Johns Hopkins University School of Nursing, Baltimore, Maryland, USA.
J Assoc Nurses AIDS Care. 2013 Jul-Aug;24(4):383-90. doi: 10.1016/j.jana.2013.03.003.
HIV and intimate partner violence (IPV) are commonly co-occurring epidemics affecting the health of women globally and especially in sub-Saharan Africa. There is a need for interventions that address both HIV and IPV in health care settings. Our review examined recent literature for intervention studies that explored both HIV and IPV. Of the nine interventions identified, only two were set in health care settings; the remainder were community based. Large multifaceted community-based interventions showed promise in the areas of addressing social norms in order to empower women. Educational interventions have shown short-term improvements in HIV-related knowledge and behavioral intention. Further research is needed to examine brief screening, intervention, and referral for HIV and IPV services within health care settings. Health care-specific interventions such as use of preexposure and postexposure prophylaxis to prevent HIV transmission must also be studied in the context of IPV.
艾滋病毒和亲密伴侣暴力(IPV)是两种常见的同时发生的流行病,影响着全球妇女的健康,尤其是在撒哈拉以南非洲地区。需要在医疗保健环境中采取干预措施来同时解决艾滋病毒和 IPV 问题。我们的审查研究了最近探索艾滋病毒和 IPV 的干预研究文献。在所确定的九项干预措施中,只有两项是在医疗保健环境中进行的;其余的都是基于社区的。大型多方面的基于社区的干预措施在改变社会规范以增强妇女权能方面显示出了前景。教育干预措施在提高与艾滋病毒相关的知识和行为意图方面显示出了短期的改善。需要进一步研究在医疗保健环境中进行艾滋病毒和 IPV 服务的简短筛查、干预和转介。还必须在 IPV 的背景下研究针对艾滋病毒传播的预防暴露前和暴露后预防用药等特定于医疗保健的干预措施。