ABSTRACT

This mixed-methods, exploratory study examined why women living with HIV (WLHIV) stay in intimate partner violence (IPV) relationships and what helps end IPV in their lives. WLHIV (n = 108) who experienced IPV and were patients at two HIV primary care clinics in San Francisco completed quantitative surveys; 15 participants also completed a qualitative interview. Qualitative data showed HIV stigma was the most cited reason for staying in an IPV relationship, followed by substance use, and then by themes of attachment insecurity. Quantitative data indicated that most participants accessed HIV services and rated them as more helpful than other community resources to end IPV in their lives. Enduring attachment relationships with HIV medical and social service providers and their attachment-enhancing actions and attributes were critical to participants addressing IPV and coping with HIV stigma. This study highlights the important role that HIV providers and clinics can play in addressing IPV among WLHIV.

摘要

这项混合方法的探索性研究调查了为什么感染 HIV 的女性 (WLHIV) 会保持亲密伴侣暴力 (IPV) 关系，以及哪些因素有助于结束她们生活中的 IPV。WLHIV (n = 108) 经历过 IPV 并且是旧金山两家 HIV 初级保健诊所的患者，他们完成了定量调查；15 名参与者还完成了定性访谈。定性数据显示，艾滋病毒耻辱是保持 IPV 关系的最常被引用的原因，其次是物质使用，然后是依恋不安全的主题。定量数据表明，大多数参与者获得了艾滋病毒服务，并认为这些服务比其他社区资源更有助于结束他们生活中的 IPV。与 HIV 医疗和社会服务提供者的持久依恋关系及其增强依恋行为和属性对于解决 IPV 和应对 HIV 耻辱感的参与者至关重要。这项研究强调了 HIV 提供者和诊所在解决 WLHIV 中的 IPV 方面可以发挥的重要作用。