A prospective study of frequency and correlates of intimate partner violence among African heterosexual HIV serodiscordant couples.
View/ Open
Date
2011Author
Were, E
Curran, K
Delany-Moretlwe, S
Nakku-Joloba, E
Mugo, NR
Kiarie, J
Bukusi, EA
Celum, C
Baeten, JM
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Intimate partner violence (IPV) is common worldwide and is an important consideration in couples HIV voluntary counseling and testing (CVCT), especially for HIV-serodiscordant couples (i.e. in which only one member is HIV-infected).
DESIGN:
Prospective study of 3408 HIV-serodiscordant couples (2299 in which the HIV-infected partner was female) from seven countries from East and Southern Africa.
METHODS:
At quarterly visits during up to 2 years of follow-up, participants were asked, separately, about IPV perpetrated against them by their partner during the prior 3 months. Correlates of IPV were determined by generalized estimating equations.
RESULTS:
The majority of couples were married and living together, with an average duration of partnership of approximately 5 years. More than 39,000 quarterly visits were recorded. IPV was reported in 2.7% of visits by HIV-infected women, 2.2% by HIV-uninfected women, 0.9% by HIV-infected men, and 0.7% by HIV-uninfected men. The majority of IPV reports were verbal or a combination of verbal and physical violence. Those who were HIV-infected were more likely to report IPV [for women adjusted odds ratio (AOR) 1.33, P = 0.043; for men AOR 2.20, P = 0.001], but IPV was not significantly associated with risk of HIV seroconversion in HIV-uninfected participants. IPV incidence decreased during follow-up (P < 0.001).
CONCLUSION:
During up to 2 years of prospective follow-up, most persons in stable HIV-serodiscordant partnerships who had undergone CVCT did not report IPV. A modest increased risk of IPV was seen for HIV-infected partners, both female and male.
URI
http://www.ncbi.nlm.nih.gov/pubmed/21811146http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/32355
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3718250/
Citation
A prospective study of frequency and correlates of intimate partner violence among African heterosexual HIV serodiscordant couples. Were E, Curran K, Delany-Moretlwe S, Nakku-Joloba E, Mugo NR, Kiarie J, Bukusi EA, Celum C, Baeten JM; Partners in Prevention HSVHIV Transmission Study Team. AIDS. 2011 Oct 23;25(16):2009-18. doi: 10.1097/QAD.0b013e32834b005d.Publisher
Reproductive Health, Moi University, Kenya.