理解IPV和HIV的交叉点及其对黑人妇女婴儿喂养实践的影响:叙述文献综述

Manal Fseifes, Josephine Etowa
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摘要

针对育龄期间感染人体免疫缺陷病毒(艾滋病毒)的黑人母亲的亲密伴侣暴力,特别是性暴力和情感暴力,是一个严重的健康和社会问题,需要有针对性的干预和预防措施。针对妇女的IPV增加了早期混合喂养的机会,使婴儿面临母婴传播艾滋病毒的高风险,并增加了婴儿发病率。尽管暴力使许多黑人母亲的生活复杂化,但关于暴力、艾滋病毒和母性之间的关键交叉点的研究证据有限。妇女对IPV的恐惧使她们不太可能向伴侣透露自己的艾滋病毒阳性状况,从而使她们无法应用安全婴儿喂养方法指南。本综述旨在探讨IPV和艾滋病毒之间的关键交叉点及其对感染艾滋病毒的黑人母亲喂养婴儿的影响。此外,IPV的主题以及它如何与艾滋病毒阳性状态和性别动态等其他因素重叠以损害母性经验也是本文对现有文献的叙述回顾的重点。了解感染艾滋病毒的妇女中IPV与影响婴儿喂养做法的其他因素之间的相互关系,将有助于为可能在围产期经历IPV的艾滋病毒阳性黑人妇女的规划和政策干预提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Understanding the Intersections of IPV and HIV and Their Impact on Infant Feeding Practices among Black Women: A Narrative Literature Review
Intimate partner violence (IPV), particularly sexual and emotional violence, against Black mothers who acquire human immunodeficiency virus (HIV) during childbearing age is a significant health and social concern requiring targeted interventions and precautions. IPV against women increases the chances of early mixed feeding, placing infants at high risk of mother-to-child transmission of HIV and increasing infant morbidities. Although violence complicates many Black mothers’ lives, limited research evidence exists about the critical intersections of violence, HIV, and motherhood. Women’s fear associated with IPV makes them less likely to disclose their positive HIV status to their partners, which subsequently prevents them from applying the guidelines for safe infant feeding practices. This review aims to explore the critical intersections between IPV and HIV and their impact on the infant feeding practices of Black mothers living with HIV. Furthermore, the theme of IPV and how it overlaps with other factors such as HIV-positive status and gender dynamics to compromise the motherhood experience is also the focus of this narrative review of existing literature. Understanding the intersection of IPV and other factors influencing infant feeding practices among women living with HIV will help inform programming and policy interventions for HIV-positive Black women who may experience IPV during the perinatal period.
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