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首页> 外文学位 >The synergy between intimate partner violence and HIV: Baseline findings from the SASA! study, a cluster randomized controlled community trial in Kampala, Uganda.
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The synergy between intimate partner violence and HIV: Baseline findings from the SASA! study, a cluster randomized controlled community trial in Kampala, Uganda.

机译：亲密伴侣暴力与艾滋病毒之间的协同作用：SASA的基线调查结果！这项研究是在乌干达坎帕拉进行的一项集群随机对照社区试验。

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摘要

Background. Despite evidence of the synergy between intimate partner violence (IPV) and the human immunodeficiency virus (HIV), recent research on the synergy among men and women in countries of interest and concern, such as Uganda, is lacking. Rigorous research on the role of gender inequalities and power dynamics in the linkage is also deficient. This dissertation explores the synergy between IPV and HIV in greater depth among women and men participating in a cluster randomized controlled community trial of SASA!, an intervention to prevent IPV and HIV in Kampala, Uganda.;Methods. A quantitative household survey was conducted in eight study communities with 1,583 individuals (717 women and 866 men). Qualitative semi-structured interviews were carried out with 46 married (unmatched) individuals (22 women and 24 men) who completed the survey and were selected based on experiences with violence, concurrency, and polygamy.;Results. A significant association was found among men between perpetration of IPV and having multiple partners (adjusted odds ratio (AOR) = 1.85, [95% confidence interval (CI), 1.22--2.79]), having concurrent partners (AOR = 2.53, [1.73--3.69]), and reporting being HIV positive (AOR = 2.70, [1.08--6.71]). Having multiple partners and concurrent partners were both strongly significantly associated with reported HIV status. A significant association was also found among women between their partners' concurrency and their own experiences of IPV (AOR = 2.49, [1.92--3.23]). Data revealed that victims of violence tended to seek support from informal versus formal contacts, and a significant relationship between support seeking and injuries. Both women and men revealed how rigid gender norms continue to perpetuate gender inequality and imbalance of power, both of which contribute to the IPV and HIV epidemics. Positive deviants provided critical input on the enablers and pathways toward more balanced power dynamics in this setting.;Conclusions. Study results indicate that interventions may be more effective if IPV and HIV are addressed in tandem given that gender norms and relationship power dynamics play a substantial role in driving both epidemics. Qualitative findings suggest the importance of community-based social-level interventions that embody ecological and structural approaches to shift ingrained gender norms and inequalities.
机译：背景。尽管有证据表明亲密伴侣暴力（IPV）和人类免疫缺陷病毒（HIV）之间具有协同作用，但缺乏有关国家（如乌干达）中男女之间协同作用的最新研究。关于性别不平等和权力动态在这种联系中作用的严格研究也很不足。本文探讨了参与SASA！的一项随机对照社区试验的男女之间IPV和HIV的协同作用，这是在乌干达坎帕拉预防IPV和HIV的干预措施。在八个研究社区进行了定量家庭调查，共有1583人（717名女性和866名男性）。定性的半结构化访谈是对46名已婚（无配对）的个体（22名女性和24名男性）进行的，他们完成了调查，并根据暴力，并发和一夫多妻制的经验进行了选择。在男性中，在IPV的犯罪和有多个伴侣之间（调整后的优势比（AOR）= 1.85，[95％置信区间（CI），1.22--2.79]），同时有伴侣（AOR = 2.53，[ 1.73--3.69]），并报告其为HIV阳性（AOR = 2.70，[1.08--6.71]）。有多个伙伴和同时存在的伙伴都与报告的艾滋病毒感染状况密切相关。在女性中，伴侣之间的并发与他们自己的IPV经历之间也存在着显着的关联（AOR = 2.49，[1.92--3.23]）。数据显示，暴力受害者倾向于从非正式与正式接触中寻求支持，寻求支持与伤害之间存在着重要的关系。男女都揭示了僵化的性别规范如何继续使性别不平等和权力失衡长期存在，这两者都助长了IPV和HIV流行。在这种情况下，积极的偏差为推动者和实现更平衡的动力动态提供了关键的输入。研究结果表明，如果同时解决IPV和HIV问题，那么干预措施可能会更有效，因为性别规范和关系权力动态在推动这两种流行病中都发挥着重要作用。定性研究结果表明，以社区为基础的社会干预措施的重要性，体现了生态和结构方法来改变根深蒂固的性别规范和不平等现象。

著录项

  • 作者

    Francisco, Leilani V.;

  • 作者单位

    The Johns Hopkins University.;

  • 授予单位 The Johns Hopkins University.;
  • 学科 Biology Biostatistics.;Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 108 p.
  • 总页数 108
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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