尼日利亚感染艾滋病毒和面临艾滋病毒风险的妇女和女孩对COVID-19疫苗的犹豫与遭受暴力之间的关系

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ajar-African Journal of Aids Research Pub Date : 2022-12-01 DOI:10.2989/16085906.2022.2118615
Morenike Oluwatoyin Folayan, Olujide Arije, Amaka Enemo, Aaron Sunday, Amira Muhammad, Hasiya Yunusa Nyako, Rilwan Mohammed Abdullah, Henry Okiwu, Erik Lamontagne
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引用次数: 0

摘要

目的:在2019冠状病毒病期间,感染艾滋病毒(WGL&RHIV)的妇女和女童遭受性别暴力(GBV)的风险增加。该研究旨在评估尼日利亚这些弱势妇女和女孩中疫苗犹豫与性别暴力、艾滋病毒状况和心理困扰之间的关系。方法:本横断面研究收集了2021年6月至10月期间尼日利亚10个州的WGL&RHIV数据。因变量为疫苗犹豫。自变量是在COVID-19大流行期间遭受身体、性、经济和情感上的性别暴力、艾滋病毒状况和心理困扰的经历。我们进行了多变量logistic回归分析,以检验疫苗犹豫与自变量和协变量之间的关系。结果:在3 431名参与者中,有1 015人(22.8%)不愿意接种COVID-19疫苗。不知道或不愿意透露艾滋病毒状况(aOR 1.40)以及有轻度(aOR 1.36)和中度(aOR 1.38)焦虑和抑郁症状与疫苗犹豫的几率较高显著相关。作为亲密伴侣身体暴力(aOR 5.76)、非亲密伴侣性暴力(aOR 3.41)以及情感虐待(aOR 1.55)的幸存者,疫苗犹豫的几率分别高出5倍、3倍和1.5倍以上。一个积极的结果是,艾滋病毒阳性的妇女和女孩似乎更有可能获得COVID-19疫苗。结论:性暴力和基于性别的暴力、低社会经济地位、心理困扰和未知的艾滋病毒感染状况是尼日利亚弱势妇女和女孩对COVID-19疫苗犹豫不决的重要决定因素。国家当局和民间社会组织需要通过更加女权主义的方法,更好地将COVID-19缓解活动与艾滋病毒和基于性别的暴力干预措施结合起来,促进性别平等,增强各种妇女和女孩的权能,以更好地获得卫生服务。
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Associations between COVID-19 vaccine hesitancy and the experience of violence among women and girls living with and at risk of HIV in Nigeria.

Aim: Women and girls living with and at high risk of HIV (WGL&RHIV) had an increased risk for gender-based violence (GBV) during COVID-19. The study aimed to assess the associations between vaccine hesitancy and GBV, HIV status and psychological distress among these vulnerable women and girls in Nigeria.Methods: This cross-sectional study collected data from WGL&RHIV in 10 states in Nigeria between June and October 2021. The dependent variable was vaccine hesitancy. The independent variables were the experience of physical, sexual, economic and emotional GBV, HIV status and psychological distress during the COVID-19 pandemic. We conducted a multivariable logistics regression analysis to test the associations between vaccine hesitancy and the independent variables and covariates.Results: Among the 3 431 participants, 1 015 (22.8%) were not willing to be vaccinated against COVID-19. Not knowing or willing to disclose HIV status (aOR 1.40) and having mild (aOR 1.36) and moderate (aOR 1.38) symptoms of anxiety and depression were significantly associated with higher odds of vaccine hesitancy. Being a survivor of intimate partner physical violence (aOR 5.76), non-intimate partner sexual violence (aOR 3.41), as well as emotional abuse (aOR 1.55) were significantly associated with respectively more than five, three and one and half times higher odds of vaccine hesitancy. One positive outcome is that HIV-positive women and girls appeared to be more likely to get the COVID-19 vaccine when available.Conclusions: Sexual and gender-based violence, low socio-economic status, psychological distress and an unknown HIV status are essential determinants of COVID-19 vaccine hesitancy among vulnerable women and girls in Nigeria. National authorities and civil society organisations need to better integrate COVID-19 mitigation activities with HIV and gender-based violence interventions through a more feminist approach that promotes gender equality and the empowerment of women and girls in all their diversity for better access to health services.

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来源期刊
Ajar-African Journal of Aids Research
Ajar-African Journal of Aids Research 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.80
自引率
8.30%
发文量
38
审稿时长
>12 weeks
期刊介绍: African Journal of AIDS Research (AJAR) is a peer-reviewed research journal publishing papers that make an original contribution to the understanding of social dimensions of HIV/AIDS in African contexts. AJAR includes articles from, amongst others, the disciplines of sociology, demography, epidemiology, social geography, economics, psychology, anthropology, philosophy, health communication, media, cultural studies, public health, education, nursing science and social work. Papers relating to impact, care, prevention and social planning, as well as articles covering social theory and the history and politics of HIV/AIDS, will be considered for publication.
期刊最新文献
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