Women's Global Health Imperative, RTI International, Berkeley, CA, USA.
Department of Psychology, University of Washington, Seattle, WA, USA.
AIDS Behav. 2023 Jun;27(6):2030-2040. doi: 10.1007/s10461-022-03936-7. Epub 2022 Dec 2.
Intimate partner violence (IPV) has been associated with poorer mental health outcomes and increased human immunodeficiency virus (HIV) risk behaviors. We examine the relations between IPV, mental health symptomology (defined as psychological distress and alcohol misuse), and engagement in HIV risk behaviors among a sample of South African women who participated in a randomized controlled trial of CHARISMA, an intervention to increase women's agency to use oral pre-exposure prophylaxis (PrEP) safely and consistently as well as mitigate relationship challenges. We also examined the impact of trial participation on women's mental health, as well as the impact of psychological distress on the effectiveness of the CHARISMA intervention. Mental health symptomology and IPV exposure were prevalent and associated with some HIV risk and protective behaviors. Trial participation reduced psychological distress. There was no evidence for mental health symptomology impacting the effectiveness of the CHARISMA intervention.
亲密伴侣暴力 (IPV) 与较差的心理健康结果和增加的人类免疫缺陷病毒 (HIV) 风险行为有关。我们研究了 IPV、心理健康症状（定义为心理困扰和酒精滥用）与参与南非妇女随机对照试验的妇女之间的关系，该试验是为了提高妇女的机构能力，以安全和持续地使用口服暴露前预防 (PrEP) 以及减轻关系挑战。我们还研究了试验参与对妇女心理健康的影响，以及心理困扰对 CHARISMA 干预效果的影响。心理健康症状和 IPV 暴露普遍存在，并与一些 HIV 风险和保护行为相关。试验参与减少了心理困扰。没有证据表明心理健康症状会影响 CHARISMA 干预的效果。
