Sexual Relationship Power and Malnutrition Among HIV-Positive Women in Rural Uganda
Identifieur interne : 001C59 ( Pmc/Checkpoint ); précédent : 001C58; suivant : 001C60Sexual Relationship Power and Malnutrition Among HIV-Positive Women in Rural Uganda
Auteurs : Mark J. Siedner ; Alexander C. Tsai ; Shari Dworkin ; Nozmo F. B. Mukiibi ; Nneka I. Emenyonu ; Peter W. Hunt ; Jessica E. Haberer ; Jeffrey N. Martin ; David R. Bangsberg ; Sheri D. WeiserSource :
- AIDS and behavior [ 1090-7165 ] ; 2012.
Abstract
Inequality within partner relationships is associated with HIV acquisition and gender violence, but little is known about more pervasive effects on women’s health. We performed a cross-sectional analysis of associations between sexual relationship power and nutritional status among women in Uganda. Participants completed questionnaires and anthropometric measurements. We assessed sexual relationship power using the Sexual Relationship Power Scale (SRPS). We performed logistic regression to test for associations between sexual relationship power and poor nutritional status including body mass index, body fat percentage, and mid-upper arm circumference. Women with higher sexual relationship power scores had decreased odds of low body mass index (OR 0.29,
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DOI: 10.1007/s10461-012-0162-9
PubMed: 22382629
PubMed Central: 3439197
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Emenyonu</name></author><author><name sortKey="Hunt, Peter W" sort="Hunt, Peter W" uniqKey="Hunt P" first="Peter W." last="Hunt">Peter W. Hunt</name></author><author><name sortKey="Haberer, Jessica E" sort="Haberer, Jessica E" uniqKey="Haberer J" first="Jessica E." last="Haberer">Jessica E. Haberer</name></author><author><name sortKey="Martin, Jeffrey N" sort="Martin, Jeffrey N" uniqKey="Martin J" first="Jeffrey N." last="Martin">Jeffrey N. Martin</name></author><author><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name></author><author><name sortKey="Weiser, Sheri D" sort="Weiser, Sheri D" uniqKey="Weiser S" first="Sheri D." last="Weiser">Sheri D. 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Siedner</name></author><author><name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name></author><author><name sortKey="Dworkin, Shari" sort="Dworkin, Shari" uniqKey="Dworkin S" first="Shari" last="Dworkin">Shari Dworkin</name></author><author><name sortKey="Mukiibi, Nozmo F B" sort="Mukiibi, Nozmo F B" uniqKey="Mukiibi N" first="Nozmo F. B." last="Mukiibi">Nozmo F. B. Mukiibi</name></author><author><name sortKey="Emenyonu, Nneka I" sort="Emenyonu, Nneka I" uniqKey="Emenyonu N" first="Nneka I." last="Emenyonu">Nneka I. Emenyonu</name></author><author><name sortKey="Hunt, Peter W" sort="Hunt, Peter W" uniqKey="Hunt P" first="Peter W." last="Hunt">Peter W. Hunt</name></author><author><name sortKey="Haberer, Jessica E" sort="Haberer, Jessica E" uniqKey="Haberer J" first="Jessica E." last="Haberer">Jessica E. Haberer</name></author><author><name sortKey="Martin, Jeffrey N" sort="Martin, Jeffrey N" uniqKey="Martin J" first="Jeffrey N." last="Martin">Jeffrey N. Martin</name></author><author><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name></author><author><name sortKey="Weiser, Sheri D" sort="Weiser, Sheri D" uniqKey="Weiser S" first="Sheri D." last="Weiser">Sheri D. Weiser</name></author></analytic><series><title level="j">AIDS and behavior</title><idno type="ISSN">1090-7165</idno><idno type="eISSN">1573-3254</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p id="P1">Inequality within partner relationships is associated with HIV acquisition and gender violence, but little is known about more pervasive effects on women’s health. We performed a cross-sectional analysis of associations between sexual relationship power and nutritional status among women in Uganda. Participants completed questionnaires and anthropometric measurements. We assessed sexual relationship power using the Sexual Relationship Power Scale (SRPS). We performed logistic regression to test for associations between sexual relationship power and poor nutritional status including body mass index, body fat percentage, and mid-upper arm circumference. Women with higher sexual relationship power scores had decreased odds of low body mass index (OR 0.29, <italic>p</italic> = 0.01), low body fat percentage (OR 0.54, <italic>p</italic> = 0.04), and low midupper arm circumference (OR 0.22, <italic>p</italic> = 0.01). These relationships persisted in multivariable models adjusted for potential confounders. Targeted interventions to improve intimate partner relationship equality should be explored to improve health status among women living with HIV in rural Africa.</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">9712133</journal-id><journal-id journal-id-type="pubmed-jr-id">21042</journal-id><journal-id journal-id-type="nlm-ta">AIDS Behav</journal-id><journal-id journal-id-type="iso-abbrev">AIDS Behav</journal-id><journal-title-group><journal-title>AIDS and behavior</journal-title></journal-title-group><issn pub-type="ppub">1090-7165</issn><issn pub-type="epub">1573-3254</issn></journal-meta><article-meta><article-id pub-id-type="pmid">22382629</article-id><article-id pub-id-type="pmc">3439197</article-id><article-id pub-id-type="doi">10.1007/s10461-012-0162-9</article-id><article-id pub-id-type="manuscript">NIHMS402372</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Sexual Relationship Power and Malnutrition Among HIV-Positive Women in Rural Uganda</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Siedner</surname><given-names>Mark J.</given-names></name><aff id="A1">Department of Infectious Disease, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St., GRJ-5, Boston, MA 02114, USA</aff></contrib><contrib contrib-type="author"><name><surname>Tsai</surname><given-names>Alexander C.</given-names></name><aff id="A2">Robert Wood Johnson Health and Society Scholars Program, Harvard University, Boston, MA, USA</aff></contrib><contrib contrib-type="author"><name><surname>Dworkin</surname><given-names>Shari</given-names></name><aff id="A3">Universitiy of California, San Francisco, USA</aff></contrib><contrib contrib-type="author"><name><surname>Mukiibi</surname><given-names>Nozmo F. B.</given-names></name><aff id="A4">Mbarara University of Science and Technology, Mbarara, Uganda</aff></contrib><contrib contrib-type="author"><name><surname>Emenyonu</surname><given-names>Nneka I.</given-names></name><aff id="A5">Mbarara University of Science and Technology, Mbarara, Uganda</aff></contrib><contrib contrib-type="author"><name><surname>Hunt</surname><given-names>Peter W.</given-names></name><aff id="A6">Universitiy of California, San Francisco, USA</aff></contrib><contrib contrib-type="author"><name><surname>Haberer</surname><given-names>Jessica E.</given-names></name><aff id="A7">Department of Infectious Disease, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St., GRJ-5, Boston, MA 02114, USA</aff></contrib><contrib contrib-type="author"><name><surname>Martin</surname><given-names>Jeffrey N.</given-names></name><aff id="A8">Universitiy of California, San Francisco, USA</aff></contrib><contrib contrib-type="author"><name><surname>Bangsberg</surname><given-names>David R.</given-names></name><aff id="A9">Department of Infectious Disease, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St., GRJ-5, Boston, MA 02114, USA; The Ragon Institute of Massachusetts General Hospital, Massachusetts Institute of Technology, and Harvard Medical School, Boston, MA, USA; Mbarara University of Science and Technology, Mbarara, Uganda</aff></contrib><contrib contrib-type="author"><name><surname>Weiser</surname><given-names>Sheri D.</given-names></name><aff id="A10">Universitiy of California, San Francisco, USA</aff></contrib></contrib-group><author-notes><corresp id="CR1">M. J. Siedner <email>msiedner@partners.org</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>1</day><month>9</month><year>2012</year></pub-date><pub-date pub-type="ppub"><month>8</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>8</month><year>2013</year></pub-date><volume>16</volume><issue>6</issue><fpage>1542</fpage><lpage>1548</lpage><permissions><copyright-statement>© Springer Science+Business Media, LLC 2012</copyright-statement><copyright-year>2012</copyright-year></permissions><abstract><p id="P1">Inequality within partner relationships is associated with HIV acquisition and gender violence, but little is known about more pervasive effects on women’s health. We performed a cross-sectional analysis of associations between sexual relationship power and nutritional status among women in Uganda. Participants completed questionnaires and anthropometric measurements. We assessed sexual relationship power using the Sexual Relationship Power Scale (SRPS). We performed logistic regression to test for associations between sexual relationship power and poor nutritional status including body mass index, body fat percentage, and mid-upper arm circumference. Women with higher sexual relationship power scores had decreased odds of low body mass index (OR 0.29, <italic>p</italic> = 0.01), low body fat percentage (OR 0.54, <italic>p</italic> = 0.04), and low midupper arm circumference (OR 0.22, <italic>p</italic> = 0.01). These relationships persisted in multivariable models adjusted for potential confounders. Targeted interventions to improve intimate partner relationship equality should be explored to improve health status among women living with HIV in rural Africa.</p></abstract><kwd-group><kwd>Gender Equality</kwd><kwd>Malnutrition HIV/AIDS</kwd><kwd>Sub-Saharan Africa</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Bangsberg, David R" sort="Bangsberg, David R" uniqKey="Bangsberg D" first="David R." last="Bangsberg">David R. Bangsberg</name><name sortKey="Dworkin, Shari" sort="Dworkin, Shari" uniqKey="Dworkin S" first="Shari" last="Dworkin">Shari Dworkin</name><name sortKey="Emenyonu, Nneka I" sort="Emenyonu, Nneka I" uniqKey="Emenyonu N" first="Nneka I." last="Emenyonu">Nneka I. Emenyonu</name><name sortKey="Haberer, Jessica E" sort="Haberer, Jessica E" uniqKey="Haberer J" first="Jessica E." last="Haberer">Jessica E. Haberer</name><name sortKey="Hunt, Peter W" sort="Hunt, Peter W" uniqKey="Hunt P" first="Peter W." last="Hunt">Peter W. Hunt</name><name sortKey="Martin, Jeffrey N" sort="Martin, Jeffrey N" uniqKey="Martin J" first="Jeffrey N." last="Martin">Jeffrey N. Martin</name><name sortKey="Mukiibi, Nozmo F B" sort="Mukiibi, Nozmo F B" uniqKey="Mukiibi N" first="Nozmo F. B." last="Mukiibi">Nozmo F. B. Mukiibi</name><name sortKey="Siedner, Mark J" sort="Siedner, Mark J" uniqKey="Siedner M" first="Mark J." last="Siedner">Mark J. Siedner</name><name sortKey="Tsai, Alexander C" sort="Tsai, Alexander C" uniqKey="Tsai A" first="Alexander C." last="Tsai">Alexander C. Tsai</name><name sortKey="Weiser, Sheri D" sort="Weiser, Sheri D" uniqKey="Weiser S" first="Sheri D." last="Weiser">Sheri D. Weiser</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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