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干预措施以解决亲密伴侣暴力和妇女中的艾滋病毒:系统评价。

Interventions that Address Intimate Partner Violence and HIV Among Women: A Systematic Review.

机构信息

Division of Violence Prevention, Centers for Disease Control Prevention, 4770 Buford Hwy, NE (F-64), Atlanta, GA, 30341, USA.

Division of HIV/AIDS Prevention, Centers for Disease Control Prevention, Atlanta, GA, 30329, USA.

出版信息

AIDS Behav. 2018 Oct;22(10):3244-3263. doi: 10.1007/s10461-017-2020-2.

Abstract

Recognizing the high prevalence of human immunodeficiency virus (HIV)-positive women and girls who are either at risk for or suffer from intimate partner violence (IPV) and the overlapping challenges posed by both public health issues, the White House established an Interagency Federal Working Group to address the intersection of both public health issues in 2012. We conducted this systematic review in response to the Working Group's charge to identify and describe interventions that address both IPV and HIV among women. We identified 14 studies that met our inclusion criteria, including seven studies (nine unique intervention arms) that significantly affected at least one outcome related to IPV and HIV. In this article, we examine the characteristics of these studies including core components, intervention populations, and effectiveness data. We highlight opportunities to improve the effectiveness of existing interventions, guide future research about IPV and HIV, and inform prevention programmatic delivery. This knowledge will improve the lives of populations at risk, reduce gender-related health disparities, and ultimately reduce the societal burden of both public health issues.

摘要

认识到艾滋病毒(HIV)阳性的妇女和女孩人数众多,她们要么面临亲密伴侣暴力(IPV)的风险,要么正在遭受亲密伴侣暴力的伤害,而且这两个公共卫生问题相互交织,带来了重叠的挑战。因此,白宫于 2012 年成立了一个跨机构联邦工作组,以解决这两个公共卫生问题的交叉问题。我们进行了这项系统评价,以响应工作组的任务,即确定和描述针对妇女的同时解决 IPV 和 HIV 问题的干预措施。我们确定了符合我们纳入标准的 14 项研究,其中包括 7 项研究(9 个独特的干预组),这些研究显著影响了至少一个与 IPV 和 HIV 相关的结果。在本文中,我们研究了这些研究的特点,包括核心组成部分、干预人群和有效性数据。我们强调了提高现有干预措施效果的机会,为 IPV 和 HIV 的未来研究提供了指导,并为预防方案的实施提供了信息。这些知识将改善处于风险中的人群的生活,减少与性别有关的健康差距,并最终减轻这两个公共卫生问题给社会带来的负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99ff/6035885/4ae8def82a03/nihms933403f1.jpg

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