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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Sexual violence and associated factors among women in HIV discordant and concordant relationships in Uganda
International Journal of Adolescent Medicine and Health, Volume 24, No. 2, Year 2012
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Description
HIV serodiscordance is a sexual partnership in which one partner is infected with HIV while the other is not. Managing emotional and sexual intimacy in HIV serodiscordant unions can be difficult due to concerns about HIV transmission and the challenge of initiating and maintaining safe sex. In situations where couples are jointly aware of their HIV status, women in serodiscordant unions may face increased risk of partner violence. We conducted an investigation to assess risk factors for HIV serodiscordance and determine if HIV serodiscordance is associated with incident sexual violence among a cohort of women attending HIV post-test club services at three AIDS Information Centers (AICs) in Uganda. Using a prospective study of 250 women, we elicited information about sexual violence using structured face-to-face interviews. Sexual violence and risk factors were assessed and compared among HIV positive women in HIV discordant unions, HIV negative women in discordant unions, and HIV negative women in nega tive concordant unions. Multivariable logistic regression was used to assess the association between participants ' serostatus and sexual violence. HIV negative women in serodiscordant relationships (36.1 ± 11.1 years, range: 19 - 65 years) were significantly older than either HIV positive women in serodiscordant relationships (32.2 ± 9.0 years, range: 18 - 56 years), or HIV negative women in concordant relationships (32.3 ± 11.0 years, range: 18 - 62), (p = 0.033). Early age at sexual debut was associated with a 2.4-fold increased risk of experiencing sexual violence (OR 2.4, 95 % CI 1.27 - 4.65). Based on unadjusted analysis, HIV positive women in discordant relationship were at highest risk for sexual violence compared to HIV negative women in discordant unions, and HIV negative women in negative concordant unions. HIV negative women in discordant relationships and those in concordant negative relationships showed no increased risk for sexual violence. However, couples ' HIV serostatus was not significant related to incident sexual violence after controlling for potential confounding covariates. Nevertheless, the results were able to elucidate the sexual violence risk factor profile of participants based on couples ' HIV serostatus. Couple counseling protocols at HIV voluntary counseling and testing centers in Uganda should identify those at risk for sexual violence and develop interventions to reduce its incidence. © 2012 by Walter de Gruyter.
Authors & Co-Authors
Shuaib, Faisal Mohammed B.
United States, Birmingham
The University of Alabama at Birmingham
Ehiri, John E.
United States, Birmingham
The University of Alabama at Birmingham
United States, Tucson
The University of Arizona
Jolly, Pauline E.
United States, Tucson
The University of Arizona
Zhang, Qionghui
United States, Tucson
The University of Arizona
Emusu, Donath
United States, Tucson
The University of Arizona
Ngu, Julius
United States, Tucson
The University of Arizona
Foushee, Herman Russell
United States, Tucson
The University of Arizona
Katongole, Drake
Uganda
Ids Information Center
Kirby, Russell S.
United States, Tampa
University of South Florida, Tampa
Wabwire-Mangen, Fred
Uganda, Kampala
Makerere University
Statistics
Citations: 10
Authors: 10
Affiliations: 5
Identifiers
Doi:
10.1515/IJAMH.2012.019
ISSN:
03340139
e-ISSN:
21910278
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Violence And Injury
Study Design
Cohort Study
Study Locations
Uganda
Participants Gender
Female