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Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda.
AIDS Behav. 2009 Apr; 13(2):225-33.AB

Abstract

Disinhibition due to alcohol may induce intimate partner violence and sexual coercion and increased risk of HIV infection. In a sample of 3,422 women aged 15-24 from the Rakai cohort, Uganda, we examined the association between self-reported alcohol use before sex, physical violence/sexual coercion in the past and prevalent HIV, using adjusted odds ratios (Adj OR) and 95% confidence intervals (95% CI). During the previous year, physical violence (26.9%) and sexual coercion (13.4%) were common, and alcohol use before sex was associated with a higher risk of physical violence/sexual coercion. HIV prevalence was significantly higher with alcohol consumption before sex (Adj OR = 1.45, 95% CI: 1.06-1.98) and especially when women reported both prior sexual coercion and alcohol use before sex (Adj OR = 1.79, 95% CI: 1.25-2.56). Alcohol use before sex was associated with physical violence and sexual coercion, and both are jointly associated with HIV infection risk in young women.

Authors+Show Affiliations

Zablotska IB
National Centre in HIV Social Research, University of New South Wales, Sydney 2052, Australia. i.zablotska@unsw.edu.au
Gray RH
No affiliation info available
Koenig MA
No affiliation info available
Serwadda D
No affiliation info available
Nalugoda F
No affiliation info available
Kigozi G
No affiliation info available
Sewankambo N
No affiliation info available
Lutalo T
No affiliation info available
Wabwire Mangen F
No affiliation info available
Wawer M
No affiliation info available

MeSH

AdolescentAdultAlcohol DrinkingBattered WomenCoercionFemaleHIV InfectionsHumansSex OffensesSexual PartnersSpouse AbuseUgandaWomen's HealthYoung Adult

Pub Type(s)

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

Language

eng

PubMed ID

18064556

Citation

Zablotska, Iryna B., et al. "Alcohol Use, Intimate Partner Violence, Sexual Coercion and HIV Among Women Aged 15-24 in Rakai, Uganda." AIDS and Behavior, vol. 13, no. 2, 2009, pp. 225-33.
Zablotska IB, Gray RH, Koenig MA, et al. Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda. AIDS Behav. 2009;13(2):225-33.
Zablotska, I. B., Gray, R. H., Koenig, M. A., Serwadda, D., Nalugoda, F., Kigozi, G., Sewankambo, N., Lutalo, T., Wabwire Mangen, F., & Wawer, M. (2009). Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda. AIDS and Behavior, 13(2), 225-33.
Zablotska IB, et al. Alcohol Use, Intimate Partner Violence, Sexual Coercion and HIV Among Women Aged 15-24 in Rakai, Uganda. AIDS Behav. 2009;13(2):225-33. PubMed PMID: 18064556.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda. AU - Zablotska,Iryna B, AU - Gray,Ronald H, AU - Koenig,Michael A, AU - Serwadda,David, AU - Nalugoda,Fred, AU - Kigozi,Godfrey, AU - Sewankambo,Nelson, AU - Lutalo,Tom, AU - Wabwire Mangen,Fred, AU - Wawer,Maria, Y1 - 2007/12/07/ PY - 2007/05/20/received PY - 2007/11/05/accepted PY - 2007/12/8/pubmed PY - 2009/9/24/medline PY - 2007/12/8/entrez SP - 225 EP - 33 JF - AIDS and behavior JO - AIDS Behav VL - 13 IS - 2 N2 - Disinhibition due to alcohol may induce intimate partner violence and sexual coercion and increased risk of HIV infection. In a sample of 3,422 women aged 15-24 from the Rakai cohort, Uganda, we examined the association between self-reported alcohol use before sex, physical violence/sexual coercion in the past and prevalent HIV, using adjusted odds ratios (Adj OR) and 95% confidence intervals (95% CI). During the previous year, physical violence (26.9%) and sexual coercion (13.4%) were common, and alcohol use before sex was associated with a higher risk of physical violence/sexual coercion. HIV prevalence was significantly higher with alcohol consumption before sex (Adj OR = 1.45, 95% CI: 1.06-1.98) and especially when women reported both prior sexual coercion and alcohol use before sex (Adj OR = 1.79, 95% CI: 1.25-2.56). Alcohol use before sex was associated with physical violence and sexual coercion, and both are jointly associated with HIV infection risk in young women. SN - 1573-3254 UR - https://www.unboundmedicine.com/medline/citation/18064556/Alcohol_use_intimate_partner_violence_sexual_coercion_and_HIV_among_women_aged_15_24_in_Rakai_Uganda_ DB - PRIME DP - Unbound Medicine ER -