HIV 感染者女性中存在生殖胁迫：性健康和心理健康不良结局的一个未知风险因素。
Reproductive coercion among women living with HIV: an unexplored risk factor for negative sexual and mental health outcomes.
机构信息
aUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania bJohns Hopkins University School of Nursing, Baltimore, Maryland, USA.
出版信息
AIDS. 2017 Oct 23;31(16):2261-2265. doi: 10.1097/QAD.0000000000001620.
BACKGROUND
Unintended pregnancy is prevalent among women living with HIV, and is associated with poor health outcomes for women and babies. Reproductive coercion may be one unexplored mechanism for this elevated risk.
METHODS
Past-year reproductive coercion data were obtained via self-reported survey from a sample of women receiving HIV specialty care in Baltimore, Maryland, USA.
RESULTS
In total, 11 of the 67 women (16.4%) included in the sample reported past-year reproductive coercion. Almost two-thirds (64%) of women reporting reproductive coercion were also positive for recent post-traumatic stress disorder symptoms compared with 27% of women who did not report reproductive coercion (Fisher's exact P = 0.033).
DISCUSSION
The prevalence of reproductive coercion among our sample of in care women living with HIV suggests that attention should be paid to the impact of partner influence and coercive behaviors regarding pregnancy intentions. Because of the many potential negative consequences of unintended pregnancy for women living with HIV, it is important that providers be aware of such abuse and steps that can be taken to identify and support patients who are experiencing reproductive coercion.
背景
艾滋病毒感染者中普遍存在意外怀孕的情况，这与母婴的健康结局较差有关。生殖胁迫可能是导致这种风险增加的一个尚未被探索的机制。
方法
通过对美国马里兰州巴尔的摩市接受艾滋病毒专科护理的妇女进行的样本进行自我报告调查，获得了过去一年生殖胁迫的数据。
结果
在纳入的 67 名妇女中，共有 11 名（16.4%）报告了过去一年的生殖胁迫。与没有报告生殖胁迫的妇女（27%）相比，报告生殖胁迫的妇女中有近三分之二（64%）最近出现创伤后应激障碍症状（Fisher 精确检验 P=0.033）。
讨论
我们的艾滋病毒感染者关怀妇女样本中生殖胁迫的发生率表明，应该关注伴侣影响和关于怀孕意图的强制性行为对生殖的影响。由于意外怀孕对艾滋病毒感染者有许多潜在的负面影响，因此，提供者应该意识到这种虐待，并采取措施识别和支持经历生殖胁迫的患者。
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