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- Title
Intimate Partner Violence and HIV Outcomes Among Women Living with HIV in Durban, South Africa.
- Authors
Ojeaburu, Sheila O.; Dorward, Jienchi; Violette, Lauren R.; Gibbs, Andrew; Shozi, Hlengiwe; Sookrajh, Yukteshwar; Mhlongo, Thobile; Ngobese, Hope; Garrett, Nigel; Drain, Paul K.
- Abstract
We examined the impact of past-year intimate partner violence (IPV) on HIV outcomes among women living with HIV (WLHIV) in Durban, South Africa. We assessed past-year IPV using the WHO Violence Against Women Questionnaire. We conducted logistic regression to assess associations between demographic variables and IPV at baseline, and between IPV at baseline and longitudinal HIV outcomes. Among 235 WLHIV, 17% reported past-year emotional, physical, or sexual IPV. At baseline, HIV-disclosure to partner was associated with 4.35-fold odds of past-year IPV (95% CI 1.17–16.10) after controlling for children, education, and harmful alcohol use. In the prospective analysis, IPV was associated with not achieving the co-primary outcome of retention in care and viral suppression in univariate (OR = 2.32, 95% CI 1.04–5.18), but not in the multivariate model. In the context of rapid treatment scale-up, the high burden of IPV among WLHIV needs to be prioritized, with an emphasis on disclosure support.
- Subjects
SOUTH Africa; WOMEN; INTIMATE partner violence; SEX crimes; VIRAL load; RESEARCH funding; HIV-positive persons; QUESTIONNAIRES; LOGISTIC regression analysis; EVALUATION of medical care; MULTIVARIATE analysis; DESCRIPTIVE statistics; CRIME victims; ODDS ratio; LONGITUDINAL method; PSYCHOLOGICAL abuse; CONFIDENCE intervals; ASSAULT &; battery; SELF-disclosure
- Publication
AIDS & Behavior, 2024, Vol 28, Issue 7, p2247
- ISSN
1090-7165
- Publication type
Article
- DOI
10.1007/s10461-024-04318-x