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

Identifieur interne : 002026 ( Pmc/Corpus ); précédent : 002025; suivant : 002027

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

Auteurs : Amy A. Conroy ; Alexander C. Tsai ; Gina M. Clark ; Yap Boum ; Abigail M. Hatcher ; Annet Kawuma ; Peter W. Hunt ; Jeffrey N. Martin ; David R. Bangsberg ; Sheri D. Weiser

Source :

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

Links to Exploration step

PMC:4996683

Le document en format XML

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<name>
<surname>Conroy</surname>
<given-names>Amy A.</given-names>
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<email>amy.conroy@ucsf.edu</email>
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<name>
<surname>Tsai</surname>
<given-names>Alexander C.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
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<contrib contrib-type="author">
<name>
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<given-names>Gina M.</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
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<name>
<surname>Boum</surname>
<given-names>Yap</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hatcher</surname>
<given-names>Abigail M.</given-names>
</name>
<xref ref-type="aff" rid="A5">5</xref>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
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<name>
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<given-names>Annet</given-names>
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<name>
<surname>Hunt</surname>
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<surname>Weiser</surname>
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Center for AIDS Prevention Studies, Department of Medicine, University of California - San Francisco, 550 16th Street 3rd Floor, San Francisco, CA, USA</aff>
<aff id="A2">
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Center for Global Health, Massachusetts General Hospital, Boston, USA</aff>
<aff id="A3">
<label>3</label>
Department of Psychiatry, Kaiser Permanente, San Franscisco, USA</aff>
<aff id="A4">
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Faculty of Medicine, Mbarara University of Science & Technology, Mbarara, Uganda</aff>
<aff id="A5">
<label>5</label>
Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</aff>
<aff id="A6">
<label>6</label>
Division of HIV/AIDS, Department of Medicine, University of California - San Francisco, San Francisco, USA</aff>
<aff id="A7">
<label>7</label>
Department of Epidemiology, University of California - San Francisco, San Francisco, USA</aff>
<aff id="A8">
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Department of Medicine, Harvard University, Boston, USA</aff>
<pub-date pub-type="nihms-submitted">
<day>16</day>
<month>4</month>
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<year>2017</year>
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<volume>20</volume>
<issue>9</issue>
<fpage>2045</fpage>
<lpage>2053</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s10461-016-1385-y</pmc-comment>
<abstract>
<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>
</abstract>
<kwd-group>
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<kwd>Sexual violence</kwd>
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<kwd>HIV/AIDS</kwd>
<kwd>Africa</kwd>
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