RESEARCH PAPER
Violence among women living with HIV in Iran: prevalence and related risk factors
 
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1
Allameh Tabataba'i University, Tehran, Iran
 
2
Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
 
3
University of Lethbridge, Canada
 
4
Bergen Addiction Research, Department of Addiction Medicine, Haukland University Hospital, Bergen, Norway
 
5
School of Medicine, Azad University of Medical Sciences, Tehran, Iran
 
 
Submission date: 2021-11-12
 
 
Final revision date: 2022-03-13
 
 
Acceptance date: 2022-03-13
 
 
Publication date: 2023-12-08
 
 
HIV & AIDS Review 2023;22(4):337-342
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Because of socio-cultural factors, such as violence perpetrated by intimate partners, women continue to be disproportionately affected by the human immunodeficiency virus (HIV)/ acquired immune deficiency syndrome (AIDS) epidemic. Intimate partner violence has an impact on participation in treatment of HIV-positive women. The aim of this study was to estimate the prevalence of lifetime violence among Iranian women living with HIV, and to identify possible risk factors.

Material and methods:
The study was conducted among 135 HIV-positive women referring to the Counseling Center for Behavioral Diseases of Imam Khomeini Hospital in Tehran. In this study, a researcher-made questionnaire was used for collecting data through face-to-face interviews. The questionnaire included questions related to basic socio-demographic, sexual practices, stigma/ discrimination, and domestic violence.

Results:
Of the 135 interviewees, 91.5% had never experienced mental violence, and 84.4% had never experienced social violence, while 97.8% suffered from violence in their marriages. In our study, women's unemployment, low socio-economic status, and patriarchal dominance in families were the main predictors of intimate partner violence (IPV). We found a negative relationship between marital satisfaction and domestic violence. It was revealed that IPV also affects couples’ ability to issues related to their sexual life, including negotiating condom use and monogamy.

Conclusions:
A high proportion of HIV-positive women in Iran reported an experience of IPV in their lives. IPV was associated with situations involving a woman having an intimate relationship with her male partner. Due to its’ high prevalence, we recommend increasing knowledge about IPV among HIV healthcare providers and universal screening.

 
REFERENCES (31)
1.
UNAIDS. UNAIDS data 2021. Available at: https://www.unaids.org/en/reso... (Accessed: 12.11.2021).
 
2.
World Health Organization. Violence against women prevalence estimates, 2018: global, regional and national prevalence estimates for intimate partner violence against women and global and regional prevalence estimates for non-partner sexual violence against women. Available at: https://www.who.int/publicatio... (Accessed: 12.11.2021).
 
3.
Jewkes RK, Dunkle K, Nduna M, Shai N. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study. Lancet 2010; 376: 41-48.
 
4.
Li Y, Marshall CM, Rees HC, Nunez A, Ezeanolue EE, Ehiri JE. Intimate partner violence and HIV infection among women: a systematic review and meta-analysis. J Int AIDS Soc 2014; 17: 18845. DOI: 10.7448/IAS.17.1.18845.
 
5.
Davis KC, Neilson EC, Wegner R, Danube CL. The intersection of men’s sexual violence perpetration and sexual risk behavior: a literature review. Aggress Violent Behav 2018; 40: 83-90.
 
6.
Orza L, Bewley S, Chung C, et al. “Violence. Enough already”: findings from a global participatory survey among women living with HIV. J Int AIDS Soc 2015; 18 (Suppl 5): 20285. DOI: 10.7448/IAS.18.6.20285.
 
7.
Osinde MO, Kaye DK, Kakaire O. Intimate partner violence among women with HIV infection in rural Uganda: critical implications for policy and practice. BMC Womens Health 2011; 11: 50. doi: 10.1186/1472-6874-11-50.
 
8.
Ezeanochie MC, Olagbuji BN, Ande AB, Kubeyinje WE, Okonofua FE. Prevalence and correlates of intimate partner violence against HIV-seropositive pregnant women in a Nigerian population. Acta Obstet Gynecol Scand 2011; 90: 535-539.
 
9.
Hatcher AM, Smout EM, Turan JM, Christofides N, Stöckl H. Intimate partner violence and engagement in HIV care and treatment among women: a systematic review and meta-analysis. AIDS 2015; 29: 2183-2194.
 
10.
UNAIDS. Country factsheets: Islamic Republic of Iran. Available at: https://www.unaids.org/en/regi... (Accessed: 12.11.2021).
 
11.
Adineh HA, Almasi Z, Rad ME, Zareban I, Moghaddam AA. Prevalence of domestic violence against women in Iran: a systematic review. Epidemiology (Sunnyvale) 2016; 6: 276. DOI: 10.4172/2161-1165.1000276.
 
12.
Saffari M, Arslan SA, Yekaninejad MS, Pakpour AH, Zaben FA, Koenig HG. Factors associated with domestic violence against women in Iran: an exploratory multicenter community-based study. J Interpers Violence 2017: 886260517713224. DOI: 10.1177/0886260517713224.
 
13.
SeyedAlinaghi S, Paydary K, Afsar Kazerooni P, et al. Evaluation of stigma index among people living with HIV/AIDS (PLWHA) in six cities in Iran. Thrita 2013; 2: 69-75.
 
14.
Faramarzi M, Esmailzadeh S, Mosavi S. Prevalence and determinants of intimate partner violence in Babol City, Islamic Republic of Iran. East Mediterr Health 2005; 11: 870-879.
 
15.
Jiwatram-Negrón T, El-Bassel N, Primbetova S, Terlikbayeva A. Gender-based violence among HIV-positive women in Kazakhstan: prevalence, types, and associated risk and protective factors. Violence Against Women 2018; 24: 1570-1590.
 
16.
van der Straten A, King R, Grinstead O, Vittinghoff E, Serufilira A, Allen S. Sexual coercion, physical violence, and HIV infection among women in steady relationships in Kigali, Rwanda. AIDS Behav 1998; 2: 61-73.
 
17.
Abramsky T, Watts CH, Garcia-Moreno C, et al. What factors are associated with recent intimate partner violence? Findings from the WHO multi-country study on women’s health and domestic violence. BMC Public Health 2011; 11: 109. DOI: 10.1186/1471-2458-11-109.
 
18.
Bates LM, Schuler SR, Islam F, Islam MK. Socioeconomic factors and processes associated with domestic violence in rural Bangladesh. Int Fam Plan Perspect 2004; 30: 190-199.
 
19.
Hoffman KL, Demo DH, Edwards JN. Physical wife abuse in a non-Western society: an integrated theoretical approach. Journal of Marriage and the Family 1994; 56: 131-146.
 
20.
Rahmati-Najarkolaei F, Niknami S, Aminshokravi F, et al. Experiences of stigma in healthcare settings among adults living with HIV in the Islamic Republic of Iran. J Int AIDS Soc 2010; 13: 27. DOI: 10.1186/1758-2652-13-27.
 
21.
Nasseh Lotf Abadi M, Ghazinour M, Nojomi M, Richter J. The buffering effect of social support between domestic violence and self-esteem in pregnant women in Tehran, Iran. Journal of Family Violence 2012; 27: 225-231.
 
22.
Hajikhani Golchin NA, Hamzehgardeshi Z, Hamzehgardeshi L, Shirzad Ahoodashti M. Sociodemographic characteristics of pregnant women exposed to domestic violence during pregnancy in an Iranian setting. Iran Red Crescent Med J 2014; 16: e11989. DOI: 10.5812/ircmj.11989.
 
23.
Emusu D, Ivankova N, Jolly P, et al. Experience of sexual violence among women in HIV discordant unions after voluntary HIV counselling and testing: a qualitative critical incident study in Uganda. AIDS Care 2009; 21: 1363-1370.
 
24.
Ceccon RF, Meneghel SN, Hirakata VN. Women with HIV: gender violence and suicidal ideation. Rev Saude Publica 2014; 48: 758-765.
 
25.
Khalili H, Rohani R, Seyedalinaghi S, Hajiabdolbaghi M, Dashti-Khavidaki S, Talasaz AH. Adherence to antiretroviral therapy among Iranian HIV/AIDS patients. Curr Clin Pharmacol 2012; 7: 111-115.
 
26.
Emamzadeh-Fard S, Fard SE, SeyedAlinaghi S, Paydary K. Adherence to anti-retroviral therapy and its determinants in HIV/AIDS patients: a review. Infect Disord Drug Targets 2012; 12: 346-356.
 
27.
SeyedAlinaghi S, Afsahi AM, Moradi A, et al. Current ART, determinants for virologic failure and implications for HIV drug resistance: an umbrella review. AIDS Res Ther 2023; 20: 74. doi: 10.1186/s12981-023-00572-6.
 
28.
Paydary K, Mahin Torabi S, SeyedAlinaghi S, Noori M, Noroozi A, Ameri S, Ekhtiari H. Impulsivity, sensation seeking, and risk-taking behaviors among HIV-positive and HIV-negative heroin dependent persons. AIDS Res Treat 2016; 2016: 5323256. doi: 10.1155/2016/5323256.
 
29.
Harifi S, SeyedAlinaghi S, Qorbani M, Mahmoodi Z. The relationship between social roles and psychosocial adjustment in women with HIV: a structural equation model. Brain Behav 2021; 11: e01943. doi: 10.1002/brb3.1943.
 
30.
Moradi G, Mohraz M, Gouya MM, et al. Health needs of people living with HIV/AIDS: from the perspective of policy makers, physicians and consultants, and people living with HIV/AIDS. Iran J Public Health 2014; 43: 1424-1435.
 
31.
Dejman M, Ardakani HM, Malekafzali B, et al. Psychological, social, and familial problems of people living with HIV/AIDS in Iran: a qualitative study. Int J Prev Med 2015; 6: 126. doi: 10.4103/2008-7802.172540.
 
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