Rothenberg K H, Paskey S J, Reuland M M, Zimmerman S I, North R L
University of Maryland School of Law, Baltimore 21201, USA.
J Am Med Womens Assoc (1972). 1995 May-Aug;50(3-4):87-93.
Current public health policy encourages partner notification to protect those at risk of HIV infection. Provider experiences with partner notification, domestic violence, and women with HIV compel a reassessment of this strategy. In a survey of 136 health care providers in Baltimore, substantial numbers reported knowledge of their HIV-infected patients' experiences with domestic violence before and after partner notification. Providers believed that fear of physical abuse, emotional abuse, and abandonment are important reasons why many female patients resist partner notification. Provider opposition to partner notification was strong in cases where female patients faced a risk of domestic violence. The realization that HIV-infected women fear and experience domestic violence has broad implications for health care practice. The authors recommend changes in provider practices to insure that the risk of domestic violence is identified and addressed, and that partner notification strategies do not threaten the safety of HIV-infected women. They also highlight areas for further research on the connections among partner notification, domestic violence, and women with HIV.
当前的公共卫生政策鼓励性伴通知，以保护那些有感染艾滋病毒风险的人。医疗服务提供者在性伴通知、家庭暴力以及感染艾滋病毒的女性方面的经历，促使人们对这一策略进行重新评估。在对巴尔的摩136名医疗服务提供者的一项调查中，相当多的人报告说，他们了解自己的艾滋病毒感染患者在性伴通知前后的家庭暴力经历。医疗服务提供者认为，对身体虐待、情感虐待和遗弃的恐惧是许多女性患者抵制性伴通知的重要原因。在女性患者面临家庭暴力风险的情况下，医疗服务提供者强烈反对性伴通知。认识到感染艾滋病毒的女性害怕并经历家庭暴力，对医疗实践具有广泛影响。作者建议改变医疗服务提供者的做法，以确保识别并解决家庭暴力风险，并且性伴通知策略不会威胁到感染艾滋病毒女性的安全。他们还强调了在性伴通知、家庭暴力和感染艾滋病毒的女性之间的联系方面需要进一步研究的领域。
