Gilbert Louisa, Jiwatram-Negron Tina, Nikitin Danil, Rychkova Olga, McCrimmon Tara, Ermolaeva Irena, Sharonova Nadejda, Mukambetov Aibek, Hunt Timothy
Global Health Research Center of Central Asia, Columbia University, New York, USA.
Global Research Institute, Bishkek, Kyrgyzstan.
Drug Alcohol Rev. 2017 Jan;36(1):125-133. doi: 10.1111/dar.12437. Epub 2016 Oct 22.
Intimate partner violence (IPV) and other forms of gender-based violence (GBV) are serious public health threats among women who use drugs or engage in binge drinking in Kyrgyzstan. This study aimed to evaluate the feasibility and preliminary effects of a two-session IPV and GBV screening, brief intervention and referral to treatment model (WINGS) with HIV counselling and testing for women who use drugs or engage in binge drinking in Kyrgyzstan, using a pre/post-design.
We screened 109 women from harm reduction non-government organisations in Kyrgyzstan, of whom 78 were eligible, 73 participated in the intervention study, and 66 completed a 3-month post-intervention follow-up. To assess the effects of the intervention, we used random-effect Poisson and Logistic regression analyses for continuous and dichotomous outcomes respectively.
At baseline, 73% reported any physical or sexual IPV victimisation, and 60% reported any physical or sexual GBV victimisation in the past year. At the 3-month follow-up, participants reported experiencing 59% fewer physical IPV incidents in the prior 90 days than at baseline (P < 0.001) and 27% fewer physical GBV incidents than at baseline (P < 0.01). From baseline to the 3-month follow-up, participants also reported a 65% reduction in the odds of using any illicit drugs (P < 0.05) and were more likely to report receiving GBV-related services (P < 0.001).
The high rates of participation, attendance and retention and significant reductions in IPV and GBV victimisation and drug use from baseline to the 3-month follow-up suggest the feasibility and promising effects of this brief intervention. [Gilbert L, Jiwatram-Negron T, Nikitin D, Rychkova O, McCrimmon T, Ermolaeva I, Sharonova N, Mukambetov A, Hunt T. Feasibility and preliminary effects of a screening, brief intervention and referral to treatment model to address gender-based violence among women who use drugs in Kyrgyzstan: Project WINGS (Women Initiating New Goals of Safety). Drug Alcohol Rev 2017;36:125-133].
亲密伴侣暴力（IPV）及其他形式的性别暴力（GBV）是吉尔吉斯斯坦吸毒或酗酒女性面临的严重公共卫生威胁。本研究旨在采用前后设计，评估针对吉尔吉斯斯坦吸毒或酗酒女性的两阶段IPV和GBV筛查、简短干预及转介治疗模式（WINGS）并结合HIV咨询与检测的可行性及初步效果。
我们对吉尔吉斯斯坦减少伤害非政府组织的109名女性进行了筛查，其中78名符合条件，73名参与了干预研究，66名完成了干预后3个月的随访。为评估干预效果，我们分别对连续和二分结局使用随机效应泊松回归和逻辑回归分析。
在基线时，73%的人报告在过去一年中遭受过任何身体或性方面的IPV侵害，60%的人报告遭受过任何身体或性方面的GBV侵害。在3个月随访时，参与者报告在之前90天内经历的身体IPV事件比基线时减少了59%（P<0.001），身体GBV事件比基线时减少了27%（P<0.01）。从基线到3个月随访，参与者还报告使用任何非法药物的几率降低了65%（P<0.05），并且更有可能报告接受过与GBV相关的服务（P<0.001）。
从基线到3个月随访，参与率、出勤率和留存率较高，IPV和GBV侵害以及吸毒情况显著减少，这表明这种简短干预具有可行性和良好效果。[吉尔伯特L，吉瓦特拉姆 - 内格龙T，尼基京D，雷奇科娃O，麦克里蒙T，叶尔莫拉耶娃I，沙罗诺娃N，穆坎贝托夫A，亨特T。吉尔吉斯斯坦针对吸毒女性的性别暴力筛查、简短干预及转介治疗模式的可行性和初步效果：WINGS项目（女性开启新安全目标）。《药物与酒精评论》2017；36：125 - 133]
