Hatoum Sandy, Mukamana Donatilla, Gishoma Darius, Kayiranga Dieudonne, Pan Wei, Relf Michael V
Sandy Hatoum, MSc-GH, BScN, is a Graduate of the Master of Science, Global Health program, Duke University, Durham, North Carolina, USA.
Donatilla Mukamana, PhD, RMHN, FAAN, is an Associate Professor, School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Remera Campus, Kigali, Rwanda.
J Assoc Nurses AIDS Care. 2024;35(3):222-233. doi: 10.1097/JNC.0000000000000467. Epub 2024 Apr 3.
In Rwanda, women have higher incidence of HIV and intimate partner violence (IPV). This study aimed to estimate the prevalence of IPV among women living with HIV (WWH) in Rwanda and measure the difference in psychological outcomes, demographic data, and HIV-related outcomes using a cross-sectional, descriptive, observational design. A convenience sample of 162 Rwandan WWH were purposefully recruited to participate. The study collected demographic data and data about IPV, depression, HIV-related stigma, coping, self-esteem, and hope. The prevalence of any form of IPV in the sample was 27% with psychological IPV being the most prevalent. Demographic data had no statistical significance with the prevalence of IPV. WWH who experienced IPV had higher HIV stigma, lower coping self-efficacy, lower self-esteem, and less hope and worse HIV psychological outcomes. Further studies are needed to look into the correlation between the two and interventions addressing IPV prevention.
在卢旺达，女性感染艾滋病毒的发生率以及遭受亲密伴侣暴力（IPV）的情况较高。本研究旨在估算卢旺达感染艾滋病毒的女性（WWH）中亲密伴侣暴力的患病率，并采用横断面、描述性观察设计来衡量心理结果、人口统计学数据和与艾滋病毒相关结果的差异。我们特意招募了162名卢旺达感染艾滋病毒的女性作为便利样本参与研究。该研究收集了人口统计学数据以及有关亲密伴侣暴力、抑郁、与艾滋病毒相关的耻辱感、应对方式、自尊和希望的数据。样本中任何形式的亲密伴侣暴力患病率为27%，其中心理层面的亲密伴侣暴力最为普遍。人口统计学数据与亲密伴侣暴力的患病率无统计学意义。遭受亲密伴侣暴力的感染艾滋病毒的女性有更高的艾滋病毒耻辱感、更低的应对自我效能感、更低的自尊水平、更少的希望，且艾滋病毒心理结果更差。需要进一步研究来探究两者之间的关联以及针对亲密伴侣暴力预防的干预措施。
