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针对遭受亲密伴侣暴力的女性的降低艾滋病毒/艾滋病风险干预措施。

HIV/AIDS Risk Reduction Intervention for Women who have Experienced Intimate Partner Violence.

作者信息

Rountree Michele A

机构信息

Meredith Mulraney.

出版信息

Clin Soc Work J. 2010 Jun 1;38(2):207-216. doi: 10.1007/s10615-008-0183-z.

Abstract

A growing body of literature highlights the association between women who have experienced intimate partner abuse (IPA) and their heightened risk for HIV/AIDS (human immune deficiency syndrome/ acquired immune deficiency syndrome) infection. Finding HIV risk reduction strategies that are contextually relevant for this population is an important public policy priority. This qualitative study researched women who have experienced intimate partner abuse in order to develop a HIV/AIDS risk reduction intervention unique to their circumstances. This pilot study explored the critical components of such an intervention among a racially/ethnically stratified (African-American, Mexican-American and Anglo) sample of women (n=43) who have experienced IPA. Focus groups were conducted and transcribed, and a content analysis was used to identify major themes. In all five focus groups, participants viewed the research as interesting, good, beneficial, and/or important based on their perceptions of risk for infection. Respondents felt that they knew of ways to protect themselves from infection in non-abusive relationships; however, acknowledged the difficulties of doing so given the context of their abusive relationships. Examining the racial/ethnic differences across focus groups showed that the language used by women is quite variable. The ways in which survivors define rape, sexual abuse, and their own experiences are all unique; however, their actual experiences have many similarities. Discussed at length are the topics participants shared as critical in informing the design of an intervention and the relevance of the findings to social work clinical practice is explained.

摘要

越来越多的文献强调了遭受亲密伴侣虐待(IPA)的女性与她们感染艾滋病毒/艾滋病(人类免疫缺陷病毒/获得性免疫缺陷综合征)的风险增加之间的关联。找到与该人群实际情况相关的降低艾滋病毒风险的策略是一项重要的公共政策优先事项。这项定性研究对遭受亲密伴侣虐待的女性进行了调查,以便制定一种针对她们具体情况的降低艾滋病毒/艾滋病风险的干预措施。这项试点研究在一个按种族/民族分层(非裔美国人、墨西哥裔美国人和盎格鲁人)的遭受亲密伴侣虐待的女性样本(n = 43)中,探讨了这种干预措施的关键组成部分。开展了焦点小组讨论并进行了转录,采用内容分析法来确定主要主题。在所有五个焦点小组中,参与者基于他们对感染风险的认知,认为这项研究有趣、有益、有好处和/或很重要。受访者觉得他们知道在非虐待关系中保护自己免受感染的方法;然而,他们也承认鉴于其虐待关系的背景,这样做存在困难。对各焦点小组之间的种族/民族差异进行研究发现,女性使用的语言差异很大。幸存者定义强奸、性虐待以及她们自身经历的方式各不相同;然而,她们的实际经历有许多相似之处。文中详细讨论了参与者认为对干预措施设计至关重要的话题,并解释了研究结果与社会工作临床实践的相关性。

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