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Correlates of HIV testing among abused women in South Africa.

Abstract

Gender-based violence increases a woman's risk for HIV but little is known about her decision to get tested. We interviewed 97 women seeking abuse-related services from a nongovernmental organization (NGO) in Johannesburg, South Africa. Forty-six women (47%) had been tested for HIV. Caring for children (odds ratio [OR] = 0.27, 95% confidence interval [CI] = [0.07, 1.00]) and conversing with partner about HIV (OR = 0.13, 95% CI = [0.02, 0.85]) decreased odds of testing. Stronger risk-reduction intentions (OR = 1.27, 95% CI = [1.01, 1.60]) and seeking help from police (OR = 5.51, 95% CI = [1.18, 25.76]) increased odds of testing. Providing safe access to integrated services and testing may increase testing in this population. Infection with HIV is highly prevalent in South Africa where an estimated 16.2% of adults between the ages of 15 and 49 have the virus. The necessary first step to stemming the spread of HIV and receiving life-saving treatment is learning one's HIV serostatus through testing. Many factors may contribute to someone's risk of HIV infection and many barriers may prevent testing. One factor that does both is gender-based violence.

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  • Authors

    Adams JL, Hansen NB, Fox AM, Taylor BB, van Rensburg MJ, Mohlahlane R, Sikkema KJ

    Source

    Violence against women 17:8 2011 Aug pg 1014-23

    MeSH

    Adult
    Battered Women
    Child
    Child Care
    Female
    HIV
    HIV Infections
    HIV Seropositivity
    Health Services Accessibility
    Humans
    Interviews as Topic
    Male
    Mass Screening
    Middle Aged
    Odds Ratio
    Organizations
    Patient Acceptance of Health Care
    Police
    Prevalence
    Rape
    Sexual Partners
    South Africa
    Spouse Abuse
    Women's Health Services
    Young Adult

    Pub Type(s)

    Journal Article
    Research Support, N.I.H., Extramural
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    21727154