Intimate partner violence against women living with HIV in Lesotho: evidence from the 2023/24 DHS data set.

IF 3.6 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

BMC Public Health Pub Date : 2025-06-06 DOI:10.1186/s12889-025-23335-6

Gebresilassie Tadesse, Girum Nakie, Gidey Rtbey, Techilo Tinsae, Setegn Fentahun, Mulualem Kelebie, Tigist Kifle Tsegaw, Getachew Muluye Gedef, Getasew Kibralew, Fantahun Andualem

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引用次数: 0

Abstract

Background: Intimate partner violence (IPV) is a widespread violation of women's rights and a critical public health issue, especially in sub-Saharan Africa. Women living with HIV (WLHIV) are particularly vulnerable due to gender power imbalances, HIV-related stigma, and the bidirectional relationship between violence and HIV acquisition. In Lesotho, where HIV prevalence is among the highest globally, limited evidence exists on IPV against WLHIV. This study aims to estimate the prevalence and factors associated with IPV against women living with HIV in Lesotho.

Methods: Data were drawn from the 2023/24 Lesotho DHS. A weighted sample of 467 women aged 15-49 years who were living with HIV was included. IPV was defined as having experienced at least one form of emotional, physical, or sexual violence by a partner/husband. Multivariable logistic regression was conducted to identify factors associated with IPV. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were reported.

Results: Based on the findings of the study, 34.19% (95% CI: 30.01-38.63) of WLHIV experienced at least one form of IPV in the last 12-month preceding the survey. Moreover, the 12-month prevalence for physical, emotional, and sexual violence respectively was 25.48%, 19.61%, and 10.07%. In the final model analysis, having multiple sexual partners and sexually transmitted infections (STIs) other than HIV in the past 12-month, not having own asset, disclosing HIV status, living with a jealous partner/husband and a male-headed household, and region of residence were significantly associated with experiencing IPV.

Conclusion: More than one-third of reproductive-age WLHIV in Lesotho experience IPV in the last 12-month preceding the survey, with key associated factors. Integrated interventions that combine HIV care with IPV screening, education, economic empowerment, and behavioral change communication are essential to mitigate IPV among WLHIV in Lesotho by considering these factors.

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莱索托对感染艾滋病毒妇女的亲密伴侣暴力行为：来自2023/24年人口与健康调查数据集的证据

背景：亲密伴侣暴力（IPV）是对妇女权利的普遍侵犯，也是一个关键的公共卫生问题，特别是在撒哈拉以南非洲。由于性别权力失衡、与艾滋病毒相关的污名以及暴力与艾滋病毒感染之间的双向关系，感染艾滋病毒的妇女特别容易受到伤害。莱索托是全球艾滋病毒流行率最高的国家之一，但目前关于利用IPV防治艾滋病毒的证据有限。这项研究的目的是估计莱索托感染艾滋病毒的妇女患IPV的流行率和相关因素。方法：数据来自莱索托2023/24年度人口健康调查。纳入了467名年龄在15-49岁的艾滋病毒感染者的加权样本。IPV被定义为经历过伴侣/丈夫至少一种形式的情感、身体或性暴力。采用多变量logistic回归来确定与IPV相关的因素。报告了校正优势比（AORs）和95%可信区间（CIs）。结果：根据研究结果，34.19% （95% CI: 30.01-38.63）的WLHIV患者在调查前的12个月内至少经历过一种IPV。此外，身体暴力、情感暴力和性暴力的12个月患病率分别为25.48%、19.61%和10.07%。在最后的模型分析中，在过去的12个月里，有多个性伴侣和非艾滋病毒性传播感染（sti），没有自己的资产，披露艾滋病毒状况，与嫉妒的伴侣/丈夫生活在一起，男性为户主的家庭，以及居住地区与IPV的经历显著相关。结论：莱索托超过三分之一的育龄艾滋病毒感染者在调查前的最后12个月内经历过IPV，其中有关键的相关因素。通过考虑这些因素，将艾滋病毒护理与IPV筛查、教育、经济赋权和行为改变沟通相结合的综合干预措施对于减轻莱索托WLHIV中的IPV至关重要。

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

BMC Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

4.40%

发文量

2108

审稿时长

1 months

期刊介绍： BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.