The health impact of spiritual intimate partner abuse among women living with HIV in Ghana.

IF 3.4 2区医学 Q3 IMMUNOLOGY

AIDS Pub Date : 2025-04-22 DOI:10.1097/QAD.0000000000004221

Eric Y Tenkorang

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引用次数: 0

Abstract

Objective: Although understudied, anecdotal evidence suggests spiritual/religious intimate partner abuse may be prevalent among women living with HIV/AIDS in sub-Saharan Africa and Ghana. This paper examines the prevalence and effects of spiritual/religious intimate partner abuse-spiritual coercion and spiritual control-on the psychosocial (depression) and sexual health (unwanted pregnancies) outcomes of women living with HIV/AIDS in Ghana.

Methods: Data were collected from 1,007 women living with HIV who attended Voluntary Counseling and Testing services at two district hospitals in the Lower Manya Krobo Municipality in the Eastern region of Ghana. Descriptive and multivariate logit models were used to examine the prevalence and impact of spiritual intimate partner abuse, measured as coercion and control on depression and unwanted pregnancies.

Results: Results showed that about 36% of the participants reported spiritual coercion, and 27% experienced spiritual control. Those who experienced spiritual coercion were significantly more likely to report unwanted pregnancies than those who did not. Women who experienced spiritual control reported more likely to report depression than those who did not.

Conclusion: Our findings suggest the need to educate Ghanaian women living with HIV about spiritual/religious intimate partner abuse and to screen this type of violence as part of HIV care.

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加纳感染艾滋病毒的妇女遭受精神亲密伴侣虐待对健康的影响。

目的：尽管研究不足，但坊间证据表明，在撒哈拉以南非洲和加纳，精神/宗教亲密伴侣虐待可能在感染艾滋病毒/艾滋病的妇女中普遍存在。本文探讨了精神/宗教亲密伴侣虐待——精神胁迫和精神控制——对加纳感染艾滋病毒/艾滋病妇女的心理社会（抑郁）和性健康（意外怀孕）结果的流行程度和影响。方法：收集了在加纳东部地区下马尼亚克罗沃市两家区级医院参加自愿咨询和检测服务的1,007名感染艾滋病毒的妇女的数据。使用描述性和多变量logit模型来检查精神亲密伴侣虐待的流行程度和影响，以强迫和控制对抑郁和意外怀孕的影响来衡量。结果：结果显示，约36%的参与者报告精神胁迫，27%的参与者经历精神控制。那些经历过精神胁迫的人比那些没有经历过的人更有可能报告意外怀孕。经历过精神控制的女性比没有经历过的女性更容易抑郁。结论：我们的研究结果表明，有必要对感染艾滋病毒的加纳妇女进行关于精神/宗教亲密伴侣虐待的教育，并将这种类型的暴力作为艾滋病毒护理的一部分进行筛查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

AIDS 医学-病毒学

CiteScore

5.90

自引率

5.30%

发文量

478

审稿时长

3 months

期刊介绍： Publishing the very latest ground breaking research on HIV and AIDS. Read by all the top clinicians and researchers, AIDS has the highest impact of all AIDS-related journals. With 18 issues per year, AIDS guarantees the authoritative presentation of significant advances. The Editors, themselves noted international experts who know the demands of your work, are committed to making AIDS the most distinguished and innovative journal in the field. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.