Lichtenstein Bronwen
Department of Criminal Justice, University of Alabama, Tuscaloosa, Alabama 35487-0320, USA.
AIDS Patient Care STDS. 2006 Feb;20(2):122-32. doi: 10.1089/apc.2006.20.122.
Few studies have addressed the issue of domestic violence and health care for HIV-positive women. However, such women are at increased risk of clinical progression when domestic violence prevents access to health care or their ability to take HIV medicines on a consistent basis. To address this issue, 3 focus groups and 50 in-depth interviews were conducted at a public health clinic with HIV-positive women clients who had experienced domestic violence. The results are illustrated in 4 case studies of how domestic violence diminishes women's ability to obtain regular health care. Abused women were reluctant to keep appointments if they were afraid of their partners, if they were depressed, feeling ill or "too worn down," or if they were ashamed of being abused. Abusive partners were sometimes reported to sabotage women's efforts to seek care, keep appointments or take medications. The study concluded that domestic violence is an underrecognized barrier to women's ability to obtain regular medical care for HIV/AIDS. Effective HIV treatment is dependent on consistent HIV care, and domestic violence is a crucial barrier for some women. More research is needed to determine the most effective interventions for domestic violence in relation to HIV-positive women.
很少有研究探讨过针对感染艾滋病毒女性的家庭暴力及医疗保健问题。然而，当家庭暴力导致这些女性无法获得医疗保健服务，或无法持续服用抗艾滋病毒药物时，她们临床病情进展的风险就会增加。为解决这一问题，在一家公共卫生诊所对3组感染艾滋病毒且遭受过家庭暴力的女性客户进行了焦点小组访谈，并对50人进行了深度访谈。结果通过4个家庭暴力如何削弱女性获得常规医疗保健能力的案例研究得以呈现。如果受虐妇女害怕伴侣、感到抑郁、身体不适或“疲惫不堪”，或者因受虐而感到羞愧，她们就不愿赴约。有时有报告称，施虐伴侣会破坏妇女寻求医疗、赴约或服药的努力。该研究得出结论，家庭暴力是女性获得艾滋病毒/艾滋病常规医疗保健能力的一个未得到充分认识的障碍。有效的艾滋病毒治疗依赖于持续的艾滋病毒护理，而家庭暴力对一些女性来说是一个关键障碍。需要开展更多研究，以确定针对感染艾滋病毒女性的家庭暴力最有效的干预措施。
