乌干达西南部农村地区艾滋病毒/艾滋病感染者男性遭受暴力的流行情况。
Prevalence of violence towards men living with HIV/AIDS in rural communities of SouthWestern Uganda.
机构信息
Mbarara University of Science and Technology, Faculty of Medicine, P.O.Box1410, Mbarara city Uganda.
Department of Psychiatry, Mbarara University of Science and Technology, Faculty of Medicine, P.O.Box 1410, Mbarara city Uganda.
出版信息
Afr Health Sci. 2022 Sep;22(3):477-485. doi: 10.4314/ahs.v22i3.51.
BACKGROUND
Violence towards HIV positive men is one of the silent barriers to utilization of HIV care services. HIV positive men are potential victims of violence from other people including women, and violence may interfere with treatment outcomes. This study determined the prevalence of violence towards HIV positive men in rural communities of southwestern Uganda.
METHODS
A cross-sectional study was conducted among 307 HIV positive men at selected health centers using an interviewer administered questionnaire. Data were analyzed in SPSS version 23 using chi-square and multivariate regression at 95% level of significance and a precision of 0.05.
RESULTS
Of the 307 participants, 45.3% had experienced violence. Of these, 23.8% (n=73) had experienced kicking or slapping while 12.7% (39) reported sexual violence. Factors associated with violence were; using alcohol and drugs (aOR 0.26, 95% CI 0.09-0.76, p=0.014), knowledge of support structures (OR 2.25, 95% CI 1.33-3.78, p=0.002) and owning land for farming (aOR 0.26, 95% CI 0.10-0.70, p=0.011).
CONCLUSION
The prevalence of violence at 45.3% is quite high especially since violence against men is rarely talked about. This should not be ignored there should be strategies to support this vulnerable group.
背景
针对 HIV 阳性男性的暴力行为是阻碍其利用艾滋病护理服务的一个隐形障碍。HIV 阳性男性是来自他人（包括女性）的暴力行为的潜在受害者，而暴力可能会干扰治疗结果。本研究旨在确定乌干达西南部农村社区中针对 HIV 阳性男性的暴力行为发生率。
方法
在选定的卫生中心，采用问卷调查的方式，对 307 名 HIV 阳性男性进行了横断面研究。数据分析采用 SPSS 版本 23，使用卡方检验和多变量回归，置信水平为 95%，精度为 0.05。
结果
在 307 名参与者中，45.3%的人经历过暴力。其中，23.8%（n=73）遭受过踢打或掌掴，12.7%（39）遭受过性暴力。与暴力相关的因素有：使用酒精和毒品（优势比 0.26，95%置信区间 0.09-0.76，p=0.014）、对支持结构的了解（比值比 2.25，95%置信区间 1.33-3.78，p=0.002）和拥有农田（优势比 0.26，95%置信区间 0.10-0.70，p=0.011）。
结论
暴力发生率高达 45.3%，这一比例相当高，尤其是针对男性的暴力行为很少被提及。这不容忽视，应制定策略来支持这一弱势群体。
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