Hyginus Ezegwui, Chukwuemeka Iyoke, Lawrence Ikeako, Sunday Mbah
Fertility Research and Reproductive health Unit, Department of Obstetrics Gynaecology, University of Nigeria Teaching Hospital Enugu Nigeria.
East Afr J Public Health. 2012 Mar;9(1):29-32.
To compare the prevalences and patterns of intimate partner violence between HIV-positive and HIV-negative pregnant women receiving prenatal care at a tertiary hospital in South East Nigeria
A comparative cross-sectional study of HIV-positive and HIV-negative pregnant women was done. Statistical analysis was by descriptive and inferential statistics at 95% level of confidence
A total of 220 pregnant women studied. These were equally divided between HIV-positive women (cases) and HIV-negative women (controls). Cases did not differ significantly from controls with respect to age, parity, tribe, religion, marital status, monthly family income. HIV positive respondents experienced physical violence in the course of the index pregnancy six times more than controls; sexual violence about 4 times more than controls and were 12 times more likely to be denied sex by their partner compared to controls. Threat of being hurt, deprivation of financial support and denial of communication were the commonest forms of intimate partner violence among HIV-positive pregnant women and these also occurred significantly more among HIV positive women than the controls.
HIV-positive status predisposes pregnant women to increased intimate partner violence more of emotional nature further underlying the enormity of social rejection suffered as a result of HIV infection. Intimate partner violence screening should form part of their routine antenatal care
比较在尼日利亚东南部一家三级医院接受产前护理的艾滋病毒阳性和艾滋病毒阴性孕妇中亲密伴侣暴力的患病率及模式
对艾滋病毒阳性和艾滋病毒阴性孕妇进行了一项比较性横断面研究。采用描述性和推断性统计学方法进行统计分析，置信水平为95%。
共研究了220名孕妇。这些孕妇在艾滋病毒阳性女性（病例组）和艾滋病毒阴性女性（对照组）之间平均分配。病例组在年龄、胎次、部落、宗教、婚姻状况、家庭月收入方面与对照组无显著差异。艾滋病毒阳性受访者在本次妊娠期间遭受身体暴力的次数是对照组的6倍；遭受性暴力的次数约为对照组的4倍，并且与对照组相比，其被伴侣拒绝性行为的可能性是对照组的12倍。受到伤害的威胁、经济支持的剥夺和沟通的拒绝是艾滋病毒阳性孕妇中最常见的亲密伴侣暴力形式，而且这些情况在艾滋病毒阳性女性中也明显多于对照组。
艾滋病毒阳性状态使孕妇更容易遭受更多情感性质的亲密伴侣暴力，这进一步凸显了因感染艾滋病毒而遭受的社会排斥的严重性。亲密伴侣暴力筛查应成为其常规产前护理的一部分。
