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Title Prevalence and correlates of physical and sexual intimate partner violence among women living with HIV in Uganda.
Full text https://escholarship.org/uc/item/8gq127mv
Date 2018
Author(s) Young, Cynthia R; Kaida, Angela; Kabakyenga, Jerome; Muyindike, Winnie; Musinguzi, Nicholas; Martin, Jeffrey N; Hunt, Peter W; Bangsberg, David R; Haberer, Jessica E; Matthews, Lynn T
Contributor(s) Yotebieng, Marcel
Abstract BackgroundIntimate partner violence (IPV) is a significant global health problem. Women who experience IPV have increased HIV incidence, reduced antiretroviral adherence, and a lower likelihood of viral load suppression. There is a lack of evidence regarding how to effectively identify and support women living with HIV (WLWH) experiencing IPV, including uncertainty whether universal or targeted screening is most appropriate for lower-resourced settings. We examined physical and sexual IPV prevalence and correlates among WLWH in Uganda to understand the burden of IPV and factors that could help identify women at risk.MethodsWe utilized data from women receiving ART and enrolled in the Uganda AIDS Rural Treatment Outcomes (UARTO) cohort study between 2011 and 2015. Bloodwork and interviewer-administered questionnaires were completed every 4 months. IPV was assessed annually or with any new pregnancy. Multivariate models assessed independent socio-demographic and clinical factors correlated with IPV, at baseline and follow-up visits.Results455 WLWH were included. Median age was 36 years, 43% were married, and median follow-up was 2.8 years. At baseline 131 women (29%) reported any experience of past or current IPV. In the adjusted models, being married was associated with a higher risk of baseline IPV (ARR 2.33, 95% CI 1.13-4.81) and follow-up IPV (ARR 2.43, 95% CI 1.33-4.45). Older age (ARR 0.96, 95% CI 0.94-0.99) and higher household asset index score (ARR 0.81, 95% CI 0.68-0.96) were associated with lower risk of IPV during follow-up.ConclusionThere was a high prevalence of physical and sexual IPV amongst WLWH, and many women experienced both types of violence. These findings suggest the need for clinic-based screening for IPV. If universal screening is not feasible, correlates of having experienced IPV can inform targeted approaches.
Subject(s) Humans; HIV; HIV Infections; Anti-Retroviral Agents; Prevalence; Risk Factors; Prospective Studies; Cross-Sectional Studies; Pregnancy; Adult; Sexual Partners; Uganda; Female; Intimate Partner Violence; Clinical Research; HIV/AIDS; Violence Research; Prevention; Behavioral and Social Science; Violence Against Women; Infectious Diseases; Mental Health; Infection; Reproductive health and childbirth; Peace; Justice and Strong Institutions; General Science & Technology
Coverage e0202992
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source PloS one, vol 13, iss 8
Rights public
Identifier qt8gq127mv
Repository Berkeley - University of California
Added to C-A: 2022-10-05;10:21:49