应对亲密伴侣暴力和艾滋病毒的干预方法:最近研究的范围综述。

IF 3.7 2区 医学 Q2 INFECTIOUS DISEASES Current HIV/AIDS Reports Pub Date : 2023-10-01 Epub Date: 2023-09-28 DOI:10.1007/s11904-023-00668-8
Kamila A Alexander, Gloria Mpundu, Brenice Duroseau, Nkemakolem Osian, Shadae Chambers, DaJaneil McCree, Karin E Tobin, Tiara C Willie
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引用次数: 0

摘要

审查目的:亲密伴侣暴力仍然是全球艾滋病毒预防和治疗工作面临的重大挑战。我们研究了最近发表的(2017年1月9日至2023年1月09日)综合行为干预措施,旨在解决整个护理过程中的IPV和HIV问题。最近的发现:15项研究(涉及10947名参与者)符合本综述的纳入标准。大多数(n=13)研究侧重于IPV和艾滋病毒预防,而两项研究涉及艾滋病毒感染妇女的IPV和艾滋病护理参与。代表5个国家在非洲大陆进行了10项研究。大多数干预措施(n=11)侧重于顺性别女性的个人层面结果,尽管有两项涉及男性伴侣。与对照组相比,大约一半的受访干预措施(n=8)对IPV和HIV结果均显示出有效性。需要采取综合的艾滋病毒/IPV干预措施,以解决这些流行病在边缘化人群中的协同作用。未来的研究应侧重于在美国的艾滋病毒感染者、男性、跨性别者和黑人女性中制定和实施基于力量的干预措施。此外,研究人员和项目经理应该考虑解决结构性和内化的污名,将其作为改善同时经历或面临艾滋病毒和IPV风险的人群健康的潜在行为机制。
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Intervention Approaches to Address Intimate Partner Violence and HIV: a Scoping Review of Recent Research.

Purpose of review: Intimate partner violence (IPV) remains a critical challenge to HIV prevention and treatment efforts across the globe. We examined recently published (January 9, 2017-January 9, 2023) integrated behavioral interventions designed to address IPV and HIV across the care continuum.

Recent findings: Fifteen studies (involving n = 10,947 participants) met the inclusion criteria for this review. Majority (n = 13) of studies focused on IPV and HIV prevention whereas two studies addressed IPV and HIV care engagement among women living with HIV. Ten studies were conducted on the African continent representing 5 countries. Most interventions (n = 11) focused on individual-level outcomes among cisgender women although two involved male partners. About half of the interventions reviewed (n = 8) showed effectiveness on both IPV and HIV outcomes compared to control groups. Integrated HIV/IPV interventions are needed to address the synergistic nature of these epidemics among marginalized populations. Future studies should focus on developing and implementing strength-based interventions among people living with HIV, men, transgender people, and Black women in the USA. Additionally, researchers and program managers should consider addressing structural and internalized stigma as potential behavioral mechanisms for improving health among people simultaneously experiencing or at-risk for HIV and IPV.

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来源期刊
Current HIV/AIDS Reports
Current HIV/AIDS Reports INFECTIOUS DISEASES-
CiteScore
8.10
自引率
2.20%
发文量
45
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of HIV/AIDS. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antiretroviral therapies, behavioral aspects of management, and metabolic complications and comorbidity. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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