Domestic violence and prevention of mother-to-child transmission of HIV-1
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Date
2006Author
Kiarie, James N.
Farquhar, Carey
Richardson, Barbra A.
Kabura, Marjory N.
John, Francis N.
Nduati, RW
Stewart, Grace C. John
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Objectives Todeterminetheprevalenceof life-timedomesticviolencebythecurrent
partnerbeforeHIV-1testing,itsimpactontheuptakeofpreventionofmother-to-child
transmission (PMTCT) interventions and frequency after testing.
Design A prospective cohort.
Methods Antenatally,womenandtheirpartnerswereinterviewedregardingphysical,
financial, and psychological abuse by the male partner before HIV-1 testing and
2 weeks after receiving results.
Results Beforetesting,804of2836women(28%)reportedpreviousdomesticviolence,
whichtendedtobeassociatedwithincreasedoddsofHIV-1infection[univariateodds
ratio (OR) 1.7, 95% confidence interval (CI) 1.3–2.2; P<0.0001, adjusted OR 1.2,
95% CI 0.9–1.6; P¼0.1], decreased odds of coming with partners for counseling
(adjusted OR 0.7, 95% CI 0.5–1.0; P¼0.04), and decreased odds of partner notification(adjustedOR0.7,95%CI0.5–1.1;P¼0.09).Previousdomesticviolencewasnot
associated with a reduced uptake of HIV-1 counseling, HIV-1 testing, or nevirapine.
Afterreceivingresults,15outof1638women(0.9%)reporteddomesticviolence.After
notifyingpartnersofresults,theoddsofHIV-1-seropositivewomenreportingdomestic
violence were 4.8 times those of HIV-1-seronegative women (95% CI 1.4–16;
P¼0.01). Compared with women, men reported similar or more male-perpetrated
domestic violence, suggesting a cultural acceptability of violence.
Conclusion DomesticviolencebeforetestingmaylimitpartnerinvolvementinPMTCT.
Although infrequent, immediate post-test domestic violence is more common among
HIV-1-infected than uninfected women. Domestic violence prevention programmes need to be integrated into PMTCT, particularly for HIV-1-seropositive women.
URI
http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/10295http://www.ncbi.nlm.nih.gov/pubmed/16931941
Citation
AIDS 2006, 20:1763–1769Subject
Adverse effectsAfrica
domestic violence
HIV
vertical transmission
prevention of mother-to-child transmission
Collections
- Faculty of Health Sciences (FHS) [10227]