Abstract:

Globally, intimate partner violence (IPV) among women living with HIV is well researched in various settings, but little is known about IPV among men living with HIV. While most of the documented facts are from quantitative surveys, very little has been documented from qualitative studies on the subject. Hence, this study sought to explore the experiences of IPV among HIV-positive men living in Birnin Kudu, Jigawa State Nigeria. This study was carried out using an experiential qualitative research approach which collected data through a semi-structured interview that explored the IPV experiences of 23 HIV-positive men, who were all Hausa – Muslims. Their experience of IPV was explored regarding the types of violence, reasons, and consequences. The data were explored with reflexive thematic analysis. Common themes relating to reasons for victimization, the types of IPV experienced, and the consequences of IPV were generated. All the participants in this study had experienced psychological aggression; some had experienced physical assault, while one of the participants had experienced sexual coercion. The reasons for the victimization: include disclosure of HIV status, domestic issues, and suspicion about extra-marital affairs. The experience of IPV against men living with HIV is complex, with psychological aggression and physical assault occurring concurrently. It is of essence to address IPV among men living with HIV as this may lead to a poorer health outcomes.

References:

[1] World Health Organization. (2021). Addressing violence against women in health and multisectoral policies: A global status report. World Health Organization. https://apps.who.int/iris/handle/10665/350245.

[2] Straus, M. A., & Gelles, R. J. (1986). Societal change and change in family violence from 1975 to 1985 as revealed by two national surveys. Journal of Marriage and the Family, 48(3), 465 – 479.

[3] Dutton, D., Nicholls, T., & Spidel, A. (2005). Female Perpetrators of Intimate Abuse. Journal of Offender Rehabilitation, 41, 1–31. https://doi.org/10.1300/J076v41n04_01.

[4] Carney, M., Buttell, F., & Dutton, D. D. (2006). Women who perpetrate intimate partner violence: A review of the literature with recommendations for treatment.

[5] Walker, A., Lyall, K., Silva, D., Craigie, G., Mayshak, R., Costa, B., Hyder, S., & Bentley, A. (2020). Male victims of female-perpetrated intimate partner violence, help-seeking, and reporting behaviors: A qualitative study. Psychology of Men & Masculinities, 21(2), 213–223. https://doi.org/10.1037/men0000222.

[6] Garcia Moreno, c, & Lori, H. (2002). Understanding and Addressing Violence against Women. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/42495/9241545615_eng.pdf.

[7] Krug, E. G., Mercy, J. A., Dahlberg, L. L., & Zwi, A. B. (2002). The world report on violence and health. The Lancet, 360(9339), 1083–1088. https://doi.org/10.1016/S0140-6736(02)11133–0.

[8] Romans, S., Forte, T., Cohen, M. M., Du Mont, J., & Hyman, I. (2007). Who is most at risk for intimate partner violence? A Canadian population-based study. Journal of Interpersonal Violence, 22(12), 1495–1514.

https://doi.org/10.1177/0886260507306566.

[9] Hines, D. A., & Douglas, E. M. (2009). Women’s Use of Intimate Partner Violence against Men: Prevalence, Implications, and Consequences. Journal of Aggression, Maltreatment & Trauma, 18(6), 572–586.

https://doi.org/10.1080/10926770903103099.

[10] Adebayo, A. A. (2014). Domestic Violence against Men: Balancing the Gender Issues in Nigeria. American Journal of Sociological Research, 4(1), 14– 19.

[11] Caldwell, J. E., Swan, S. C., Allen, C. T., Sullivan, T. P., & Snow, D. L. (2009). Why I Hit Him: Women’s Reasons for Intimate Partner Violence. Journal of Aggression, Maltreatment & Trauma, 18(7), 672–697. https://doi.org/10.1080/10926770903231788.

[12] Joseph-Edwards, A., & Wallace, W. C. (2021). Suffering in Silence, Shame, Seclusion, and Invisibility: Men as Victims of Female Perpetrated Domestic Violence in Trinidad and Tobago. Journal of Family Issues, 42(8), 1805–1830. https://doi.org/10.1177/0192513X20957047.

[13] Shuler, C. A. (2010). Male Victims of Intimate Partner Violence in the United States: An Examination of the Review of Literature through the Critical Theoretical Perspective. Undefined. https://www.semanticscholar.org/paper/Male-Victims-of-Intimate-Partner-Violence-in-the-An-Shuler/9d2314222e936c01d112bd076bda63b8b60e8dcb.

[14] Lysova, A., Hanson, K., Dixon, L., Douglas, E. M., Hines, D. A., &Celi, E. M. (2020). Internal and External Barriers to Help Seeking: Voices of Men Who Experienced Abuse in the Intimate Relationships. International Journal of Offender Therapy and Comparative Criminology, 306624X20919710. https://doi.org/10.1177/0306624X20919710.

[15] McNeely, R. L., Phillip, J., & Cook, B. (2001). Journal of Human Behaviour in the Social Environment. 4, 227 – 251.

[16] Desta, M. K., & Venema, R. M. (2020). Women Convicted of Intimate Partner Homicide in the Oromiya Regional State of Ethiopia: Profile and Associated Factors: Violence Against Women. https://doi.org/10.1177/1077801220914402.

[17] Nybergh, L., Taft, C., Enander, V., & Krantz, G. (2013). Self-reported exposure to intimate partner violence among women and men in Sweden: Results from a population-based survey. BMC Public Health, 13(1), 845. https://doi.org/10.1186/1471-2458-13-845.

[18] Peterson, C., Liu, Y., Kresnow, M., Florence, C., Merrick, M. T., DeGue, S., & Lokey, C. N. (2018). Short-term Lost Productivity per Victim: Intimate Partner Violence, Sexual Violence, or Stalking. American Journal of Preventive Medicine, 55(1), 106–110. https://doi.org/10.1016/j.amepre.2018.03.007.

[19] Thureau, S., Le Blanc-Louvry, I., Gricourt, C., & Proust, B. (2015). Conjugal violence: A comparison of violence against men by women and women by men. Journal of Forensic and Legal Medicine, 31, 42–46.

[20] Allen, E., & Bradley, M. S. (2018). Perceptions of harm, criminality, and law enforcement response: Comparing violence by men against women and violence by women against men. Victims & Offenders, 13(3), 373–389. https://doi.org/10.1080/15564886.2017.1340383.

[21] Hines, D. A., & Douglas, E. M. (2010). A Closer Look at Men Who Sustain Intimate Terrorism by Women. Partner Abuse, 1(3), 286–313. https://doi.org/10.1891/1946-6560.1.3.286.

[22] Hines, D. A., & Douglas, E. M. (2015). Health Problems of Partner Violence Victims. American Journal of Preventive Medicine, 48(2), 136–144. https://doi.org/10.1016/j.amepre.2014.08.022.

[23] Breet, E., Seedat, S., & Kagee, A. (2019). Post-traumatic stress disorder and depression in men and women who perpetrate intimate partner violence. Journal of Interpersonal Violence, 34(10), 2181–2198.

[24] Hines, D. A., & Douglas, E. M. (2011). Symptoms of Post-traumatic Stress Disorder in Men Who Sustain Intimate Partner Violence: A Study of Help-seeking and Community Samples. Psychology of Men & Masculinity, 12(2), 112–127. https://doi.org/10.1037/a0022983.

[25] Pengpid, S., & Peltzer, K. (2016). Intimate Partner Violence Victimization and Associated Factors among Male and Female University Students in 22 Countries in Africa, Asia, and the Americas. African Journal of Reproductive Health / La Revue Africaine de La Santé Reproductive, 20(1), 29–39.

[26] Reid, R. J., Bonomi, A. E., Rivara, F. P., Anderson, M. L., Fishman, P. A., Carrell, D. S., & Thompson, R. S. (2008). Intimate Partner Violence Among Men: Prevalence, Chronicity, and Health Effects. American Journal of Preventive Medicine, 34(6), 478–485.

https://doi.org/10.1016/j.amepre.2008.01.029.

[27] Spidel, A., Greaves, C., Nicholls, T. L., Goldenson, J., & Dutton, D. G. (2013). Personality Disorders, Types of Violence, and Stress Responses in Female Who Perpetrate Intimate Partner Violence. Psychology, 04(09), 5. https://doi.org/10.4236/psych.2013.49A1002.

[28] Dim, E. E. (2020). Experiences of Physical and Psychological Violence against Male Victims in Canada: A Qualitative Study. International Journal of Offender Therapy and Comparative Criminology, 306624X20911898. https://doi.org/10.1177/0306624X20911898.

[29] Carmo R, Grams A, Magalhaes T (2011). Men as victims of intimate partner violence. Journal of Forensic and legal medicine.18 (8): 355 – 9.

[30] Dienye, P. O., & Gbeneol, P. K. (2008). Domestic Violence Against Men in Primary Care in Nigeria: American Journal of Men’s Health, 3(4), 333–339. https://doi.org/10.1177/1557988308325461.

[31] Randle, A. A., & Graham, C. A. (2011). A review of the evidence on the effects of intimate partner violence on men. Psychology of Men & Masculinity, 12(2), 97–111. https://doi.org/10.1037/a0021944.

[32] Virginia Braun & Victoria Clarke (2019) Reflecting on reflexive thematic analysis, Qualitative Research in Sport, Exercise and Health, 11:4, 589-597, Doi: 10.1080/2159676X.2019.1628806.

[33] Bryan, N., Davidov, D. M., Dick, T., Bassler, J., & Fisher, M. (2019). Intimate Partner Violence Experiences Among Men Living with HIV in Rural Appalachia. AIDS and Behavior, 23(11), 3002–3014. https://doi.org/10.1007/s10461-019-02438-3.

[34] Dim, E. E. (2021). Experiences of Physical and Psychological Violence Against Male Victims in Canada: A Qualitative Study. International Journal of Offender Therapy and Comparative Criminology, 65(9), 1029–1054.

https://doi.org/10.1177/0306624X20911898.

[35] Hogan, K. F., Clarke, V., & Ward, T. (2021). Men’s experiences of help-seeking for female-perpetrated intimate partner violence: A qualitative exploration. Counseling and Psychotherapy Research, 21(4), 934–945. https://doi.org/10.1002/capr.12409.

[36] Braun, V., & Clarke, V. (2013). Successful Qualitative Research: A Practical Guide for Beginners. SAGE.

[37] Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa.

[38] Frost, N. (2011). Qualitative research methods in psychology (1. publ). McGraw Hill, Open University Press.

[39] Colombini, M., James, C., Ndwiga, C., Team, I., & Mayhew, S. H. (2016). The risks of partner violence following HIV status disclosure, and health service responses: Narratives of women attending reproductive health services in Kenya. Journal of the International AIDS Society, 19(1). https://doi.org/10.7448/IAS.19.1.20766.

[40] Conroy, A. A. (2014). Marital Infidelity and Intimate Partner Violence in Rural Malawi: A Dyadic Investigation. Archives of Sexual Behavior, 43(7), 1303–1314. https://doi.org/10.1007/s10508-014-0306-2.

[41] Ashimi, A. O., & Amole, T. G. (2015). Prevalence and predictors for domestic violence among pregnant women in a rural community Northwest, Nigeria. Nigerian Medical Journal, 56(2), 118. https://doi.org/10.4103/0300-1652.150696.

[42] Iliyasu, Z., Abubakar, I. S., Galadanci, H. S., & Aliyu, M. H. (2010). Birth preparedness, complication readiness and fathers’ participation in maternity care in a northern Nigerian community. African Journal of Reproductive Health, 14(1), 21–32.

[43] Ballan, M. S., Freyer, M. B., & Powledge, L. (2017). Intimate Partner Violence Among Men with Disabilities: The Role of Health Care Providers. American Journal of Men’s Health, 1436–1443. https://doi.org/10.1177/1557988315606966.

[44] Rhodes, K. V., Houry, D., Cerulli, C., Straus, H., Kaslow, N. J., & McNutt, L.-A. (2009). Intimate partner violence and comorbid mental health conditions among urban male patients. Annals of Family Medicine, 7(1), 47–55. https://doi.org/10.1370/afm.936.

[45] Brisibe, S., Ordinioha, B., & Dienye, P. O. (2012). Intersection between alcohol abuse and intimate partner’s violence in a rural Ijaw community in Bayelsa State, South-South Nigeria. Journal of Interpersonal Violence, 27(3), 513–522. https://doi.org/10.1177/0886260511421676.

[46] Dahlui, M., Azahar, N., Bulgiba, A., Zaki, R., Oche, O. M., Adekunjo, F. O., & Chinna, K. (2015). HIV/AIDS Related Stigma and Discrimination against PLWHA in Nigerian Population. PloS One, 10(12), e0143749. https://doi.org/10.1371/journal.pone.0143749.

[47] Oduenyi, C., Ugwa, E., Ojukwu, Z., & Ojukwu-Ajasigwe, J. (2019). An Exploratory Study of Stigma and Discrimination among People Living with HIV/ AIDS in Abuja Municipal Area Council, Nigeria. African Journal of Reproductive Health, 23(1), 88–99. https://doi.org/10.29063/ajrh2019/v23i1.9.

[48] Shri, N., & Muhammad, T. (2021). Association of intimate partner violence and other risk factors with HIV infection among married women in India: Evidence from National Family Health Survey 2015–16. BMC Public Health, 21(1), 2105. https://doi.org/10.1186/s12889-021-12100-0.

[49] Elmquist, J., Hamel, J., Shorey, R. C., Labrecque, L., Ninnemann, A., & Stuart, G. L. (2014). Motivations for intimate partner violence in men and women arrested for domestic violence and court referred to batterer intervention programs. Partner Abuse, 5(4), 359–374. https://doi.org/10.1891/1946-6560.5.4.359.

[50] Amole, T. G., Bello, S., Odoh, C., Aliyu, M. H., & Iliyasu, Z. (2016). Correlates of Female-Perpetrated Intimate Partner Violence in Kano, Northern Nigeria. Journal of Interpersonal Violence, 31(12), 2240–2254. https://doi.org/10.1177/0886260515573576.

[51] Sikweyiya, Y., & Jewkes, R. (2009). Force and temptation: South African men’s accounts of coercion into sex by men and women. Culture, Health & Sexuality, 11(5), 529. https://doi.org/10.1080/13691050902912783.

[52] Mouthaan, S. (2013). Sexual Violence against Men and International Law – Criminalising the Unmentionable, International Criminal Law Review, 13(3), 665-695. doi: https://doi.org/10.1163/15718123-01303004.

[53] Australian Institute of Health and Welfare. (2019). Family, domestic, and sexual violence in Australia continuing the national story 2019. Australian Institute of Health and Welfare. https://www.aihw.gov.au/reports/domestic-violence/family-domestic-sexual-violence-australia-2019.

[54] Smith, S., Zhang, X., Basile, K., Merrick, M., Wang, J., Kresnow, M., & Chen, J. (2018). The National Intimate Partner and Sexual Violence Survey: 2015 Data Brief Updated Release. 32.