TY - JOUR
T1 - Factors associated with HIV sero-status in young rural South African women
T2 - Connections between intimate partner violence and HIV
AU - Jewkes, R.
AU - Dunkle, K.
AU - Nduna, M.
AU - Levin, J.
AU - Jama, N.
AU - Khuzwayo, N.
AU - Koss, M.
AU - Puren, A.
AU - Duvvury, N.
N1 - Funding Information:
This study was funded by the National Institute of Mental Health grant number MH 64882-01 and the South African Medical Research Council. Dr Dunkle’s participation was supported by funding from the Harry F. Guggenheim Foundation. We would like to acknowledge the contributions of the following: the National Institute for Communicable Diseases for quality control, testing, and storage of specimens; field nurses and field workers: Leslie Setheni, Veliswa Gobinduku, Yandisa Sikweyiya, Mthokozisi Madiya, Bongwekazi Rapiya, Sanele Mdlungu, Ayanda Mxekezo, Lungelo Mdekazi, Nocawe Mxinwa, Andiswa Njengele, Mvuyo Mayisela; Nobapostile Malu, Lizo Tshona, Philiswa Bango. Data management, data entry, and secretarial support: Bomkazi Mnombeli, Engela Gerber, Dikeledi Moti, Alta Hansen, Martie Swart; Prof Daniel Kayongo; Chief Sindile Mtirara and all the Members of the Community Advisory Board.
PY - 2006/12
Y1 - 2006/12
N2 - Background: This paper aims to describe factors associated with HIV sero-status in young, rural South African women and the relationship between intimate partner violence (IPV) and HIV. Methods: A total of 1295 sexually active female volunteers, aged 15-26, from 70 villages were recruited to participate in a cluster randomized controlled trial of an HIV behavioural intervention. The main measures were HIV sero-status, and IPV and sexual practices measured using a questionnaire administered during baseline interviews. Results: About 12.4% of women had HIV and 26.6% had experienced more than one episode of physical or sexual IPV. After adjusting for age, HIV infection was associated with having three or more past year partners [odds ratio (OR) 2.39; 95% confidence interval (95% CI) 1.48-3.85], sex in past 3 months (OR 3.33; 95% CI 1.87-5.94), a partner three or more years older (OR 1.69; 95% CI 1.16-2.48), and a more educated partner (OR 1.91; 95% CI 1.30-2.78). IPV was associated with HIV in two-way analyses (OR 1.56; 95% CI 1.08-2.23), but the effect was non-significant after adjusting for HIV risk behaviours. The experience of IPV was strongly associated with past year partner numbers, time of last sex, and partner's education; it was also marginally associated with partner age difference. Adverse experiences in childhood, including sexual abuse, increased the likelihood of having more past year partners (OR 1.43; 95% CI 1.21-1.69). Conclusions: IPV was strongly associated with most of the identified HIV risk factors. Our findings provide further evidence of links between IPV and HIV among women and the importance of joint prevention.
AB - Background: This paper aims to describe factors associated with HIV sero-status in young, rural South African women and the relationship between intimate partner violence (IPV) and HIV. Methods: A total of 1295 sexually active female volunteers, aged 15-26, from 70 villages were recruited to participate in a cluster randomized controlled trial of an HIV behavioural intervention. The main measures were HIV sero-status, and IPV and sexual practices measured using a questionnaire administered during baseline interviews. Results: About 12.4% of women had HIV and 26.6% had experienced more than one episode of physical or sexual IPV. After adjusting for age, HIV infection was associated with having three or more past year partners [odds ratio (OR) 2.39; 95% confidence interval (95% CI) 1.48-3.85], sex in past 3 months (OR 3.33; 95% CI 1.87-5.94), a partner three or more years older (OR 1.69; 95% CI 1.16-2.48), and a more educated partner (OR 1.91; 95% CI 1.30-2.78). IPV was associated with HIV in two-way analyses (OR 1.56; 95% CI 1.08-2.23), but the effect was non-significant after adjusting for HIV risk behaviours. The experience of IPV was strongly associated with past year partner numbers, time of last sex, and partner's education; it was also marginally associated with partner age difference. Adverse experiences in childhood, including sexual abuse, increased the likelihood of having more past year partners (OR 1.43; 95% CI 1.21-1.69). Conclusions: IPV was strongly associated with most of the identified HIV risk factors. Our findings provide further evidence of links between IPV and HIV among women and the importance of joint prevention.
KW - HIV
KW - Intimate partner violence
KW - Risk factors
KW - Women
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U2 - 10.1093/ije/dyl218
DO - 10.1093/ije/dyl218
M3 - Article
C2 - 17008362
AN - SCOPUS:33846633305
SN - 0300-5771
VL - 35
SP - 1461
EP - 1468
JO - International Journal of Epidemiology
JF - International Journal of Epidemiology
IS - 6
ER -