型：
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作者：
Karamagi, Charles A. S.;Tumwine, James K.;Heggenhougen, Kristian
背景资料：我们想知道姆巴莱医院报告的产前自愿咨询和检测接受率很低是否与亲密伴侣对妇女的暴力行为有关。因此，我们着手i）确定亲密伴侣暴力的流行率，ii）确定亲密伴侣暴力的风险因素，iii）寻找亲密伴侣暴力与艾滋病毒预防之间的关联，特别是在预防母婴传播艾滋病毒方案（PMTCT）的背景下。方法：这项研究包括对姆巴莱区农村和城市有婴儿的妇女进行家庭调查，并辅之以与妇女和男子进行的重点小组讨论。对妇女进行了访谈，内容包括妇女及其丈夫的社会人口特征、与最小子女有关的产前和产后经历、产前艾滋病毒检测、对婚姻关系的看法以及亲密伴侣暴力行为。我们获得了伦理批准Makerere大学和知情同意，从所有参与者在study.Results：在2003年11月和12月，我们采访了457名妇女在姆巴莱区。另有96名妇女和男子参加了重点小组讨论。终身亲密伴侣暴力的发生率为54%，过去一年的身体暴力为14%。妇女的高等教育（OR 0.3，95% CI 0.1 - 0.7）和婚姻满意度（OR 0.3，95%CI 0.1 - 0.7）与亲密伴侣暴力的风险较低相关，而农村居住（OR 4.4，95% CI 1.2 - 16.2）和丈夫有另一个伴侣（OR 2.4，95% CI 1.02 - 5.7）与亲密伴侣暴力的风险较高相关。性胁迫与终身身体暴力之间存在强相关性（OR 3.8，95% CI 2.5 - 5.7）。多个伴侣和饮酒是亲密伴侣暴力的主要原因。根据焦点小组讨论，由于担心亲密伴侣暴力，妇女害怕检测艾滋病毒、披露艾滋病毒结果并要求使用避孕套。结论：亲密伴侣暴力在乌干达东部很常见，与性别不平等、多伴侣、酒精有关。和贫困。因此，预防亲密伴侣暴力的方案需要针对这些基本因素。亲密伴侣暴力与艾滋病毒危险行为或预防策略之间的联系需要进一步研究以明确建立这种关系。
Background: We were interested in finding out if the very low antenatal VCT acceptance rate reported in Mbale Hospital was linked to intimate partner violence against women. We therefore set out to i) determine the prevalence of intimate partner violence, ii) identify risk factors for intimate partner violence and iii) look for association between intimate partner violence and HIV prevention particularly in the context of the prevention of mother-to-child transmission of HIV programme (PMTCT).Methods: The study consisted of a household survey of rural and urban women with infants in Mbale district, complemented with focus group discussions with women and men. Women were interviewed on socio-demographic characteristics of the woman and her husband, antenatal and postnatal experience related to the youngest child, antenatal HIV testing, perceptions regarding the marital relationship, and intimate partner violence. We obtained ethical approval from Makerere University and informed consent from all participants in the study.Results: During November and December 2003, we interviewed 457 women in Mbale District. A further 96 women and men participated in the focus group discussions. The prevalence of lifetime intimate partner violence was 54% and physical violence in the past year was 14%. Higher education of women ( OR 0.3, 95% CI 0.1 - 0.7) and marriage satisfaction ( OR 0.3, 95% CI 0.1 - 0.7) were associated with lower risk of intimate partner violence, while rural residence ( OR 4.4, 95% CI 1.2 - 16.2) and the husband having another partner ( OR 2.4, 95% CI 1.02 - 5.7) were associated with higher risk of intimate partner violence. There was a strong association between sexual coercion and lifetime physical violence ( OR 3.8, 95% CI 2.5 - 5.7). Multiple partners and consumption of alcohol were major reasons for intimate partner violence. According to the focus group discussions, women fear to test for HIV, disclose HIV results, and request to use condoms because of fear of intimate partner violence.Conclusion: Intimate partner violence is common in eastern Uganda and is related to gender inequality, multiple partners, alcohol, and poverty. Accordingly, programmes for the prevention of intimate partner violence need to target these underlying factors. The suggested link between intimate partner violence and HIV risky behaviours or prevention strategies calls for further studies to clearly establish this relationship.