Exploring risk of experiencing intimate partner violence after HIV infection: a qualitative study among women with HIV attending postnatal services in Swaziland

Mulrenan, Claire; Colombini, Manuela; Howard, Natasha; Kikuvi, Joshua; Mayhew, Susannah

doi:10.1136/bmjopen-2014-006907

Cited by 66 publications

(59 citation statements)

References 34 publications

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“…Women are also at increased risk of IPV after HIV-infection (Mulrenan et al, 2015). In addition, IPV is linked to poor reproductive health outcomes, such as low birth weight, preterm delivery, and maternal and infant mortality (Boy & Salihu, 2004; Emenike, Lawoko, & Dalal, 2008).…”

Section: Introductionmentioning

confidence: 99%

Intimate partner violence and HIV-positive women's non-adherence to antiretroviral medication for the purpose of prevention of mother-to-child transmission in Lusaka, Zambia

Hampanda

2016

Social Science & Medicine

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Background Prevention of mother-to-child transmission (PMTCT) depends critically on HIV-positive women’s adherence to antiretroviral drugs during and after pregnancy. Adherence among pregnant and breastfeeding women remains a challenge across sub-Saharan Africa. Power dynamics within couples, such as intimate partner violence, has largely been neglected in research regarding PMTCT adherence. Objective This study aims to determine if there is a relationship between intimate partner violence and non-adherence to PMTCT. Methods In 2014, using a verbally administered cross-sectional survey at a large public health clinic in Lusaka, Zambia, 320 HIV-positive postpartum women, who were currently married or living with a man, provided information on their drug adherence during and after pregnancy, as well as relationship dynamics. Adherence was defined as the woman reporting she took or gave to the infant at least 80% of prescribed medication doses. Results Experiencing intimate partner violence was associated with decreased odds of adherence to PMTCT during and after pregnancy. Different forms of violence affected PMTCT adherence differentially. Physical violence had a less pronounced effect on non-adherence than emotional and sexual violence. A dose-response relationship between intimate partner violence and non-adherence was also observed. Conclusions Intimate partner violence is associated with non-adherence to PMTCT during and after pregnancy, which deserves increased attention in the effort to eliminate mother-to-child transmission.

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Section: Introductionmentioning

confidence: 99%

Intimate partner violence and HIV-positive women's non-adherence to antiretroviral medication for the purpose of prevention of mother-to-child transmission in Lusaka, Zambia

Hampanda

2016

Social Science & Medicine

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“…Though relatively small, there is some significant literature exploring HIV as a risk factor for IPV, reporting adverse outcomes including threats of violence; physical, verbal, and emotional violence; and separation and loss of financial support [9–12]. In particular, despite its potential preventive health benefits and care implications [13,14], HIV disclosure to sexual partners has been widely reported as a major source of stress for WLWH, with many fearing male partner stigma, discrimination, violence or abandonment [11,15–19].…”

Section: Introductionmentioning

confidence: 99%

“…There are limited studies in SRH settings outside ANC services exploring IPV risks and fear of partner abuse following HIV diagnosis [9,18,27]. This study tries to address this gap and aims to:

explore WLWH experiences of IPV risks following disclosure to their partners, and

analyze women's views on the role of SRH health providers in preventing and addressing IPV, especially following HIV disclosure.

…”

Section: Introductionmentioning

confidence: 99%

The risks of partner violence following HIV status disclosure, and health service responses: narratives of women attending reproductive health services in Kenya

Colombini

James

Ndwiga³

et al. 2016

Journal of the International AIDS Society

120

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IntroductionFor many women living with HIV (WLWH), the disclosure of positive status can lead to either an extension of former violence or new conflict specifically associated with HIV status disclosure. This study aims to explore the following about WLWH: 1. the women's experiences of intimate partner violence (IPV) risks following disclosure to their partners; 2. an analysis of the women's views on the role of health providers in preventing and addressing IPV, especially following HIV disclosure.MethodsThirty qualitative interviews were conducted with purposively selected WLWH attending clinics in Kenya. Data were coded using NVivo 9 and analyzed thematically.ResultsNearly one third of the respondents reported experiencing physical and/or emotional violence inflicted by their partners following the sero-disclosure, suggesting that HIV status disclosure can be a period of heightened risk for partner stigma and abuse, and financial withdrawal, and thus should be handled with caution. Sero-concordance was protective for emotional and verbal abuse once the partner knew his positive status, or knew the woman knew his status. Our results show acceptance of the role of the health services in helping prevent and reduce anticipated fear of partner stigma and violence as barriers to HIV disclosure. Some of the approaches suggested by our respondents included couple counselling, separate counselling sessions for men, and facilitated disclosure. The women's narratives illustrate the importance of integrating discussions on risks for partner violence and fear of disclosure into HIV counselling and testing, helping women develop communication skills in how to disclose their status, and reducing fear about marital separation and break-up. Women in our study also confirmed the key role of preventive health services in reducing blame for HIV transmission and raising awareness on HIV as a chronic disease. However, several women reported receiving no counselling on safe disclosure of HIV status.ConclusionIntegration of partner violence identification and care into sexual, reproductive and HIV services for WLWH could be a way forward. The health sector can play a preventive role by sensitizing providers to the potential risks for partner violence following disclosure and ensuring that the women's decision to disclose is fully informed and voluntary.

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“…Se ha considerado que revelar el diagnóstico de infección por el VIH en la mujer es un factor de riesgo que puede conducir a la violencia, ya que este se asocia con la infidelidad y la noción de que las mujeres están "llevando" la enfermedad a la relación (9,10). Estas experiencias en las mujeres evocaron diferentes reacciones y sentimientos, como preocupación por la necesidad de tener hijos, miedo a la infección, deseo de separarse de sus cónyuges/ parejas, desamparo, ira y tendencias suicidas (11).…”

Section: Introductionunclassified

Violencia de pareja en la mujer que vive con VIH

Arévalo-Mora¹

2018

Rev. Colomb. Enferm.

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Citación del artículo en línea Vancouver: Arévalo-Mora L. Violencia de pareja en la mujer que vive con VIH. Rev. Colomb. Enferm. [Internet]. 2018 RESUMENEn los casos de violencia contra mujeres con VIH, se presentan consecuencias para ellas en todos los ámbitos, incluidas la pérdida del apoyo social, rechazo social, abandono, violación de confidencialidad y aumento en el estigma a la persona diagnosticada. A largo plazo estas situaciones llevan a disolución matrimonial, abandono, culpa y negación a asistir a la consulta en los programas de atención. Dada la evolución del manejo de la infección por el VIH, y para comprender los fenómenos socioculturales que la han acompañado, se hace necesario obtener datos recientes con respecto a la relación entre el VIH y la violencia de pareja contra la mujer. Se realizó esta revisión de literatura científica para conocer en profundidad esta problemática y llevar al lector a una comprensión de la realidad que afecta a las pacientes que viven con el virus. Esta revisión incluyó artículos en inglés y español, disponibles en diferentes bases de datos, como Pubmed, Embase, Scielo, Psychology and Behavioral Science Collection, Academic Search, Ebscohost Collection, sistema integrado de búsqueda CRAI-UR y Opengrey. Se encontró que existe una relación entre los actos de violencia de género y el vivir con infección por el VIH, y que este tipo de violencia tiene repercusiones sociales que, según el grupo etario afectado, llevan a ausentismo y bajo rendimiento escolar, disminución en el rendimiento laboral y baja autoestima, con lo que la mujer experimenta síntomas de depresión y ansiedad.Palabras clave: violencia; violencia doméstica; violencia contra la mujer; violencia de pareja; infecciones por el VIH; VIH; síndrome de inmunodeficiencia adquirida. Palavras-chave: violência; violência doméstica; violência contra a mulher; violência por parceiro íntimo; infecções por HIV; HIV; síndrome de imunodeficiência adquirida. ABSTRACTIn the context of HIV violence, implied consequences are in all areas for women, including loss of social support, social rejection, abandonment, violation of confidentiality, and increased stigma to the diagnosed person. These situations lead to dissolution of marriage, neglect, guilt, and refusal to attend a care program's clinics. Given the evolution of the treatment of HIV and to understand the sociocultural phenomena that is accompanies it, it is necessary to obtain the updated data in regards to the influence that HIV can have with violence towards women from their partner. A review of scientific literature was performed in order to obtain a deeper knowledge of this problem and to understand the realities that affect patients living with HIV. This revision included articles in Spanish and English from the following databases: PubMed, Embase, Scielo, Psychology and Behavioral Science Collection, Academic Search, Ebscohost Collection, sistema integrado de búsqueda CRAI-UR and Opengrey. The results showed that there is a relationship between acts of gender ...

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Exploring risk of experiencing intimate partner violence after HIV infection: a qualitative study among women with HIV attending postnatal services in Swaziland

Cited by 66 publications

References 34 publications

Intimate partner violence and HIV-positive women's non-adherence to antiretroviral medication for the purpose of prevention of mother-to-child transmission in Lusaka, Zambia

Intimate partner violence and HIV-positive women's non-adherence to antiretroviral medication for the purpose of prevention of mother-to-child transmission in Lusaka, Zambia

The risks of partner violence following HIV status disclosure, and health service responses: narratives of women attending reproductive health services in Kenya

Violencia de pareja en la mujer que vive con VIH

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