Abstract
OBJECTIVE To analyze the relationship between gender violence and suicidal ideation in women with HIV.METHODS A cross-sectional study with 161 users of specialized HIV/AIDS care services. The study investigated the presence of gender violence through the Brazilian version of the World Health Organization Violence against Women instrument, and suicidal ideation through the Suicidal Ideation Questionnaire. Statistical analyses were performed with the SPSS software, using the Chi-square test and Poisson multiple regression model.RESULTS Eighty-two women with HIV reported suicidal ideation (50.0%), 78 (95.0%) of who had suffered gender violence. Age at first sexual intercourse < 15 years old, high number of children, poverty, living with HIV for long, and presence of violence were statistically associated with suicidal ideation. Women who suffered gender violence showed 5.7 times more risk of manifesting suicidal ideation.CONCLUSIONS Women with HIV showed a high prevalence to gender violence and suicidal ideation. Understanding the relationship between these two grievances may contribute to the comprehensive care of these women and implementation of actions to prevent violence and suicide.
Highlights
AIDS is a significant public health problem, which has increased among the female population in recent years
Women with HIV showed a high prevalence to gender violence and suicidal ideation
Since there are few reports in literature describing this outcome, the present study aimed to examine the relationship between gender violence and suicidal ideation in women with HIV
Summary
AIDS is a significant public health problem, which has increased among the female population in recent years. 76.0% cases are concentrated in Africa, there is a high prevalence in some Asian and Caribbean countries.[24] In Brazil, the epidemic has undergone a process of feminization and the male ratio decreased from 26 to 1.5 men for every woman in the last 10 years.[13]. Among factors associated with the feminization of AIDS is the biological and social vulnerability of women, resulting from an asymmetry of power between the sexes, determining women’s submission to men and the difficulty in practicing safe sex.[18]. A Brazilian study estimated that 72.0% of women with HIV suffer gender violence, 63.0% is psychological violence, 52.0% physical violence, and 28.0% sexual violence and that physical and sexual violence, which generally coexist, corresponds to 56.0% of cases.[2]
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