Mwebembezi Gerald, Tusiime Beneth Kaginda, Sikon Ebenezer Felex, Sanyu Nabatanzi Esther, Agaba Kenneth, Nakaweesa Scarlet Josephine, Rukundo Godfrey Zari
Mbarara University of Science and Technology, Faculty of Medicine, P. O. Box 1410, Mbarara City, Uganda.
PAMJ One Health. 2022;8. doi: 10.11604/pamj-oh.2022.8.18.35525. Epub 2022 Jul 27.
sexual violence exists in different forms and contexts. It has different consequences including HIV/AIDS. There is limited information on the adoption of services to the victims. In this study, we investigated the prevalence, forms and personal experiences of sexual violence amongst women living with HIV/AIDS in rural southwestern Uganda.
we conducted a cross-sectional survey among 324 women living with HIV. We also conducted 11 in-depth interviews among women living with HIV in the same area. We collected data on socio-demographics, participants' experiences, forms of sexual violence, and the services for the victims. The in-depth interviews were conducted using a semi-structured interview guide. The quantitative data were analyzed at 95% confidence interval using Chi-square and logistic regression. Transcripts were cleaned were independently coded and any disagreements encountered during in the coding were resolved at each step. During the coding process, duplicates were removed. Similar quotes were grouped together under broad themes while ensuring inclusion of data from different sources. We used thematic content analysis to generate themes and sub-themes.
the mean age of the participants was 35.05 ± 12.21 years. Of the 324 women that participated in the study 68.8% were married 67.2% had primary level of education and were peasant farmers (70.1%). Sexual violence was experienced by 32.7% of the participants and this included sexual humiliation, forced genital touching and insertion of objects. Shame was the most commonly lived experience and sexual partners were the most common perpetrators of sexual violence. According to our findings, marriage (OR = 0.0250, 95%CI 0.069-0.905, p = 0.035) was a protective factor.
sexual violence is commonly experienced by women living with HIV and attending health facilities in rural southwestern Uganda. Fear of shame negatively affects disclosure by the victims. Screening for sexual violence could be helpful in exposing the vice if it is integrated in routine HIV care for women.
性暴力存在于不同形式和情境中。它会产生包括艾滋病毒/艾滋病在内的不同后果。关于为受害者提供服务的情况，相关信息有限。在本研究中，我们调查了乌干达西南部农村地区感染艾滋病毒/艾滋病的女性中性暴力的患病率、形式及个人经历。
我们对324名感染艾滋病毒的女性进行了横断面调查。我们还在同一地区对感染艾滋病毒的女性进行了11次深入访谈。我们收集了社会人口统计学数据、参与者的经历、性暴力形式以及为受害者提供的服务等方面的数据。深入访谈使用半结构化访谈指南进行。定量数据采用卡方检验和逻辑回归在95%置信区间进行分析。对访谈记录进行清理、独立编码，编码过程中遇到的任何分歧在每个步骤都予以解决。在编码过程中，去除重复内容。相似的引语在宽泛主题下归为一组，同时确保纳入来自不同来源的数据。我们使用主题内容分析来生成主题和子主题。
参与者的平均年龄为35.05±12.21岁。参与研究的324名女性中，68.8%已婚，67.2%接受过小学教育，且为农民（70.1%）。32.7%的参与者经历过性暴力，包括性羞辱、强迫触摸生殖器和插入物体。羞耻感是最常见的经历，性伴侣是性暴力最常见的实施者。根据我们的研究结果，婚姻（比值比=0.0250，95%置信区间0.069 - 0.905，p = 0.035）是一个保护因素。
在乌干达西南部农村地区，感染艾滋病毒并前往医疗机构就诊的女性普遍经历性暴力。对羞耻感的恐惧对受害者的披露产生负面影响。如果将性暴力筛查纳入对女性的常规艾滋病毒护理中，可能有助于揭露这一恶行。
