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Intimate partner violence polyvictimisation and HIV among coupled women in Zambia

Analysis of a population-based survey

Datos Bibliográficos

ID21189269
AutoresLaura K Beres (0000-0002-4731-7828, Johns Hopkins University, autor de correspondencia), Katherine G Merrill (0000-0001-5308-4154, Johns Hopkins University), John McGready (0000-0002-2251-9167, Johns Hopkins University), Julie A Denison (0000-0002-4670-093X, Johns Hopkins University), Sheree Schwartz (0000-0001-6090-2880, Johns Hopkins University), Izukanji Sikazwe (0000-0002-3898-2607, Centre for Infectious Disease Research in Zambia), Michele R Decker (0000-0002-7085-7080, Johns Hopkins University)
Año2020
Volumen15
Número4
Páginas558-570
Fecha de publicación2020-04-02
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaGlobal Public Health (JOURNAL)
Identificadores de la revistaISSN: 1744-1692 • E-ISSN: 1744-1706
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/17441692.2019.1686532
PMID31710273
OpenAlexW2982714961
IdiomaEN
Citas recibidas5
Referencias citadas31

Women in sub-Saharan Africa are disproportionately at risk for the dual epidemics of intimate partner violence (IPV) and HIV. Little is known about how specific violence profiles affect women's HIV risk, limiting effective intervention. We analysed couples' data from the Zambia Demographic and Health Survey 2013-2014 to evaluate relationships among IPV, male partner HIV status and women's HIV status. We considered the individual and combined effects of physical, sexual, emotional, and high controlling behaviour violence and accumulated violence exposure, respectively. Among partnered women, 48.9% ( n = 2,812) experienced IPV victimisation, of whom 52.1% ( n = 1,465) reported polyvictimisation (experiencing two or more violence types). Female HIV prevalence was 13.2%. Adjusted for demographics, HIV was significantly higher for women who experienced three (17.3%, aPR 1.33, 95%CI: 1.04-1.69, p = 0.02) or four (22.1%, aPR 1.66, 95%CI: 1.23-2.26, p ≤ 0.01) types versus no IPV. Violence including emotional and/or high controlling victimisation was associated with female HIV infection (aPR: 1.31, 95%CI: 1.09-1.57, p = 0.01). Physical and/or sexual violence victimisation in the absence of other victimisation was not associated with HIV (aPR: 0.92, 95%CI:0.73-1.15, p = 0.46). IPV and HIV interventions are incomplete without addressing emotional and controlling IPV and the role of coercive relationship dynamics in transmission risk

Domestic violence · Environmental health · Injury prevention · Poison control · Population · Psychiatry · Psychological intervention · Sexual violence · Victimisation · Adolescent Sexual and Reproductive Health · Demography · Intimate Partner and Family Violence · Medicine · Sex work and related issues

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Obras citantes distintas5
Citas por año1
Intervalo de citas2021 - 2025 (5)
Velocidad de citaciónrecent
Altamente citadoNo
Tipos de citaNeutras: 5
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