Alcohol use and intimate partner violence in HIV-uninfected pregnant women in Cape Town, South Africa

Bibliographic Data

ID19443711
AuthorsDvora Joseph Davey (0000-0001-6290-9293, Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, CA, USA, corresponding author), Stanzi M le Roux (0000-0001-8882-698X, University of Cape Town), Kirsty Brittain (0000-0003-3940-1242, University of Cape Town), Kathryn Dovel (0000-0002-5622-3401, Division of Infectious Diseases, Geffen School of Medicine, University of California, Los Angeles, CA, USA), Kathryn Dovell (University of California, Los Angeles), Steven Shoptaw (0000-0002-3583-0026, University of Cape Town), Steve Shoptaw (Department of Family Medicine, Geffen School of Medicine, University of California, Los Angeles, CA, USA), Amanda P Miller (0000-0002-2252-6973, Department of Epidemiology, Fielding School of Public Health, University of California, Los Angeles, CA, USA), Tamsin K Phillips (0000-0003-4554-2922, University of Cape Town), Allison Zerbe (0000-0002-3372-6882, Mailman School of Public Health, ICAP at Columbia University, Columbia University, New York, NY, USA), Elaine J Abrams (0000-0001-7938-8981, University of Cape Town), Landon Myers (0000-0002-8106-7658, University of Cape Town)
Year2022
Volume34
Issue2
Pages214-219
Publication date2022-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2021.1975626
PMID34495777
OpenAlexW3197977957
LanguageEN
Citations received3
References cited42

In settings with a high burden of HIV, pregnant women often experience a cluster of risk factors, including alcohol use and intimate partner violence (IPV). These interrelated risks are poorly understood among pregnant women at risk of HIV in sub-Saharan Africa. We aim to determine cross-sectional associations between pregnant women's alcohol use and victimization due to IPV in the HIV-Unexposed-Uninfected Mother-Infant Cohort Study in Cape Town, South Africa. Women who tested HIV-negative at first antenatal care (ANC) visit were followed to delivery. Trained interviewers collected demographic and psychosocial information, including recent alcohol use and experiences of IPV victimization. We assess the prevalence of alcohol use and associations with IPV using multivariable logistic regression. In 406 HIV-uninfected pregnant women (mean age = 28 years; mean gestational age = 21 weeks), 41 (10%) reported alcohol consumption in the past 12 months; 30/41 (73%) of these at hazardous levels. Any and hazardous alcohol use were associated with greater odds of reporting past year IPV (adjusted odds ratio [aOR] for hazardous use: 3.24, 95% CI = 1.11, 7.56; aOR for any alcohol use: 2.97, 95% CI = 1.19, 7.45). These data suggest the occurrence of overlapping HIV risk factors among pregnant women and may help design improved health interventions in this population

Domestic violence · Environmental health · Logistic regression · Odds ratio · Poison control · Population · Pregnancy · Psychiatry · Psychological intervention · Psychosocial · Suicide prevention · Adolescent Sexual and Reproductive Health · Demography · Homelessness and Social Issues · Intimate Partner and Family Violence · Medicine