Barcelona 2013
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| Abstract #180 - E-Posters English | ||||
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Session: 50.: E-Posters English (Poster) on Sunday in Chaired by Authors: Presenting Author: Mrs Itzel Loya-montiel - HIV Unit-Center for health studies-Universidad del Valle de Guatemala, Guatemala |
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| Additional Authors: Dr. Jordi Casabona, Sra Cristina Sanclemente, Dra. Anna Esteve, Dra. Victoria Gonzalez, Grupo HIVITS TS, | ||||
| Aim: Sexual violence has been and is still a problem among people with HIV/AIDS (PHIV) it is associated with stigma, discrimination and gender inequity. We investigated sexual violence and discrimination against PHIV in Belize using the Belize Behavioral Surveillance Survey (BSS) of HIV/STI targeting most-at-risk-populations in 2012. | ||||
| Method / Issue: Participants were selected based on a convenience sampling of active PHIV, from the Karl Heusner Memorial Hospital in Belize City and VCT clinics in the Cayo, Stann Creek and Orange Walk districts. Data collection consisted of a behavioral survey questionnaire administered through audio computer-assisted self-interview (ACASI) and a computer-assisted personal interview. The study was approved by the ethical committees and local authorities including the consent forms. Participation was voluntary and anonymous. Crude proportions for categorical variables and median for continuous variables were calculated. Bivariate analysis was performed by sex, using STATA version 11.0. | ||||
| Results / Comments: A total of 252 PLHIV were enrolled (57% female). Median age median was 36 years old (IQR 29.5-48). Males were older than females (median age: 45 yo and 34 yo, respectively, p<0.001). Approximately 70% of women with HIV had an income lower than the minimum wage (US$350), in contrast with men 30.2% (p<0.001). Forced sexual intercourse in lifetime was reported by 17.24% (95% CI: 12.61-22.72), being more frequently in women (13.08% men, 31.72% women, p=0.001). Forced sexual intercourse in the last 12 months was reported by 2.78% (95% CI: 1.12-5.63), also more frequently in women (0% men, 4.83% women, p=0.02). Discrimination or mistreatment was reported by 21.38% (95% CI: 15.01-28.95), no statistically significant difference by sex was observed. Verbal abuse was the most frequent form of abuse (76.09%) and the usual offenders were family or friend (43.48%). An 11.03% (95% CI: 6.44-17.30) reported being mistreated by a health service provider or institution, with no statistically significance difference by sex. | ||||
| Discussion: As reported in other BSS studies in Central America, women with HIV had lower monthly income and reported experiencing more sexual abuse than men with HIV in Belize. The mistreatment in health services observed, suggesting a need for sensitization programs for health providers. These findings are the first to describe sexual violence and discrimination in people with HIV in Belize. | ||||
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