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乌干达拉凯地区的亲密伴侣暴力与艾滋病毒诊断告知情况

Intimate partner violence and communication of HIV diagnosis in Rakai, Uganda.

作者信息

Kairania Robert, Gray Ronald H, Wawer Maria J, Wagman Jennifer, Kigozi Godfrey, Nalugoda Fred, Musoke Richard, Serwadda David, Sewankambo Nelson K, Semanda John, Sembatya Joseph

机构信息

a Rakai Health Sciences Program , Entebbe , Uganda.

出版信息

Soc Work Public Health. 2015;30(3):272-81. doi: 10.1080/19371918.2014.994726. Epub 2015 Mar 9.

Abstract

Individuals who communicate their HIV diagnosis to sexual partners may be at increased risk of intimate partner violence (IPV). The authors examined past year self-reported IPV associated with communication of HIV diagnosis and other factors, in a sample of 679 sexually active; HIV-positive individuals age 18 to 49, who received HIV results and posttest counselling 12 months or more prior to the survey in Rakai, Uganda, using log-binomial multivariable regression. The rates of verbal and physical abuse among married individuals were significantly higher compared to unmarried persons, respectively. Physical abuse was significantly higher among women compared to men. IPV was not significantly associated with communication of HIV diagnosis. Interventions to prevent IPV among married HIV-positive individuals particularly women, at the community level, are needed.

摘要

向性伴侣透露自己感染艾滋病毒的人可能面临亲密伴侣暴力(IPV)风险增加的情况。作者在乌干达拉凯地区对679名年龄在18至49岁之间、性活跃且艾滋病毒呈阳性的个体进行了研究,这些个体在调查前12个月或更长时间接受了艾滋病毒检测结果和检测后咨询,采用对数二项式多变量回归分析了过去一年中自我报告的与艾滋病毒诊断信息传达及其他因素相关的亲密伴侣暴力情况。已婚个体中的言语虐待和身体虐待发生率分别显著高于未婚个体。女性中的身体虐待发生率显著高于男性。亲密伴侣暴力与艾滋病毒诊断信息的传达没有显著关联。需要在社区层面开展干预措施,以预防已婚艾滋病毒呈阳性个体尤其是女性中的亲密伴侣暴力。

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