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HIV-infected women who do and do not report intimate partner violence: Viral replication and adherence to antiretroviral medications.

机译：有和没有报告亲密伴侣暴力的受艾滋病毒感染的妇女：病毒复制和坚持抗逆转录病毒药物。

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摘要

Accounting for one-half of all new infections worldwide, women are the fastest growing group newly infected with HIV. Intimate partner violence affects 50% or more women worldwide with associated effects on morbidity and mortality. An intersection between HIV infection and intimate partner violence among women has been established. Yet research specifying the associated health effects of the intersection is lacking. No published studies examining the relationship between intimate partner violence, viral replication and adherence to antiretroviral medications among HIV-infected women were identified.;This research examined antiretroviral adherence and viral replication among HIV-infected women who did and did not report intimate partner violence. This non-experimental, comparative descriptive study recruited 272 HIV-infected women who had received health care for the previous 12 months at a publically-funded HIV specialty clinic. Participants were interviewed using the Severity of Violence Against Women Scale (SVAWS), the Danger Assessment (DA) and the Domestic Violence Specific Morisky Medication Adherence Scale. Viral load values were obtained by medical record abstraction.;The first hypothesis, that HIV-infected women who reported intimate partner violence would have lower adherence scale scores compared to women who did not report violence in the previous 12 months, was tested using the t test for independent samples. Fisher's Exact test was used for testing the second hypothesis that HIV-infected women who reported intimate partner violence in the past 12 months would have a greater proportion of detectable viral replication compared to women who did not report intimate partner violence. Hypotheses three and four, that SVAWS and DA total scores would be inversely correlated with medication adherence scores, were tested with Pearson's r correlations. Analyses found HIV-infected women who reported intimate partner violence in the past 12 months had significantly lower adherence scores t(262.1) = 4.91, p .001) and significantly greater proportions of detectable viral replication compared to women who did not report intimate partner violence (Fisher's Exact p .001). No significant associations were found between total SVAWS and DA scores and the adherence scores of the HIV-infected women who reported intimate partner violence in the past 12 months.
机译：妇女是全球新感染艾滋病毒中增长最快的群体，占全球所有新感染病例的一半。亲密伴侣的暴力行为影响着全世界50％或更多的妇女，并对发病率和死亡率产生了相关影响。妇女之间艾滋病毒感染与亲密伴侣暴力之间的联系已经建立。然而，尚缺乏确定交叉路口相关健康影响的研究。尚无已发表的研究来检查艾滋病毒感染妇女的亲密伴侣暴力，病毒复制和坚持抗逆转录病毒药物之间的关系。;这项研究调查了有和没有报告亲密伴侣暴力的艾滋病毒感染妇女的抗逆转录病毒依从性和病毒复制。这项非实验性，比较描述性研究招募了272名受HIV感染的妇女，这些妇女在过去12个月中曾在一家公共资助的HIV专科诊所接受过医疗护理。使用对妇女的暴力行为严重程度量表（SVAWS），危险评估（DA）和家庭暴力特定的Morisky药物依从性量表对参与者进行了采访。病毒载量值是通过病历提取得出的。第一个假设是，使用t检验了报告了亲密伴侣暴力的HIV感染妇女与过去12个月未报告暴力的妇女相比，依从性得分较低。测试独立样本。 Fisher的精确检验用于检验第二个假设，即与未报告亲密伴侣暴力行为的女性相比，在过去12个月内报告过亲密伴侣暴力行为的HIV感染妇女可检测到的病毒复制比例更高。假说3和4，即SVAWS和DA总分与药物依从性得分呈反相关，用Pearson的r相关性进行了检验。分析发现，与未报告亲密伴侣的女性相比，在过去12个月内报告亲密伴侣暴力的HIV感染妇女的依从性得分t（262.1）= 4.91，p <.001）显着降低，并且可检测到的病毒复制比例明显更高暴力（Fisher's Exact p <.001）。在过去12个月中，报告了亲密伴侣暴力的HIV感染妇女的总SVAWS和DA得分与依从性得分之间没有显着相关性。

著录项

  • 作者

    Trimble, Debra.;

  • 作者单位

    Texas Woman's University.;

  • 授予单位 Texas Woman's University.;
  • 学科 Health Sciences Medicine and Surgery.;Health Sciences Nursing.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 98 p.
  • 总页数 98
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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