Henderson Loren, Zerai Assata, Morrow Rebecca L
University of Maryland, Baltimore County.
University of Illinois at Urbana-Champaign.
Afr J Reprod Health. 2017 Dec;21(4):45-54. doi: 10.29063/ajrh2017/v21i4.5.
This study examines the connection between intimate partner violence (IPV) and Human Immunodeficiency Virus status among married and cohabitating women in Zimbabwe using an African feminist framework. Stata 13.0 was used to analyze data from the 2010-2011 Zimbabwe Demographic and Health Survey, which used a national probability sample of households in the country of Zimbabwe. This study used logistic regression to analyze the 2,830 ever-married or cohabitating women who also answered the violence and spousal traits questionnaire as well as provided blood samples. The logistic regression revealed that women who had experienced any type of intimate partner violence (odds ratio=1.29, CI [1.00, 1.67]) or broken bones (odds ratio=2.39, CI [1.19, 4.77]) were more likely to be HIV positive; relative to those with bruises bruises (odds ratio=- .64 CI [.41, .99]) were less likely. Women with partners who are trackers (odds ratio=1.28, CI [1.04, 1.59]) were more likely to be HIV positive. Patriarchal, hypermasculist culture, shown through violence against women, contributes to the likelihood of HIV in wives and partners. A cultural shift at the highest levels may help to prevent IPV and reduce the spread of HIV.
本研究运用非洲女性主义框架，调查了津巴布韦已婚和同居女性中亲密伴侣暴力（IPV）与人类免疫缺陷病毒感染状况之间的联系。研究使用Stata 13.0软件分析了2010 - 2011年津巴布韦人口与健康调查的数据，该调查采用了津巴布韦全国范围内的家庭概率抽样。本研究运用逻辑回归分析了2830名曾结婚或同居且回答了暴力及配偶特征问卷并提供了血样的女性。逻辑回归结果显示，经历过任何类型亲密伴侣暴力的女性（优势比 = 1.29，置信区间[1.00, 1.67]）或有过骨折的女性（优势比 = 2.39，置信区间[1.19, 4.77]）感染艾滋病毒的可能性更高；相比之下，有瘀伤的女性（优势比 = -0.64，置信区间[0.41, 0.99]）感染艾滋病毒的可能性较低。伴侣是跟踪狂的女性（优势比 = 1.28，置信区间[1.04, 1.59]）感染艾滋病毒的可能性更高。通过对女性的暴力行为表现出的父权制、超男性化文化，增加了妻子及伴侣感染艾滋病毒的可能性。最高层面的文化转变可能有助于预防亲密伴侣暴力并减少艾滋病毒的传播。
