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Association between domestic violence and HIV serostatus among married and formerly married women in Kenya

机译：肯尼亚已婚和已婚妇女中家庭暴力与艾滋病毒血清状况之间的关联

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The prevalence of both domestic violence (DV) and HIV among Kenyan women is known to be high, but the relationship between them is unknown. Nationally representative cross-sectional data from married and formerly married (MFM) women responding to the Kenya Demographic and Health Survey 2008/2009 were analyzed adjusting for complex survey design. Multivariable logistic regressions were used to assess the covariate-adjusted associations between HIV serostatus and any reported DV as well as four constituent DV measures: physical, emotional, sexual, and aggravated bodily harm, adjusting for co-variates entered into each model using a forward stepwise selection process. Co-variates of a priori interest included those representing marriage history, risky sexual behavior, substance use, perceived HIV risk, and socio-demographic characteristics. The prevalence of HIV among MFM women was 10.7% (any DV: 13.1%, no DV: 8.6%); overall prevalence of DV was 43.4%. Among all DV measures, only physical DV was associated with HIV (11.9%; adjusted odds ratio: 2.01, p < 0.05). Efforts by the government and women's groups to monitor and improve policies to reduce DV, such as the Sexual Offences Act of 2006, are urgently needed to curb HIV, as are policies that seek to provide DV counseling and treatment to MFM women.
机译：肯尼亚妇女中家庭暴力和艾滋病毒的患病率很高，但两者之间的关系尚不清楚。分析了针对2008/2009年肯尼亚人口与健康调查的已婚和已婚妇女的全国代表性横断面数据，并针对复杂的调查设计进行了调整。使用多变量logistic回归评估HIV血清状况与任何报告的DV以及四个构成DV量度（身体，情感，性和严重身体伤害）之间的经协变量调整的关联，并使用前瞻性调整输入每个模型的协变量逐步选择过程。先验兴趣的协变量包括代表结婚经历，危险的性行为，物质使用，艾滋病毒的感知风险以及社会人口统计学特征的变量。 MFM妇女中艾滋病毒的患病率为10.7％（任何DV：13.1％，无DV：8.6％）； DV的总体患病率为43.4％。在所有DV测量中，只有物理DV与HIV相关（11.9％；调整后的优势比：2.01，p <0.05）。迫切需要政府和妇女团体努力监测和改进减少DV的政策，例如2006年的《性犯罪法》，以遏制艾滋病毒，以及为MFM妇女提供DV咨询和治疗的政策。

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