It is unclear what role the experimental drug and convalescent plasma had in the recovery of these patients. Prospective clinical trials are needed to delineate the role of investigational therapies in the care of patients with EVD.
Purpose
This study investigates the prevalence of partner violence perpetration and receipt among a sample of young men and women in the Philippines, as well as the relationship between witnessing inter-parental violence during childhood and current violence in partnerships.
Methods
We used 1994, 2002, and 2005 data from 472 married or cohabiting young adults from the Cebu Longitudinal Health and Nutrition Survey in Cebu, Philippines. This is a longitudinal data set following over 2,000 Filipino women and their index children since the child’s birth in 1983–1984.
Results
Prevalence of partner violence perpetration was 55.8% for female and 25.1% for male respondents. Prevalence of victimization was 27.7% for females and 30.5% for males. Forty-five percent of females and 50% of males reported having witnessed their parents/caretakers physically hurt one another during childhood. Multinomial logistic regression analysis showed that witnessing inter-parental violence significantly predicted report of violent act victimization and reciprocal violent acts. Greater parental joint decision-making and being male were independently associated with a lower risk of report of both reciprocal violent acts and violent act victimization. Duration of marriage or cohabitation was associated with report of violent act victimization and reciprocal violent acts. There were gender interaction effects for several factors, including mother’s church attendance and household purchase of alcohol at age 11.
Conclusions
Implications for further research and violence prevention programs include early intervention with adolescents and focus on gender differences in violence determinants.
This exploratory study examined patient-provider communication dynamics regarding adherence to highly active antiretroviral therapy (HAART) and protective sexual behavior among people living with HIV/AIDS (PLWHA). We conducted 20 direct observations of routine consultations between PLWHA and care providers in two large public health clinics providing free HIV medications and clinical care to PLWHA in the greater Rio de Janeiro area of Brazil. Immediately after these observations, 20 semistructured in-depth interviews were conducted with observation participants regarding their communication with providers, overall clinic experience, and questions and concerns about adherence to HAART and safe sex. Findings from observations showed that patient-provider communication focused almost exclusively on biomedical aspects of HIV-related treatment such as symptom management. In most observations, adherence to HAART was addressed. However, questions posed by providers regarding adherence were generally close-ended and leading, discouraging an open exchange regarding potential difficulties related to adherence. HIV/sexually transmitted infection (STI)- related protective behaviors were seldom addressed except when the patient displayed STI symptoms or was thought to be pregnant. In qualitative interviews, patients generally reported satisfaction with their providers, but also reported a variety of concerns and challenges related to adherence to HAART and protective sexual behavior that were not expressed in patient-provider interactions. We conclude that one way in which adherence to HAART and protective sexual behavior among PLWHA could be facilitated is by improving patient- provider communication on these topics, including increasing the frequency of openended, nonjudgmental dialogue initiated by care providers.
Our objective was to describe the context of and motivations for female
and male perpetrated IPV in Cebu, Philippines using data from in-depth
interviews with 19 married women. We found three categories of IPV motivations
--self-defense or retaliation, reactivity, and control. Motivations differed by
gender, with women acting out of self-defense more often and men acting out of
control more often. Effective IPV prevention and treatment programs should take
these gender differences into consideration. Moreover, it is important to look
at how IPV occurs within relationships and how this may vary by context and
gender.
While intimate partner violence is a well-known problem for both men and
women in developing countries, we know relatively little about the context of
violence in these settings. There is research from the U.S. on motivations for
and other contextual aspects of female-perpetrated intimate partner violence
(IPV) and a handful of studies in lower income countries, the U.S. and Canada on
motivations for and contextual aspects of male-perpetrated IPV. To create
effective prevention and treatment interventions for both male and female
perpetrated IPV in developing countries, it is critical to understand how IPV
occurs within relationships in these settings and how this may vary by context
and gender. We carried out this study to explore the context of both male and
female perpetrated IPV in the Philippines using in-depth interviews with married
women. We report here the findings on IPV motives and forms of IPV.
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