||Gordon-Boyle, K(aut); Figueroa, JP(aut).|
||Fear of violence increases risk behaviours of persons living with HIV (PLHIV) in Guyana|
||In: Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75].
(West Indian Medical Journal Supplement).
||OBJECTIVE: To assess if fear of violence among PLHIV in Guyana affects sexual risk behaviours. DESIGN AND METHODS: In 2011 a cross sectional survey was conducted of the sexual risk behaviours of 271 PLHIV enrolled in a Prevention with Positives (PwP) project promoting risk reduction behaviours at seven non-governmental organizations (NGOs). Quantitative data was analyzed using STATA. Seventeen PLHIV and partners were interviewed using a semi-structured guide. Transcripts were analyzed for themes and data triangulated to understand the prevalence of risk behaviours and the barriers to risk reduction among PLHIV. RESULTS: Domestic violence was experienced by 25.9% of enrollees. HIV positive women were more likely to have fears of violence (OR, 3.6; 95% CI 0.58, 5.48) and to be in a sexual relationship with an HIV negative partner (OR 4.1; 95% CI 0.5, 49.4) than males though these were not statistically significant when adjusted for disclosure and having sex for things. PLHIV who were not afraid of violence were more likely to disclose (P=0.03 Fisher exact). When controlling for gender, having sex for things, and HIV status of partner, PLHIV who were not afraid of violence were significantly more likely to use family planning (OR= 10.7: 95% CI 1.9, 61.4). HIV positive women experienced discrimination when seeking social services. CONCLUSIONS: Fear of violence was a barrier to disclosure and use of family planning. Gender differences in experiences of violence should be catered for and discrimination against PLHIV by staff at social services addressed.|
Assunção de Riscos
| Tipo de Publ:
||TT2.1 - Library|