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Association between domestic violence and HIV serostatus among married and formerly married women in Kenya

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Association between domestic violence and HIV serostatus among married and formerly married women in Kenya

Auteurs : Elijah O. Onsomu ; Benta A. Abuya ; Irene N. Okech ; David L. Rosen ; Vanessa Duren-Winfield ; Amber C. Simmons

Source :

Health care for women international [ 0739-9332 ] ; 2014.

RBID : PMC:4312516

Abstract

The prevalence of both domestic violence (DV) and HIV among Kenyan women is known to be high, but the relationship between them is unknown. Nationally representative cross-sectional data from married and formerly married (MFM) women responding to the Kenya Demographic and Health Survey 2008/2009 were analyzed adjusting for complex survey design. Multivariable logistic regressions were used to assess the covariate-adjusted associations between HIV serostatus and any reported DV as well as four constituent DV measures: physical, emotional, sexual, and aggravated bodily harm, adjusting for co-variates entered into each model using a forward stepwise selection process. Co-variates of a priori interest included those representing marriage history, risky sexual behavior, substance use, perceived HIV risk, and socio-demographic characteristics. The prevalence of HIV among MFM women was 10.7% (any DV: 13.1%, no DV: 8.6%); overall prevalence of DV was 43.4%. Among all DV measures, only physical DV was associated with HIV (11.9%; adjusted odds ratio: 2.01, p < 0.05). Efforts by the government and women's groups to monitor and improve policies to reduce DV, such as the Sexual Offences Act of 2006, are urgently needed to curb HIV, as are policies that seek to provide DV counseling and treatment to MFM women.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4312516

DOI: 10.1080/07399332.2014.943840
PubMed: 25127397
PubMed Central: 4312516

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PMC:4312516

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<author><name sortKey="Onsomu, Elijah O" sort="Onsomu, Elijah O" uniqKey="Onsomu E" first="Elijah O" last="Onsomu">Elijah O. Onsomu</name>
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<author><name sortKey="Abuya, Benta A" sort="Abuya, Benta A" uniqKey="Abuya B" first="Benta A" last="Abuya">Benta A. Abuya</name>
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<author><name sortKey="Okech, Irene N" sort="Okech, Irene N" uniqKey="Okech I" first="Irene N" last="Okech">Irene N. Okech</name>
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<author><name sortKey="Rosen, David L" sort="Rosen, David L" uniqKey="Rosen D" first="David L" last="Rosen">David L. Rosen</name>
</author>
<author><name sortKey="Duren Winfield, Vanessa" sort="Duren Winfield, Vanessa" uniqKey="Duren Winfield V" first="Vanessa" last="Duren-Winfield">Vanessa Duren-Winfield</name>
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<author><name sortKey="Simmons, Amber C" sort="Simmons, Amber C" uniqKey="Simmons A" first="Amber C" last="Simmons">Amber C. Simmons</name>
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<author><name sortKey="Rosen, David L" sort="Rosen, David L" uniqKey="Rosen D" first="David L" last="Rosen">David L. Rosen</name>
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<author><name sortKey="Duren Winfield, Vanessa" sort="Duren Winfield, Vanessa" uniqKey="Duren Winfield V" first="Vanessa" last="Duren-Winfield">Vanessa Duren-Winfield</name>
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<front><div type="abstract" xml:lang="en"><p id="P1">The prevalence of both domestic violence (DV) and HIV among Kenyan women is known to be high, but the relationship between them is unknown. Nationally representative cross-sectional data from married and formerly married (MFM) women responding to the Kenya Demographic and Health Survey 2008/2009 were analyzed adjusting for complex survey design. Multivariable logistic regressions were used to assess the covariate-adjusted associations between HIV serostatus and any reported DV as well as four constituent DV measures: physical, emotional, sexual, and aggravated bodily harm, adjusting for co-variates entered into each model using a forward stepwise selection process. Co-variates of <italic>a priori</italic>
 interest included those representing marriage history, risky sexual behavior, substance use, perceived HIV risk, and socio-demographic characteristics. The prevalence of HIV among MFM women was 10.7% (any DV: 13.1%, no DV: 8.6%); overall prevalence of DV was 43.4%. Among all DV measures, only physical DV was associated with HIV (11.9%; adjusted odds ratio: 2.01, p < 0.05). Efforts by the government and women's groups to monitor and improve policies to reduce DV, such as the Sexual Offences Act of 2006, are urgently needed to curb HIV, as are policies that seek to provide DV counseling and treatment to MFM women.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <pmc-dir>properties manuscript</pmc-dir>
  <front><journal-meta><journal-id journal-id-type="nlm-journal-id">8411543</journal-id>
<journal-id journal-id-type="pubmed-jr-id">4493</journal-id>
<journal-id journal-id-type="nlm-ta">Health Care Women Int</journal-id>
<journal-id journal-id-type="iso-abbrev">Health Care Women Int</journal-id>
<journal-title-group><journal-title>Health care for women international</journal-title>
</journal-title-group>
<issn pub-type="ppub">0739-9332</issn>
<issn pub-type="epub">1096-4665</issn>
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<article-id pub-id-type="manuscript">NIHMS617920</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Association between domestic violence and HIV serostatus among married and formerly married women in Kenya</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Onsomu</surname>
<given-names>Elijah O</given-names>
<prefix>Dr</prefix>
</name>
<degrees>PhD, MS, MPH</degrees>
<email>oonsomu@gmail.com</email>
<aff id="A1">Winston-Salem State University, Divison of Nursing, Winston-Salem, 27110 United States</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Abuya</surname>
<given-names>Benta A</given-names>
<prefix>Dr</prefix>
</name>
<aff id="A2">African Population and Health Research Center (APHRC), Education Research Program, Nairobi, Kenya</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Okech</surname>
<given-names>Irene N</given-names>
<prefix>Dr</prefix>
</name>
<aff id="A3">Department of Research and Policy, Alpharetta, 30009 United States; and Imbako Public Health, Nairobi, Kenya</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Rosen</surname>
<given-names>David L</given-names>
<prefix>Dr</prefix>
</name>
<aff id="A4">University of North Carolina at Chapel Hill, Gillings School of Public Health, Chapel Hill, United States</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Duren-Winfield</surname>
<given-names>Vanessa</given-names>
<prefix>Dr</prefix>
</name>
<aff id="A5">Winston-Salem State University, Healthcare Management, Winston-Salem, 27110 United States</aff>
</contrib>
<contrib contrib-type="author"><name><surname>Simmons</surname>
<given-names>Amber C</given-names>
<prefix>Miss</prefix>
</name>
<aff id="A6">University of South Carolina, Arnold School of Public Health, Columbia, United States</aff>
</contrib>
</contrib-group>
<pub-date pub-type="nihms-submitted"><day>7</day>
<month>8</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>08</day>
<month>10</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><month>2</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>2</month>
<year>2016</year>
</pub-date>
<volume>36</volume>
<issue>2</issue>
<fpage>205</fpage>
<lpage>228</lpage>
<pmc-comment>elocation-id from pubmed: 10.1080/07399332.2014.943840</pmc-comment>
      <abstract><p id="P1">The prevalence of both domestic violence (DV) and HIV among Kenyan women is known to be high, but the relationship between them is unknown. Nationally representative cross-sectional data from married and formerly married (MFM) women responding to the Kenya Demographic and Health Survey 2008/2009 were analyzed adjusting for complex survey design. Multivariable logistic regressions were used to assess the covariate-adjusted associations between HIV serostatus and any reported DV as well as four constituent DV measures: physical, emotional, sexual, and aggravated bodily harm, adjusting for co-variates entered into each model using a forward stepwise selection process. Co-variates of <italic>a priori</italic>
 interest included those representing marriage history, risky sexual behavior, substance use, perceived HIV risk, and socio-demographic characteristics. The prevalence of HIV among MFM women was 10.7% (any DV: 13.1%, no DV: 8.6%); overall prevalence of DV was 43.4%. Among all DV measures, only physical DV was associated with HIV (11.9%; adjusted odds ratio: 2.01, p < 0.05). Efforts by the government and women's groups to monitor and improve policies to reduce DV, such as the Sexual Offences Act of 2006, are urgently needed to curb HIV, as are policies that seek to provide DV counseling and treatment to MFM women.</p>
</abstract>
<kwd-group><kwd>Domestic violence</kwd>
<kwd>Epidemiology</kwd>
<kwd>HIV/AIDS</kwd>
<kwd>Kenya</kwd>
<kwd>Women</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Abuya, Benta A" sort="Abuya, Benta A" uniqKey="Abuya B" first="Benta A" last="Abuya">Benta A. Abuya</name>
<name sortKey="Duren Winfield, Vanessa" sort="Duren Winfield, Vanessa" uniqKey="Duren Winfield V" first="Vanessa" last="Duren-Winfield">Vanessa Duren-Winfield</name>
<name sortKey="Okech, Irene N" sort="Okech, Irene N" uniqKey="Okech I" first="Irene N" last="Okech">Irene N. Okech</name>
<name sortKey="Onsomu, Elijah O" sort="Onsomu, Elijah O" uniqKey="Onsomu E" first="Elijah O" last="Onsomu">Elijah O. Onsomu</name>
<name sortKey="Rosen, David L" sort="Rosen, David L" uniqKey="Rosen D" first="David L" last="Rosen">David L. Rosen</name>
<name sortKey="Simmons, Amber C" sort="Simmons, Amber C" uniqKey="Simmons A" first="Amber C" last="Simmons">Amber C. Simmons</name>
</noCountry>
</tree>
</affiliations>
</record>

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	Le SIDA en Afrique subsaharienne (serveur d'exploration)
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Association between domestic violence and HIV serostatus among married and formerly married women in Kenya

Association between domestic violence and HIV serostatus among married and formerly married women in Kenya

Source :

Abstract

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