Acta obstetricia et gynecologica Scandinavica · 2011
Prevalence and correlates of intimate partner violence against HIV-seropositive pregnant women in a Nigerian population.
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Ezeanochie Michael C, Olagbuji Biodun N, Ande Adedapo B, Kubeyinje Weyinmi E, Okonofua Friday E
Аннотация
OBJECTIVE: To evaluate the prevalence and correlates of intimate partner violence among HIV-positive pregnant Nigerian women.
DESIGN: Cross-sectional study using an anonymous semi-structured interviewer-administered questionnaire.
SETTING: The antenatal clinic at the University of Benin Teaching Hospital, Nigeria, from June 2008 to December 2009.
POPULATION: 305 HIV-positive women receiving antenatal care.
METHODS: An anonymous semi-structured World Health Organization modified questionnaire that elicited information on the experiences of intimate partner violence, was administered to the women by trained female interviewers.
MAIN OUTCOME MEASURES: Prevalence, pattern and risk factors associated with experiencing intimate partner violence.
RESULTS: The prevalence of intimate partner violence among the women was 32.5%, with psychological violence being the most common form of violence reported (27.5%) and physical violence the least reported (5.9%). Identified risk factors for experiencing violence were multiparity (Odds ratio 9.4; CI 1.23-71.33), respondents with an HIV-positive child (Odds ratio 9.2; CI 4.53-18.84), experience of violence before they were diagnosed HIV-positive (Odds ratio 44.4; 10.33-190.42) and women with partners without post-secondary education (Odds ratio 2.3; CI 1.40-3.91).
CONCLUSION: Intimate partner violence is a prevalent public health problem among HIV-infected pregnant women in our community and it may hinder efforts to scale up prevention of mother-child transmission programs, especially in developing countries. Screening for intimate partner violence to identify abused women should be incorporated into these programs to offer these women optimal care.
DESIGN: Cross-sectional study using an anonymous semi-structured interviewer-administered questionnaire.
SETTING: The antenatal clinic at the University of Benin Teaching Hospital, Nigeria, from June 2008 to December 2009.
POPULATION: 305 HIV-positive women receiving antenatal care.
METHODS: An anonymous semi-structured World Health Organization modified questionnaire that elicited information on the experiences of intimate partner violence, was administered to the women by trained female interviewers.
MAIN OUTCOME MEASURES: Prevalence, pattern and risk factors associated with experiencing intimate partner violence.
RESULTS: The prevalence of intimate partner violence among the women was 32.5%, with psychological violence being the most common form of violence reported (27.5%) and physical violence the least reported (5.9%). Identified risk factors for experiencing violence were multiparity (Odds ratio 9.4; CI 1.23-71.33), respondents with an HIV-positive child (Odds ratio 9.2; CI 4.53-18.84), experience of violence before they were diagnosed HIV-positive (Odds ratio 44.4; 10.33-190.42) and women with partners without post-secondary education (Odds ratio 2.3; CI 1.40-3.91).
CONCLUSION: Intimate partner violence is a prevalent public health problem among HIV-infected pregnant women in our community and it may hinder efforts to scale up prevention of mother-child transmission programs, especially in developing countries. Screening for intimate partner violence to identify abused women should be incorporated into these programs to offer these women optimal care.