Department of Medical Laboratory Science, Mbarara University of Science and Technology, Mbarara, Uganda.
Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, Uganda.
AIDS Care. 2023 Jun;35(6):859-866. doi: 10.1080/09540121.2022.2122390. Epub 2022 Sep 17.
Assisted partner notification (APN) program was adopted by Uganda to increase individuals testing for HIV through their partners who test HIV positive. Thus, early enrollment in treatment and ensuring prevention services for the affected couple. However, APN is associated with high levels of Intimate partner violence (IPV). We aimed at determining the prevalence of IPV following APN in a cross-sectional study of newly diagnosed HIV clients in southwestern Uganda. We used the modified version of the Conflict Tactics Scale to assess IPV. We also collected information on sociodemographics of the index clients and their sexual partners, and outcome of linkage to care of partner. Logistic regression was used to determine the factors associated with IPV. We enrolled 327 index clients, mean age was 39.1, 63.6% were female and 35.5 experienced IPV following APN. The likelihood of experiencing IPV was more than twice if a health worker/provider disclosed the status to the partner. However, if the partners turned out to be HIV positive, it was protective against experiencing IPV, adjusted odds ratio 0.39, 95% confidence interval 0.23-0.69, = 0.001. We conclude that IPV is common following partner notification in rural Uganda and should be screened and addressed.
辅助性伴侣通知（APN）项目在乌干达被采用，以通过其阳性伴侣增加艾滋病毒检测的个体数量。从而使受影响的夫妇能尽早接受治疗并确保获得预防服务。然而，APN 与高水平的亲密伴侣暴力（IPV）有关。我们旨在确定在乌干达西南部的新诊断 HIV 患者的横断面研究中，APN 后 IPV 的流行率。我们使用冲突策略量表的修正版来评估 IPV。我们还收集了有关索引客户及其性伴侣的社会人口统计学信息，以及伴侣联系护理的结果。我们使用逻辑回归来确定与 IPV 相关的因素。我们招募了 327 名索引客户，平均年龄为 39.1 岁，其中 63.6%为女性，35.5%在 APN 后经历过 IPV。如果卫生工作者/提供者向伴侣透露了艾滋病毒状况，则发生 IPV 的可能性会增加两倍以上。然而，如果伴侣检测出 HIV 阳性，则可预防发生 IPV，调整后的比值比为 0.39，95%置信区间为 0.23-0.69， = 0.001。我们得出结论，在乌干达农村地区，APN 后 IPV 很常见，应进行筛查和处理。
