Intimate Partner Violence, Depression, and Quality of Life among Women Living with HIV/AIDS in a Coastal City of South India

Background: Intimate partner violence (IPV) is a severe form of abuse prevalent in urban and rural areas of India with its effects on mental and physical health of the person receiving it, leading to a poorer quality of life. Methods: A cross-sectional study was conducted among 99 women living with HIV, and information was collected using abuse assessment scale. The data were entered and analyzed using SPSS version 17.0. Results: The IPV was reported by 19.2% of the respondents, of which psychological (14.1%) was most common followed by physical (4.1%) and sexual abuse (1.0%). The experience of IPV was significantly associated with socioeconomic status, number of children, marital status, and CD4 counts of the participants. Conclusion: The prevalence of IPV in our study was found to be less compared to previous studies, however, there were significant association among factors such as socioeconomic status, CD4 counts, and marital status of the participants.

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Inter-related Factors Influencing Sexual Quality of Life among Women Living with HIV in Banten Province, Indonesia: A Mixed Methods Study

Kesmas National Public Health Journal ◽

10.21109/kesmas.v16i2.4862 ◽

2021 ◽

Vol 16 (2) ◽

Author(s):

Dyah Juliastuti ◽

Judith Dean ◽

Yati Afiyanti ◽

Lisa Fitzgerald

Keyword(s):

Quality Of Life ◽

Partner Violence ◽

Intimate Partner ◽

Sexual Life ◽

Sexual Rights ◽

Sexual Quality Of Life ◽

Women Living With Hiv ◽

Factors Influencing ◽

Living With Hiv

The sexual rights and well-being of women living with HIV (WLHIV) in developing countries are often restricted by socio-cultural concerns. Therefore, this convergent parallel mixed methods research combined quantitative and qualitative approaches to explore the factors influencing WLHIV sexual quality of life in Banten Province, Indonesia. Data from a 2017 cross-sectional survey of 207 reproductive-aged WLHIV were analyzed using univariate and multivariate logistic regression statistics. Furthermore, in-depth interviews with a sub-sample of survey participants (n = 30) were thematically analyzed. Most of the women (60%) involved reported loss of sexual pleasure and depressed sexual life. Meanwhile, 48% affirmed low sexual quality of life which was associated with unemployment (aOR: 2.90, and 95% CI: 1.51 – 5.58), limited sexual activities (aOR: 2.89, and 95% CI: 1.20 – 6.93), living with extended family (aOR: 2.68, and 95% CI: 1.27 –5.65), and experiencing intimate partner violence (aOR: 2.28, and 95% CI: 1.03 – 5.03). The respondents described unsatisfactory sexual life in relation to a belief that having sex is a wife's duty and choosing not to talk about sexual issues or refuse sexual invitation in fear of triggering intimate partner violence. Inter-related personal, social, cultural, and religious factors affected the sufferers’ sexual life. Developing health policy and strategies oriented towards building women’s capability to voice their sexual rights and needs, and also develop pro-women public health policies is essential.

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The Implications of Intimate Partner Violence on Health-Related Quality of Life Among Adults Living With HIV Who Experienced Childhood Sexual Abuse

Journal of the Association of Nurses in AIDS Care ◽

10.1016/j.jana.2017.09.002 ◽

2018 ◽

Vol 29 (2) ◽

pp. 317-322 ◽

Cited By ~ 1

Author(s):

Tiara C. Willie ◽

Trace Kershaw ◽

Jhumka Gupta ◽

Nathan Hansen

Keyword(s):

Quality Of Life ◽

Sexual Abuse ◽

Intimate Partner Violence ◽

Partner Violence ◽

Intimate Partner ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Living With Hiv

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Association of Syndemic Conditions and Quality of Life among People Living with HIV/AIDS

10.21203/rs.3.rs-261395/v1 ◽

2021 ◽

Author(s):

Mariana Oliveira Gomes ◽

Rodolfo Castro ◽

Jurema Corrêa Mota ◽

Raquel B. De Boni

Keyword(s):

Quality Of Life ◽

Intimate Partner Violence ◽

Binge Drinking ◽

Partner Violence ◽

Intimate Partner ◽

World Health ◽

People Living With Hiv ◽

Living With Hiv ◽

Hiv Aids

Abstract Background The syndemics theory seeks to understand the effect of multiple synergic problems in promoting poor health outcomes. To disentangle which and how syndemic conditions affect quality of life (QoL) may be important to improve well-being of people living with HIV/AIDS (PLWHA). This study evaluates the association between syndemic conditions and quality of life among people living with HIV/AIDS. METHODS This was a secondary analysis from data obtained between 2014 and 2017 among PLWHA under care in Rio de Janeiro, Brazil. The outcomes were the six QoL domains (physical, psychological, level of independence, social relationships, environmental, and spirituality) measured through the World Health Organization Quality of Life in HIV infection scale, abbreviated version (WHOQOL-HIV-BREF). The independent variables were demographic and clinical characteristics, syndemic conditions (binge drinking, compulsive sexual behavior, polysubstance use, intimate partner violence, and depression), and syndemics (two or more syndemic conditions simultaneously). Bivariate analysis (t-test and ANOVA) and linear regressions were performed for each quality-of-life domain. RESULTS The analytical sample comprised 1530 participants, mostly male at birth (64%) and with median age of 43 years. The syndemic conditions most frequently observed were binge drinking (56%), IPV (13%), and depression (9%). Both individual syndemic conditions and syndemics were associated with worse QoL. In the multivariate analysis, positive screening for depression was associated with worse QoL in all domains. Polysubstance users presented worse QoL at social and environmental domains. Intimate partner violence was associated with worse QoL at environment domain while binge drinking was associated with worse scores in the physical domain. The presence of syndemics increased the likelihood of worse scores in the psychological, social, and environment domains. CONCLUSIONS Our study expands the understanding of QoL in PLWHA, as it considers a holistic/integral, multifactorial, and synergistic approach to the determinants of QoL. Seeking strategies that target syndemics may be important to improve patient-centered outcomes in health.

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Intimate partner violence and psychological well-being: Examining the effect of economic abuse on women’s quality of life.

Psychology of Violence ◽

10.1037/vio0000174 ◽

2019 ◽

Vol 9 (5) ◽

pp. 517-525 ◽

Cited By ~ 4

Author(s):

Adrienne E. Adams ◽

Marisa L. Beeble

Keyword(s):

Quality Of Life ◽

Intimate Partner Violence ◽

Partner Violence ◽

Well Being ◽

Intimate Partner ◽

Psychological Well Being ◽

Economic Abuse

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Quality of life and risk of feminicide in women victims of intimate partner violence in Campinas

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.1115 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

M Caicedo Roa ◽

L Gabrielle Dalaqua ◽

P Filizola ◽

R Cordeiro

Keyword(s):

Quality Of Life ◽

Domestic Violence ◽

Intimate Partner Violence ◽

High Risk ◽

Women Victims ◽

Partner Violence ◽

Public Health Problem ◽

Intimate Partner ◽

Increased Risk

Abstract Introduction Violence against women is a public health problem with severe consequences. Most women in situations of domestic violence are emotionally involved and/or economically dependent of their intimate partners contributing to the perpetuation and acceptance of violence. Objectives 1) To characterize the women who join the Reference and Support Center for Women (Ceamo) in Campinas, Southeast Brazil. 2) To measure the quality of life in women victims of intimate partner violence 3) To determine the risk of feminicide. Methods The Ceamo is a public specialized service from the mayor of Campinas, it provides psychological, social and legal guidance to women in situations of gender violence. Inclusion criteria: Women attending Ceamo services, speaking Portuguese, age ≥18 years old and having experienced intimate partner violence. Measure instruments: Danger assessment Scale and WHOQOL-BREF. Results During the 11 months of the study, 78 new users were recruited. Average age 38.3 years old, mostly married/stable union, most of them with children (88%). 64% of women do not work and 36% live with the abusive partner. Prevalent types of violence suffered during by the victims in the last year were psychological n = 76, physical n = 62, moral n = 54 and sexual n = 23. The domain most affected in the assessment of quality of life was the environment (average 42% /100%) and psychological domain (42%/100%). 49% of women were classified with increased risk, 22% with severe risk and 1% with extreme risk of femicide. The questions with the most positive answers were those related to believing that the partner can kill her (77%), jealous of the partner (76%) and controlling behavior (73%), being followed/spied by the partner (67%) and threat death (65%). Conclusions The service in general receive very vulnerable women with low perception of their own quality of life, precarious material conditions and high risk of femicide. Key messages The women in domestic violence situation attended by the Ceamo service are at high risk of femicide. Service users have very low perception of their quality of life and poor social conditions.

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What Works to Reduce Victimization? Synthesizing What We Know and Where to Go From Here

Violence and Victims ◽

10.1891/0886-6708.vv-d-14-00146 ◽

2016 ◽

Vol 31 (2) ◽

pp. 285-319 ◽

Cited By ~ 4

Author(s):

Kathleen A. Fox ◽

John A. Shjarback

Keyword(s):

Quality Of Life ◽

Sexual Abuse ◽

Intimate Partner Violence ◽

Partner Violence ◽

Intimate Partner ◽

Evidence Based ◽

Program Evaluations ◽

What Works ◽

Future Program

While some attention has been paid to “what works” to reduce crime, little is known about the effectiveness of programs designed to reduce victimization. This study systematically reviews 83 program evaluations to identify what works to (a) reduce victimization, (b) enhance beliefs/attitudes about victims, and (c) improve knowledge/awareness of victimization issues. Evidence-based findings are organized around 4 major forms of victimization, including bullying, intimate partner violence, sexual abuse, and other general forms of victimization. Determining whether certain types of programs can reduce the risk of victimization has important implications for improving people’s quality of life. Based on our findings, we offer several promising directions for the next generation of research on evaluating victimization programs. The goal of this study is to improve the strength of future program evaluations, replications, and other systematic reviews as researchers and practitioners continue to learn what works to reduce victimization.

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A Qualitative Study With Women Living With HIV on Perceived Gender Norms and Experiences of Intimate Partner Violence in Northern Vietnam

Journal of Interpersonal Violence ◽

10.1177/0886260517724834 ◽

2017 ◽

Vol 35 (23-24) ◽

pp. 5905-5925 ◽

Cited By ~ 2

Author(s):

Rebecca B. Hershow ◽

Madhura Bhadra ◽

Nguyen Vu Tuyet Mai ◽

Teerada Sripaipan ◽

Tran Viet Ha ◽

...

Keyword(s):

Intimate Partner Violence ◽

Marital Conflict ◽

Partner Violence ◽

Help Seeking ◽

Gender Norms ◽

Intimate Partner ◽

Northern Vietnam ◽

Women Living With Hiv ◽

High Urgency ◽

Living With Hiv

Although the prevalence of intimate partner violence (IPV) in Southeast Asia is one of the highest in the world, IPV remains understudied in the region, especially among women living with HIV (WLWH). This study aims to understand how gender and violence norms influence how WLWH interpret and prioritize violence as a health issue. We also explore whether HIV disclosure was seen as a trigger for IPV. We conducted in-depth interviews with 20 WLWH (median age = 35.5 years; range = 28-54 years) in northern Vietnam. Participants were recruited from an outpatient antiretroviral treatment (ART) clinic. Semi-structured interviews were transcribed, translated, and analyzed to identify themes using a gender-focused theoretical framework. Twelve participants reported experiencing IPV by their current or former husbands, most of which occurred before their HIV diagnoses. Only one participant felt her HIV status was a factor for the IPV she experienced; the remaining participants did not explicitly link IPV and HIV. None expressed fear or experience of IPV after disclosing to their husbands. When asked about a woman’s role in society, the majority spoke about the responsibility to build family harmony by doing housework, raising children, making a steady income, and being faithful to her husband. Participants viewed marital conflict as the woman’s problem to avoid by acting docile or to resolve peacefully by bearing violence quietly. Almost all reported contracting HIV from their husbands. Regardless of whether their children were infected ( n = 8) or not ( n = 10), participants spoke about being compelled to initiate and adhere to ART to care for their children emotionally and financially. In the context of Vietnamese gender norms, participants expressed low urgency for help-seeking after experiencing IPV and high urgency for help-seeking after being diagnosed with HIV. Multilevel interventions are needed to shift social norms around acceptability of IPV.

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Association between Intimate Partner Violence with Quality of Life

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/46088.14426 ◽

2021 ◽

Author(s):

NV Roopesh Gopal ◽

SV Sathish Kumar ◽

Kiran S Bhat

Keyword(s):

Quality Of Life ◽

Intimate Partner Violence ◽

Partner Violence ◽

Intimate Partner ◽

World Health ◽

Categorical Variables ◽

Early Interventions ◽

Continuous Variables ◽

Cross Sectional

Introduction: An intimate relationship is an interpersonal relationship that involves physical or emotional intimacy. Those who are in such a relationship may experience violence from partners which may affect their day-to-day quality of life and thus cause a burden on the family. Aim: To assess the relationship between Intimate Partner Violence (IPV) with Quality of life and to provide early interventions. Materials and Methods: Hospital-based, cross-sectional study was conducted at the Department of Psychiatry, Kodagu Institute of Medical Sciences (KoIMS) teaching hospital Madikeri, Karnataka. The subjects were recruited by purposive sampling method. A total of 5810 consecutive subjects who visited the psychiatry OPD from March 2017 to June 2019 were assessed and among them, 82 subjects both men and women in the age group of 18 to 60 years were recruited. All of them reported IPV on the Hurt, Insulted, Threatened, and Screamed (HITS) scale and were further assessed for Quality of life using the World Health Organisation Quality of Life BREF (WHOQOL-BREF) scale. Descriptive statistics were used for continuous variables. A Nonparametric Chi-square test was applied for categorical variables and Mann-Whitney U scores were used for quality of life variables. The correlation was done using Pearson’s correlation. Results: Mean age was 36.04 in years (SD±11.28) having a mean of 7.5 years of schooling (SD±4.5). The majority belonged to the rural background and lower socioeconomic status. Out of 82 subjects, 21 subjects reported IPV score less than 10 (25.60%) and among the rest of the 61 (74.39%) subjects, 80.32% were females and 19.67% were males who had IPV scores of more than 10. The study subjects reported poor and very poor scores in their overall quality of life and very dissatisfied and dissatisfied in their health domain. IPV also correlated with reduced quality of life, which was statistically significant. Conclusion: People that experience IPV has an overall reduced quality of life. Routine clinical assessment needs to be done to provide early interventions.

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