Sexual and Reproductive Health Unit, Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria.
Arch Gynecol Obstet. 2009 Nov;280(5):745-52. doi: 10.1007/s00404-009-0956-9. Epub 2009 Feb 26.
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.
确定尼日利亚 HIV 阳性孕妇中亲密伴侣暴力（IPV）的流行率、类型和相关因素。
横断面研究。
HIV 阳性孕妇。
尼日利亚拉各斯尼日利亚医学研究所的一个大型 HIV 综合治疗中心。
对在尼日利亚医学研究所就诊的 652 名 HIV 阳性尼日利亚孕妇进行了为期 24 个月的横断面研究。
HIV 诊断后亲密伴侣暴力的发生率。
在接受采访的女性中，423 人（65.8%）报告遭受虐待。在 74.0%的受虐女性中，虐待始于 HIV 诊断后。尽管配偶 HIV 阴性和 HIV 状态披露与虐待有关，但只有 HIV 阴性伴侣在控制混杂因素后仍与 IPV 相关（OR 3.1；95%CI 2.4-5.3）。62 名（9.6%）女性因担心被拒绝而未透露其 HIV 状况。报告的常见虐待形式包括言语虐待（51.7%）、97 人（22.9%）受到暴力威胁和 91 人（21.5%）性剥夺。
亲密伴侣暴力在尼日利亚 HIV 阳性孕妇中很常见；在 HIV 血清不一致的关系中，女性的风险增加了三倍。
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