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Factors associated with HIV sero-status in young rural South African women: connections between intimate partner violence and HIV.
Int J Epidemiol. 2006 Dec; 35(6):1461-8.IJ

Abstract

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.

Links

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Authors+Show Affiliations

Jewkes R
Gender and Health Research Unit, Medical Research Council, Private Bag X385, Pretoria 0001, South Africa. rjewkes@mrc.ac.za
Dunkle K
No affiliation info available
Nduna M
No affiliation info available
Levin J
No affiliation info available
Jama N
No affiliation info available
Khuzwayo N
No affiliation info available
Koss M
No affiliation info available
Puren A
No affiliation info available
Duvvury N
No affiliation info available

MeSH

AdolescentAdultAge DistributionDomestic ViolenceEducational StatusFemaleHIV SeropositivityHealth Knowledge, Attitudes, PracticeHumansPregnancyRisk FactorsRisk-TakingRural HealthSexual BehaviorSexual PartnersSocioeconomic FactorsSouth Africa

Pub Type(s)

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

Language

eng

PubMed ID

17008362

Citation

Jewkes, R, et al. "Factors Associated With HIV Sero-status in Young Rural South African Women: Connections Between Intimate Partner Violence and HIV." International Journal of Epidemiology, vol. 35, no. 6, 2006, pp. 1461-8.
Jewkes R, Dunkle K, Nduna M, et al. Factors associated with HIV sero-status in young rural South African women: connections between intimate partner violence and HIV. Int J Epidemiol. 2006;35(6):1461-8.
Jewkes, R., Dunkle, K., Nduna, M., Levin, J., Jama, N., Khuzwayo, N., Koss, M., Puren, A., & Duvvury, N. (2006). Factors associated with HIV sero-status in young rural South African women: connections between intimate partner violence and HIV. International Journal of Epidemiology, 35(6), 1461-8.
Jewkes R, et al. Factors Associated With HIV Sero-status in Young Rural South African Women: Connections Between Intimate Partner Violence and HIV. Int J Epidemiol. 2006;35(6):1461-8. PubMed PMID: 17008362.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Factors associated with HIV sero-status in young rural South African women: 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, Y1 - 2006/09/28/ PY - 2006/9/30/pubmed PY - 2007/6/21/medline PY - 2006/9/30/entrez SP - 1461 EP - 8 JF - International journal of epidemiology JO - Int J Epidemiol VL - 35 IS - 6 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. SN - 0300-5771 UR - https://www.unboundmedicine.com/medline/citation/17008362/Factors_associated_with_HIV_sero_status_in_young_rural_South_African_women:_connections_between_intimate_partner_violence_and_HIV_ L2 - https://academic.oup.com/ije/article-lookup/doi/10.1093/ije/dyl218 DB - PRIME DP - Unbound Medicine ER -