SidaSubSaharaV1, Main, Exploration, bibRecord, 000E33

Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda

Identifieur interne : 000E33 ( Main/Exploration ); précédent : 000E32; suivant : 000E34

Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda

Auteurs : Amy A. Conroy [États-Unis] ; Alexander C. Tsai [États-Unis] ; Gina M. Clark [États-Unis] ; Yap Boum [Ouganda] ; Abigail M. Hatcher [Afrique du Sud, États-Unis] ; Annet Kawuma [Ouganda] ; Peter W. Hunt [États-Unis] ; Jeffrey N. Martin [États-Unis] ; David R. Bangsberg [États-Unis] ; Sheri D. Weiser [États-Unis]

Source :

AIDS and behavior [ 1090-7165 ] ; 2016.

RBID : PMC:4996683

Abstract

Gender-based power imbalances place women at significant risk for sexual violence, however, little research has examined this association among women living with HIV/AIDS. We performed a cross-sectional analysis of relationship power and sexual violence among HIV-positive women on anti-retroviral therapy in rural Uganda. Relationship power was measured using the Sexual Relationship Power Scale (SRPS), a validated measure consisting of two subscales: relationship control (RC) and decision-making dominance. We used multivariable logistic regression to test for associations between the SRPS and two dependent variables: recent forced sex and transactional sex. Higher relationship power (full SRPS) was associated with reduced odds of forced sex (AOR = 0.24; 95 % CI 0.07–0.80; p = 0.020). The association between higher relationship power and transactional sex was strong and in the expected direction, but not statistically significant (AOR = 0.47; 95 % CI 0.18–1.22; p = 0.119). Higher RC was associated with reduced odds of both forced sex (AOR = 0.18; 95 % CI 0.06–0.59; p < 0.01) and transactional sex (AOR = 0.38; 95 % CI 0.15–0.99; p = 0.048). Violence prevention interventions with HIV-positive women should consider approaches that increase women’s power in their relationships.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4996683

DOI: 10.1007/s10461-016-1385-y
PubMed: 27052844
PubMed Central: 4996683

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p id="P1">Gender-based power imbalances place women at significant risk for sexual violence, however, little research has examined this association among women living with HIV/AIDS. We performed a cross-sectional analysis of relationship power and sexual violence among HIV-positive women on anti-retroviral therapy in rural Uganda. Relationship power was measured using the Sexual Relationship Power Scale (SRPS), a validated measure consisting of two subscales: relationship control (RC) and decision-making dominance. We used multivariable logistic regression to test for associations between the SRPS and two dependent variables: recent forced sex and transactional sex. Higher relationship power (full SRPS) was associated with reduced odds of forced sex (AOR = 0.24; 95 % CI 0.07–0.80; <italic>p</italic>
 = 0.020). The association between higher relationship power and transactional sex was strong and in the expected direction, but not statistically significant (AOR = 0.47; 95 % CI 0.18–1.22; <italic>p</italic>
 = 0.119). Higher RC was associated with reduced odds of both forced sex (AOR = 0.18; 95 % CI 0.06–0.59; <italic>p</italic>
 < 0.01) and transactional sex (AOR = 0.38; 95 % CI 0.15–0.99; <italic>p</italic>
 = 0.048). Violence prevention interventions with HIV-positive women should consider approaches that increase women’s power in their relationships.</p>
</div>
</front>
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<tree><country name="États-Unis"><region name="Californie"><name sortKey="Conroy, Amy A" sort="Conroy, Amy A" uniqKey="Conroy A" first="Amy A." last="Conroy">Amy A. Conroy</name>
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Le SIDA en Afrique subsaharienne (serveur d'exploration)

Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda

Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda

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