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Title Transactional Sex, Alcohol Use and Intimate Partner Violence Against Women in the Rakai Region of Uganda
Full text https://escholarship.org/uc/item/4p4563fz
Date 2021
Author(s) Miller, Amanda P; Pitpitan, Eileen V; Nabukalu, Dorean; Nalugoda, Fred; Nakigozi, Gertrude; Kigozi, Godfrey; Grabowski, Mary Kate; Kennedy, Caitlin E; Wagman, Jennifer A
Abstract Transactional sex (TS) is prevalent in sub-Saharan Africa. Women's engagement in TS is linked with HIV infection; little is known about the relationship between TS, intimate partner violence (IPV) and alcohol use-established HIV risk behaviors. Using modified Poisson regression, we assessed associations between TS and physical, verbal and sexual IPV among 8248 women (15-49 years) who participated in the Rakai Community Cohort Study across forty communities in Uganda. An interaction term assessed moderation between alcohol use and TS and no significant interaction effects were found. In adjusted analysis, alcohol use and TS were significantly associated with all forms of IPV. In stratified analysis, TS was only associated with IPV in agrarian communities; alcohol use was not associated with physical IPV in trade communities or sexual IPV in trade and fishing communities. Identifying differences in IPV risk factors by community type is critical for the development of tailored interventions.
Subject(s) Public Health; Health Sciences; Substance Misuse; Mental Health; Infectious Diseases; Prevention; Violence Research; Behavioral and Social Science; Clinical Research; Alcoholism; Alcohol Use and Health; HIV/AIDS; Violence Against Women; Aetiology; 2.3 Psychological; social and economic factors; Infection; Peace; Justice and Strong Institutions; Gender Equality; Good Health and Well Being; Africa South of the Sahara; Cohort Studies; Cross-Sectional Studies; Female; HIV Infections; Humans; Intimate Partner Violence; Risk Factors; Sexual Partners; Uganda; Transactional sex; Alcohol use; Intimate partner violence; Sub-Saharan Africa; HIV; Public Health and Health Services; Social Work; Public health
Coverage 1144 - 1158
Publisher eScholarship, University of California
Type of publication article
Format application/pdf
Source AIDS and Behavior, vol 25, iss 4
Rights public
Identifier qt4p4563fz
Repository Berkeley - University of California
Added to C-A: 2023-11-20;10:43:36