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So that’s why I found PrEP to be safest way to protect yourself”

Exploring IPV experiences and impact on HIV prevention among pregnant and postpartum women in Cape Town, South Africa

Bibliographic Data

ID15369260
AuthorsAmanda P Miller (0000-0002-2252-6973, San Diego State University, corresponding author), Sarah Schoetz Dean (University of California, Los Angeles), Lara Court (0009-0002-6774-4525, University of Cape Town), Rufaro Mvududu (University of Cape Town), Nyiko Mashele (University of Cape Town), Nafisa J Wara (0000-0003-3671-5211, University of California, Los Angeles), Landon Myers (0000-0002-8106-7658, University of Cape Town), Landon Myer, Steven Shoptaw (0000-0002-3583-0026, University of California, Los Angeles), Dvora Joseph Davey (0000-0001-6290-9293, University of California, Los Angeles), Dvora L Joseph Davey
Year2024
Volume24
Issue1
Pages481-481
Publication date2024-02-15
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMC Public Health (JOURNAL)
Journal identifiersISSN: 1471-2458 • E-ISSN: 1471-2458
PublisherBioMed Central (PUBLISHER • GB)
DOI10.1186/s12889-024-17871-w
PMID38360616
OpenAlexW4391839772
LanguageEN
Citations received3
References cited45

Intimate partner violence (IPV) occurs at alarmingly high rates towards pregnant women in South Africa. Experiences of emotional, physical, and sexual IPV in pregnancy can adversely impact the health and safety of mother and fetus. Furthermore, IPV is associated with increased risk of HIV, exacerbating the public health impact of violence among pregnant women in this HIV endemic setting. In-depth understanding of cultural and contextual drivers of experiences of IPV is a critical precursor to development of interventions effectively addressing this issue among pregnant women in South Africa. The present study examines factors contributing to IPV among pregnant women to identify potential points of intervention. We conducted twenty in-depth interviews with postpartum women who used oral pre-exposure prophylaxis (PrEP) in pregnancy and reported recent experiences of IPV and/or ongoing alcohol use in a township near Cape Town, South Africa that experiences a heavy burden of both HIV and IPV. Interpretive thematic analysis was used. Several patterns of IPV during pregnancy were identified and violence was frequently described as co-occurring with male partner alcohol use. A majority of women referenced oral PrEP as their preferred method for HIV prevention, highlighting the agency and discretion it provided as beneficial attributes for women experiencing IPV. Fear of judgement from peers for remaining with an abusive partner and a lack of clear community messaging around IPV were identified as barriers to disclosure and support-seeking. Addressing the lack of social support received by women experiencing IPV during pregnancy in South Africa is essential to comprehensive IPV programming

Domestic violence · Environmental health · Family medicine · Poison control · Pregnancy · Psychological intervention · Public health · Qualitative research · Suicide prevention · Thematic analysis · Adolescent Sexual and Reproductive Health · Intimate Partner and Family Violence · Medicine · Nursing · Sex work and related issues · Reproductive Medicine

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Unique citing works3
Citations per year3
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2
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