Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
University of Ghana, Accra, Ghana.
Health Educ Behav. 2023 Jun;50(3):347-358. doi: 10.1177/10901981231152425. Epub 2023 Feb 6.
Intimate partner violence (IPV) is known to have negative health consequences for victims. For women living with HIV/AIDS, whose health may be compromised, exposure to IPV can be devastating. Yet few (if any) studies have explored the health implications of exposure to IPV among HIV-positive women. We begin to fill this gap by examining the effects of various dimensions of IPV (physical, sexual, psychological/emotional, and economic) on the cardiovascular, psychosocial, and sexual reproductive health outcomes of HIV-positive women in Ghana. Data were collected from a cross-section of 538 HIV-positive women aged 18 years and older in the Lower Manya Krobo District in the Eastern Region. We used logit models to explore relationships between IPV and health. The findings indicate high prevalence of IPV in our sample: physical violence (61%), sexual violence (50.9%), emotional/psychological violence (79.6%), and economic violence (66.8%). Generally, participants with experiences of IPV reported cardiovascular health problems, unwanted pregnancies and pregnancy loss, and poor psychosocial health. Our findings suggest the importance of screening for IPV as part of HIV care in Ghana.
亲密伴侣暴力（IPV）已知对受害者的健康有负面影响。对于患有艾滋病毒/艾滋病的妇女，她们的健康可能受到损害，遭受 IPV 可能是毁灭性的。然而，很少（如果有的话）研究探讨了艾滋病毒阳性妇女遭受 IPV 的健康影响。我们通过研究加纳艾滋病毒阳性妇女遭受 IPV 的各种方面（身体、性、心理/情感和经济）对心血管、心理社会和性生殖健康结果的影响来填补这一空白。数据来自加纳东部地区下曼雅克罗博区的 538 名年龄在 18 岁及以上的艾滋病毒阳性妇女的横断面。我们使用逻辑模型探讨了 IPV 与健康之间的关系。研究结果表明，我们的样本中 IPV 的发生率很高：身体暴力（61%）、性暴力（50.9%）、情感/心理暴力（79.6%）和经济暴力（66.8%）。一般来说，有 IPV 经历的参与者报告心血管健康问题、意外怀孕和流产以及心理健康不佳。我们的研究结果表明，在加纳，筛查 IPV 作为艾滋病毒护理的一部分非常重要。
