Centre for the AIDS Programme of Research in South Africa (CAPRISA), University of KwaZulu-Natal, Durban, South Africa.
Department of Medicine, University of California at San Francisco, San Francisco, CA, USA.
AIDS Behav. 2024 Jul;28(7):2247-2257. doi: 10.1007/s10461-024-04318-x. Epub 2024 Jun 13.
We examined the impact of past-year intimate partner violence (IPV) on HIV outcomes among women living with HIV (WLHIV) in Durban, South Africa. We assessed past-year IPV using the WHO Violence Against Women Questionnaire. We conducted logistic regression to assess associations between demographic variables and IPV at baseline, and between IPV at baseline and longitudinal HIV outcomes. Among 235 WLHIV, 17% reported past-year emotional, physical, or sexual IPV. At baseline, HIV-disclosure to partner was associated with 4.35-fold odds of past-year IPV (95% CI 1.17-16.10) after controlling for children, education, and harmful alcohol use. In the prospective analysis, IPV was associated with not achieving the co-primary outcome of retention in care and viral suppression in univariate (OR = 2.32, 95% CI 1.04-5.18), but not in the multivariate model. In the context of rapid treatment scale-up, the high burden of IPV among WLHIV needs to be prioritized, with an emphasis on disclosure support.
我们考察了南非德班地区感染艾滋病毒的女性（WLHIV）中，过去一年的亲密伴侣暴力（IPV）对艾滋病毒结局的影响。我们使用世界卫生组织暴力侵害妇女问题调查问卷评估了过去一年的 IPV 情况。我们进行了逻辑回归分析，以评估基线时人口统计学变量与 IPV 之间的关联，以及基线时的 IPV 与纵向艾滋病毒结局之间的关联。在 235 名 WLHIV 中，17%报告过去一年存在情绪、身体或性方面的 IPV。在控制了子女、教育和有害饮酒情况后，艾滋病毒向伴侣披露与过去一年发生 IPV 的几率呈 4.35 倍相关（95%CI 1.17-16.10）。在前瞻性分析中，在单变量分析中，IPV 与未能实现保留在护理中以及病毒抑制的共同主要结局相关（OR=2.32，95%CI 1.04-5.18），但在多变量模型中则不相关。在快速治疗扩大规模的背景下，WLHIV 中 IPV 的高负担需要得到优先重视，重点是披露支持。
