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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Factors associated with HIV sero-status in young rural South African women: Connections between intimate partner violence and HIV
International Journal of Epidemiology, Volume 35, No. 6, Year 2006
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Description
Background: This paper aims to describe factors associated with HIV sero-status in young, rural South African women and the relationship between intimate partner violence (IPV) and HIV. Methods: A total of 1295 sexually active female volunteers, aged 15-26, from 70 villages were recruited to participate in a cluster randomized controlled trial of an HIV behavioural intervention. The main measures were HIV sero-status, and IPV and sexual practices measured using a questionnaire administered during baseline interviews. Results: About 12.4% of women had HIV and 26.6% had experienced more than one episode of physical or sexual IPV. After adjusting for age, HIV infection was associated with having three or more past year partners [odds ratio (OR) 2.39; 95% confidence interval (95% CI) 1.48-3.85], sex in past 3 months (OR 3.33; 95% CI 1.87-5.94), a partner three or more years older (OR 1.69; 95% CI 1.16-2.48), and a more educated partner (OR 1.91; 95% CI 1.30-2.78). IPV was associated with HIV in two-way analyses (OR 1.56; 95% CI 1.08-2.23), but the effect was non-significant after adjusting for HIV risk behaviours. The experience of IPV was strongly associated with past year partner numbers, time of last sex, and partner's education; it was also marginally associated with partner age difference. Adverse experiences in childhood, including sexual abuse, increased the likelihood of having more past year partners (OR 1.43; 95% CI 1.21-1.69). Conclusions: IPV was strongly associated with most of the identified HIV risk factors. Our findings provide further evidence of links between IPV and HIV among women and the importance of joint prevention. © 2006 Oxford University Press.
Authors & Co-Authors
Jewkes, R. K.
South Africa, Tygerberg
South African Medical Research Council
Dunkle, Kristin L.
South Africa, Tygerberg
South African Medical Research Council
United States, Atlanta
Emory University
Nduna, Mzikazi
South Africa, Tygerberg
South African Medical Research Council
Levin, Jonathan B.
South Africa, Tygerberg
South African Medical Research Council
Jama, Nwabisa
South Africa, Tygerberg
South African Medical Research Council
Khuzwayo, Nelisiwe Sibonelo
South Africa, Tygerberg
South African Medical Research Council
Koss, Mary P.
United States, Tucson
The University of Arizona
Puren, Adrian
South Africa, Sandringham
National Institute for Communicable Disease
Duvvury, Nata
United States, Washington
International Council for Research on Women
Statistics
Citations: 9
Authors: 9
Affiliations: 5
Identifiers
Doi:
10.1093/ije/dyl218
ISSN:
03005771
e-ISSN:
14643685
Research Areas
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Violence And Injury
Study Design
Randomised Control Trial
Case-Control Study
Study Approach
Quantitative
Participants Gender
Female