Little research exists on the human immunodeficiency virus (HIV)-intimate partner violence (IPV)-mental health (MH) syndemic impact on parenting. The objective of this scoping review is to identify and summarize the available evidence regarding the syndemic relationship between HIV or Acquired Immune Deficiency Syndrome (AIDS), IPV, and poor MH among mothers and caregivers who identify as women. We conducted the review according to the Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and meta-analyses extension for scoping reviews guidelines, a comprehensive search was conducted from 2001 to September 2023. The inclusion criteria targeted studies examining at least two of the HIV, IPV, or MH epidemics among participants and their syndemic impact on parenting. Both qualitative and quantitative studies were included. Covidence software was used to screen and extract data. Twenty-three studies were included in the analysis. Most of the studies were conducted in the United States. Furthermore, all the studies used quantitative research designs, with most being longitudinal. Most of the research was concentrated on the IPV-MH syndemic with no research found on the HIV-IPV syndemic impact on parenting. Research on the HIV-IPV-MH syndemic found that an HIV diagnosis exacerbated the negative impacts of IPV-MH on parenting. Research on IPV-MH showed that this syndemic significantly influences parenting, leading to less nurturing and more punitive behaviors. Studies did not find a direct association between IPV and harsh parenting practices, the relationship was mediated by poor MH. Studies examining the HIV-MH syndemic found that anxiety and maternal depression were the most frequent MH disorders. The review revealed that living with the different syndemics, (IPV-MH-HIV, HIV-MH, and IPV-MH) adversely affects parenting practices, resulting in harsher parenting.

中文翻译：

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女性同时发生的亲密伴侣暴力、心理健康、人类免疫缺陷病毒和育儿：范围审查


关于人类免疫缺陷病毒 （HIV）-亲密伴侣暴力 （IPV）-心理健康 （MH） 综合流行病对育儿的影响的研究很少。本范围综述的目的是确定和总结有关女性母亲和护理人员中 HIV 或获得性免疫缺陷综合症 （AIDS）、IPV 和不良 MH 之间共病关系的现有证据。我们根据 Joanna Briggs Institute 和系统评价的首选报告项目和荟萃分析扩展范围综述指南进行了综述，从 2001 年到 2023 年 9 月进行了全面检索。纳入标准针对的研究检查了参与者中至少两种 HIV、IPV 或 MH 流行病及其对育儿的综合影响。包括定性和定量研究。Covidence 软件用于筛选和提取数据。分析纳入了 23 项研究。大多数研究在美国进行。此外，所有研究都使用定量研究设计，其中大多数是纵向的。大多数研究集中在 IPV-MH 联合流行病上，没有发现关于 HIV-IPV 联合流行病对育儿影响的研究。对 HIV-IPV-MH 联合流行病的研究发现，HIV 诊断加剧了 IPV-MH 对育儿的负面影响。对 IPV-MH 的研究表明，这种综合流行病显着影响育儿，导致养育减少和惩罚性行为增加。研究未发现 IPV 与严厉的育儿方式之间存在直接关联，这种关系是由不良的 MH 介导的。检查 HIV-MH 综合流行病的研究发现，焦虑和产妇抑郁是最常见的 MH 疾病。 审查显示，与不同的 syndemics（IPV-MH-HIV、HIV-MH 和 IPV-MH）一起生活会对育儿实践产生不利影响，导致更严厉的育儿方式。