Johns Hopkins School of Nursing, 525 N. Wolfe Street, N430G, Baltimore, MD, 21213, USA.
Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
Curr HIV/AIDS Rep. 2023 Oct;20(5):296-311. doi: 10.1007/s11904-023-00668-8. Epub 2023 Sep 28.
Intimate partner violence (IPV) remains a critical challenge to HIV prevention and treatment efforts across the globe. We examined recently published (January 9, 2017-January 9, 2023) integrated behavioral interventions designed to address IPV and HIV across the care continuum.
Fifteen studies (involving n = 10,947 participants) met the inclusion criteria for this review. Majority (n = 13) of studies focused on IPV and HIV prevention whereas two studies addressed IPV and HIV care engagement among women living with HIV. Ten studies were conducted on the African continent representing 5 countries. Most interventions (n = 11) focused on individual-level outcomes among cisgender women although two involved male partners. About half of the interventions reviewed (n = 8) showed effectiveness on both IPV and HIV outcomes compared to control groups. Integrated HIV/IPV interventions are needed to address the synergistic nature of these epidemics among marginalized populations. Future studies should focus on developing and implementing strength-based interventions among people living with HIV, men, transgender people, and Black women in the USA. Additionally, researchers and program managers should consider addressing structural and internalized stigma as potential behavioral mechanisms for improving health among people simultaneously experiencing or at-risk for HIV and IPV.
亲密伴侣暴力(IPV)仍然是全球艾滋病预防和治疗工作的一个重大挑战。我们研究了最近发表的(2017 年 1 月 9 日至 2023 年 1 月 9 日)旨在解决整个护理连续体中 IPV 和 HIV 问题的综合行为干预措施。
本综述纳入了 15 项研究(涉及 n = 10947 名参与者)。大多数研究(n = 13)侧重于 IPV 和 HIV 的预防,两项研究则针对 HIV 感染者的 IPV 和 HIV 护理参与情况。10 项研究在非洲大陆的 5 个国家进行。大多数干预措施(n = 11)侧重于 cisgender 女性的个体层面结果,尽管其中两项涉及男性伴侣。约一半的研究(n = 8)与对照组相比,在 IPV 和 HIV 结果方面都显示出有效性。需要针对边缘化人群中这些流行病的协同性质制定和实施综合的 HIV/IPV 干预措施。未来的研究应重点关注在 HIV 感染者、男性、跨性别者和美国黑人女性中制定和实施基于优势的干预措施。此外,研究人员和项目管理人员应考虑解决结构性和内化的耻辱感,作为同时患有 HIV 和 IPV 或面临 HIV 和 IPV 风险的人群改善健康的潜在行为机制。