Intimate partner violence and condom and diaphragm nonadherence among women in an HIV prevention trial in southern Africa
- PMID: 24165561
- DOI: 10.1097/QAI.0b013e3182a6b0be
Intimate partner violence and condom and diaphragm nonadherence among women in an HIV prevention trial in southern Africa
Abstract
Background: We longitudinally examined the effect of intimate partner violence (IPV) on condom and diaphragm nonadherence among women in the Methods for Improving Reproductive Health in Africa study, a phase III HIV prevention trial in southern Africa.
Methods: Recent IPV (fear of violence, emotional abuse, physical violence, or forced sex, in past 3 months), condom nonadherence, and diaphragm nonadherence were assessed at baseline, 12 month, and exit visits (up to 24 months). The association between IPV and (1) condom nonadherence or (2) diaphragm nonadherence across visits was modeled using Generalized Estimating Equations adjusting for potential confounders.
Results: Of 4505 participants, 55% reported recent IPV during their trial participation. Women reported fearing violence (41%), emotional abuse (38%), being physically assaulted (16%), and forced sex (15%) by their regular male partner. IPV was associated with condom nonadherence in both study arms [adjusted odds ratio (AOR): 1.41, 95% confidence interval (CI): 1.24 to 1.61 (control arm) and AOR: 1.47, 95% CI: 1.28 to 1.69, (intervention arm)] and with diaphragm nonadherence (AOR 1.24, 95% CI: 1.06 to 1.45) adjusting for age, study sites, number of sex partners, and knowledge of male partner infidelity. Modeling effects of each form of IPV separately on nonadherence outcomes yielded similar results.
Conclusions: Prevalence of recent IPV was high and associated with condom and diaphragm nonadherence during the trial. Counseling in prevention trials should proactively address IPV, for its own sake, and in product and risk-reduction counseling. Strategies to encourage men's positive involvement in product use and prevent IPV perpetration should be considered.
Similar articles
-
Effectiveness of a culturally appropriate intervention to prevent intimate partner violence and HIV transmission among men, women, and couples in rural Ethiopia: Findings from a cluster-randomized controlled trial.PLoS Med. 2020 Aug 18;17(8):e1003274. doi: 10.1371/journal.pmed.1003274. eCollection 2020 Aug. PLoS Med. 2020. PMID: 32810146 Free PMC article. Clinical Trial.
-
Couple communication, sexual coercion and HIV risk reduction in Kigali, Rwanda.AIDS. 1995 Aug;9(8):935-44. doi: 10.1097/00002030-199508000-00016. AIDS. 1995. PMID: 7576330
-
Evidence of increased STI/HIV-related risk behavior among male perpetrators of intimate partner violence in Guatemala: results from a national survey.AIDS Care. 2014;26(11):1411-8. doi: 10.1080/09540121.2014.913766. Epub 2014 May 6. AIDS Care. 2014. PMID: 25090474
-
Forced sexual initiation, sexual intimate partner violence and HIV risk in women: a global review of the literature.AIDS Behav. 2013 Mar;17(3):832-47. doi: 10.1007/s10461-012-0361-4. AIDS Behav. 2013. PMID: 23143750 Free PMC article. Review.
-
Intimate partner violence and HIV infection among women: a systematic review and meta-analysis.J Int AIDS Soc. 2014 Feb 13;17(1):18845. doi: 10.7448/IAS.17.1.18845. eCollection 2014. J Int AIDS Soc. 2014. PMID: 24560342 Free PMC article. Review.
Cited by
-
Intimate Partner Violence and Coerced Unprotected Sex Among Young Women Attending Community College.Arch Sex Behav. 2020 Apr;49(3):871-882. doi: 10.1007/s10508-019-01537-5. Epub 2019 Oct 9. Arch Sex Behav. 2020. PMID: 31598805 Free PMC article.
-
Sustained High HIV Incidence in Young Women in Southern Africa: Social, Behavioral, and Structural Factors and Emerging Intervention Approaches.Curr HIV/AIDS Rep. 2015 Jun;12(2):207-15. doi: 10.1007/s11904-015-0261-0. Curr HIV/AIDS Rep. 2015. PMID: 25855338 Free PMC article. Review.
-
Impact of Partner-Related Social Harms on Women's Adherence to the Dapivirine Vaginal Ring During a Phase III Trial.J Acquir Immune Defic Syndr. 2018 Dec 15;79(5):580-589. doi: 10.1097/QAI.0000000000001866. J Acquir Immune Defic Syndr. 2018. PMID: 30239426 Free PMC article. Clinical Trial.
-
Prevalence and correlates of intimate partner violence in HIV-positive women engaged in transactional sex in Mombasa, Kenya.Int J STD AIDS. 2016 Nov;27(13):1194-1203. doi: 10.1177/0956462415611514. Epub 2015 Oct 12. Int J STD AIDS. 2016. PMID: 26464502 Free PMC article.
-
Intimate Partner Violence and Adherence to HIV Pre-exposure Prophylaxis (PrEP) in African Women in HIV Serodiscordant Relationships: A Prospective Cohort Study.J Acquir Immune Defic Syndr. 2016 Nov 1;73(3):313-322. doi: 10.1097/QAI.0000000000001093. J Acquir Immune Defic Syndr. 2016. PMID: 27243900 Free PMC article. Clinical Trial.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical
Miscellaneous