Non-consensual Sex and Association with Incident HIV Infection Among Women
A Cohort Study in Rural Uganda, 1990–2008
Bibliographic Data
| ID | 15337030 |
|---|---|
| Authors | Isolde Birdthistle (0000-0001-5742-6588, London School of Hygiene & Tropical Medicine, corresponding author), Billy N Mayanja (Uganda Virus Research Institute), Dermot Maher (0000-0003-0466-1976, Uganda Virus Research Institute), Sian Floyd (0000-0002-8615-7601, London School of Hygiene & Tropical Medicine), Janet Seeley (0000-0002-0583-5272, Uganda Virus Research Institute), Helen A Wei (0000-0003-3547-7936, London School of Hygiene & Tropical Medicine) |
| Year | 2012 |
| Volume | 17 |
| Issue | 7 |
| Pages | 2430-2438 |
| Publication date | 2012-12-04 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | AIDS and Behavior (JOURNAL) |
| Journal identifiers | ISSN: 1090-7165 • E-ISSN: 1573-3254 |
| Publisher | Springer Science+Business Media (PUBLISHER • DE) |
| DOI | 10.1007/s10461-012-0378-8 |
| PMID | 23212853 |
| PMCID | PMC3742420 |
| OpenAlex | W2161040115 |
| Language | EN |
| Citations received | 2 |
| References cited | 19 |
Non-consensual sex is associated with HIV infection in Africa, but there is little longitudinal data on this association. We describe reported non-consensual sex among women over two decades in southwest Uganda, including associations with incident HIV infection. Between 1990 and 2008, individuals in a population cohort who recently seroconverted to HIV were enrolled into a clinical cohort, along with randomly selected HIV-negative controls. Participants were invited to the study clinic every 3 months, and females asked about recent experiences of sex against their will. Associations of non-consensual sex with HIV status were analyzed prospectively using conditional logistic regression, adjusting for age and year of interview, allowing for within-woman correlation. 476 women aged 14-81 enrolled and attended 10,475 visits over 19 years. The results show high levels of repeated non-consensual sex, often long after HIV infection. There was more reporting among women living with HIV compared to HIV-negative women (22 vs 9 %; OR = 2.29, 95 %CI 1.03-5.09), with the strongest associations among married participants. HIV programmes should address repeated sexual coercion before and subsequent to HIV infection
Association (psychology · Cohort · Cohort study · Environmental health · Family medicine · Health psychology · Human immunodeficiency virus (HIV · Public health · Sociology · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues · Internal Medicine
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| Unique citing works | 2 |
|---|---|
| Citations per year | 0,2 |
| Citation span | 2016 - 2025 (10) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |