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IPV victimization in pregnancy increases postpartum STI incidence among adolescent mothers in Durban, South Africa

Bibliographic Data

ID19442239
AuthorsLuwam T Gebrekristos (0000-0002-2721-9382, Department of Community Health and Prevention, Drexel University Dornsife School of Public Health, Philadelphia, PA, USA, corresponding author), Allison K Groves (0000-0003-4520-3963, Department of Community Health and Prevention, Drexel University Dornsife School of Public Health, Philadelphia, PA, USA), H Luz Mcnaughton Reyes (0000-0002-8696-9140, Department of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, NC, USA), Suzanne Maman (0000-0003-4048-1585, Department of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, NC, USA), Dhayendre Moodley (0000-0003-1849-9631, Department of Obstetrics and Gynaecology, University of KwaZulu-Natal Nelson R. Mandela School of Medicine, Durban, South Africa)
Year2020
Volume32
Issuesup2
Pages193-197
Publication date2020-05-13
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2020.1742871
PMID32193964
OpenAlexW3011317303
LanguageEN
Citations received7
References cited31

Women, and specifically, adolescents, are at high risk of HIV and STIs during the postpartum period. Biological and behavioral factors contribute to adolescents’ susceptibility. However, the influence of behavioral factors, like intimate partner violence (IPV), on postpartum STI acquisition has been understudied. The study’s purpose is to determine whether IPV victimization during pregnancy predicts incident STIs in the first 6 months postpartum. Adolescent mothers (14–19 years) were recruited at a township hospital’s maternity ward near Durban. Adolescent mothers who were HIV-negative and had no laboratory-diagnosed STIs at baseline (6 weeks postpartum) were included in the analysis (n = 61). We used a modified Poisson regression with robust standard errors to assess differences in postpartum STI risk by IPV victimization during pregnancy controlling for covariates. At baseline, 25 (41%) adolescent mothers reported IPV victimization during pregnancy. Adolescent mothers who reported IPV during pregnancy were at higher risk of receiving an STI diagnoses at 6 months postpartum (aRR: 4.43; 95% CI: 1.31–14.97). Our findings heighten understanding of HIV risk among a vulnerable subset of adolescent girls: adolescent mothers. Non-combined interventions that help young mothers and their partners navigate partnership dynamics to reduce IPV and STIs are needed to reduce HIV risk

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

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Citations per year1.17
Citation span2020 - 2026 (7)
Highly citedNo

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