Abiodun Olumide, Sodeinde Kolawole, Bamidele Fikayo, Ojinni Yejide, Adekeye John, Ohiaogu Faith, Mbonu Fortunate
Babcock University, Ilishan-Remo, Nigeria.
Center for Epidemiology and Clinical Research, Sagamu, Nigeria.
J Interpers Violence. 2022 Jan;37(1-2):58-78. doi: 10.1177/0886260520909189. Epub 2020 Feb 28.
Intimate partner violence is both a predisposing factor for and sequelae of HIV infection. It is more likely for HIV-positive women to experience intimate partner violence compared with HIV-negative women. Previous researches have described the other risk factors for intimate partner violence. This cross-sectional study identified the correlates of intimate partner violence among HIV-positive women accessing HIV-care. We interviewed 458 women accessing HIV-care at the three tertiary hospitals in Ogun State, Nigeria. Trained research assistants conducted 10-min structured interviews with validated questionnaires. We carried out descriptive, bivariate, and regression analyses. We used the backward elimination technique to build a model to predict the experience of intimate partner violence (IPV) within the preceding 12 months. We set the level of significance at .05. A total of 23 (5.02%) participants reported IPV within the preceding 12 months, while the prevalence of lifetime intimate partner violence was 24.02%. Younger age, the experience of IPV in previous relationships, and having multiple sex partners were related to the experience of IPV within the preceding 12 months ( < .05). Also, the partners' age, alcohol intake, and current smoking status were associated with the experience of IPV within the preceding 12 months ( < .05). After regression analysis, participants' age (adjusted odds ratio [AOR] = 0.892, 95% confidence interval [CI] = [0.831, 0.957]), experience of IPV in previous relationship (AOR = 12.841, 95% CI = [4.303, 38.318]), and partners' current smoking status (AOR = 4.874, 95% CI = [1.252, 18.969]) retained association with the experience of IPV within the preceding 12 months. IPV among HIV-positive women accessing HIV-care occurs in a complicated, context-specific way. Routine HIV strategies and services should include interventions that involve men and address gender power imbalances. For effectiveness, specific interventions must consider women's' specific context and characteristics.
亲密伴侣暴力既是艾滋病毒感染的一个诱发因素，也是其后遗症。与艾滋病毒阴性女性相比，艾滋病毒阳性女性更有可能遭受亲密伴侣暴力。以往的研究已经描述了亲密伴侣暴力的其他风险因素。这项横断面研究确定了接受艾滋病毒治疗的艾滋病毒阳性女性中亲密伴侣暴力的相关因素。我们采访了尼日利亚奥贡州三家三级医院中458名接受艾滋病毒治疗的女性。经过培训的研究助理使用经过验证的问卷进行了10分钟的结构化访谈。我们进行了描述性、双变量和回归分析。我们使用向后排除技术建立了一个模型，以预测过去12个月内亲密伴侣暴力（IPV）的经历。我们将显著性水平设定为0.05。共有23名（5.02%）参与者报告在过去12个月内遭受过IPV，而终身亲密伴侣暴力的患病率为24.02%。年龄较小、在以前的关系中遭受过IPV以及有多个性伴侣与过去12个月内遭受IPV的经历有关（P<0.05）。此外，伴侣的年龄、饮酒情况和当前吸烟状况与过去12个月内遭受IPV的经历有关（P<0.05）。经过回归分析，参与者的年龄（调整后的优势比[AOR]=0.892，95%置信区间[CI]=[0.831，0.957]）、以前关系中遭受IPV的经历（AOR=12.841，95%CI=[4.303，38.318]）以及伴侣当前的吸烟状况（AOR=4.874，95%CI=[1.252，18.969]）与过去12个月内遭受IPV的经历仍有关联。接受艾滋病毒治疗的艾滋病毒阳性女性中的IPV以复杂的、特定背景的方式发生。常规的艾滋病毒策略和服务应包括涉及男性并解决性别权力不平衡问题的干预措施。为了提高有效性，具体干预措施必须考虑女性的具体情况和特征。
