Abstract
Background: Sexual violence (SV) against women is one of the most important issues in women's health. We aimed to investigate the related variable for SV against women with HIV spouse and its relationship with mental problems in them. Study design: A cross-sectional study. Methods: This study was performed on 143 women referred to Hamadan and Malayer Risky Behavior Related Disease Clinic (Triangular Clinic), located in Comprehensive Health Service centers, Iran in 2019. SV and mental problems were assessed using standard questionnaires, based on interview. All analyses performed using SPSS. The significance level of all analyses was considered 0.05. Results: Totally, 407 HIV+ patients were diagnosed from 1998 to 2018, in Hamadan and Malayer cities. We assessed the wives of survivors who allowed about SV. Mean of SV in women with HIV positive spouse was significantly higher than control group (P=0.004). Among all variables, unsafe sex, extramarital relationship, smoking, alcohol, multi-partner and suicide were significantly related to SV; but age, living area, educational status, income and job in both men and women had not statically significant relationship with SV. Conclusion: SV besides its complications and mental problems in women with HIV positive spouses must be considered in interventional programs in order to improve sexual rights in this vulnerable group in the future.
Highlights
Almost one in four women in the world experiences violence from an intimate partner in their lifetime
Mean of Sexual violence (SV) in women with HIV positive spouse was significantly higher than control group (P=0.004)
SV besides its complications and mental problems in women with HIV positive spouses must be considered in interventional programs in order to improve sexual rights in this vulnerable group in the future
Summary
Almost one in four women in the world experiences violence from an intimate partner in their lifetime. IPV is an important global health issue. IPV is ranked fifth in disability-adjusted life years (DALYs) in women in 2010 1 included in various forms covering sexual 2. A significant and complicated relationship exists between sexual violence and HIV infection and some biologic and behavioral mechanisms of sexual violence have been explained for its effects on women's health. HIV is a significant health issue in Iran. Until 2010, the principal form of transmission was injectable, but in the last ten years, sexually transmitted HIV has become the most common form of HIV Acquiring and the percentage of women living with HIV increased by about 30% from 2001 to 20135. Sexual violence (SV) against women is one of the most important issues in women's health. We aimed to investigate the related variable for SV against women with HIV spouse and its relationship with mental problems in them
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