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A longitudinal study of the relationship between intimate partner violence and postpartum unsafe sex among newly diagnosed HIV-infected South African women

机译：新诊断艾滋病毒感染南非妇女综合伴侣暴力和产后不安全性关系的纵向研究

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摘要

HIV-positive women who engage in postpartum unsafe sex are at risk for sexually transmitted infection (STI), unintended pregnancy, and secondary transmission of HIV to uninfected partners. One factor that may increase risk for postpartum unsafe sex among HIV-positive women is intimate partner violence (IPV) victimization; few studies, however, have examined this association. This longitudinal study examined whether patterns of psychological, physical, and sexual IPV, assessed during pregnancy, predicted unsafe sex at 14 weeks postpartum among South African women diagnosed as HIV-positive during pregnancy (n = 561). In a latent class analysis, we identified three distinct patterns of IPV victimization: non-victims (74%), moderate IPV (20%), and multiform severe controlling IPV (5%). Compared to non-victims, victims of multiform severe controlling IPV were significantly more likely to engage in postpartum unsafe sex (p = .01), even after adjusting for potential confounding factors. Moderate IPV was not associated with postpartum unsafe sex. Findings support the need for targeted sexual risk reduction interventions for HIV-positive pregnant women who have experienced severe patterns of IPV.
机译：从事产后性行为的艾滋病毒阳性妇女面临性传播感染（STI），意外怀孕和艾滋病毒的二次传播的危险的危险性患有无感染的伴侣。可能会增加艾滋病毒阳性妇女产后不安全性风险的一个因素是亲密的合作伙伴暴力（IPV）受害;然而，很少有研究已经审查了这一协会。这种纵向研究检测了在怀孕期间评估的心理，身体和性IPV模式是否在怀孕期间评估，在怀孕期间被诊断为艾滋病毒阳性的南非妇女患者（n = 561），预测不安全的性行为。在潜在的阶级分析中，我们确定了三种不同的IPV受害模式：非受害者（74％），适度的IPV（20％）和多种形体严重控制IPV（5％）。与非受害者相比，多种态严重控制IPV的受害者更容易从事产后不安全的性别（P = .01），即使在调整潜在的混淆因素后也是如此。中度IPV与产后不安全的性别无关。调查结果支持针对艾滋病毒阳性孕妇的有针对性的性风险减少干预措施，他们经历过严重的IPV模式。

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