Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda
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Date
2016
Journal Title
Journal ISSN
Volume Title
Publisher
AIDS and Behavior
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 se 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.
Description
Keywords
Relationship power, Sexual violence, Transactional sex, HIV/AIDS, Africa
Citation
Conroy, A. A., Tsai, A. C., Clark, G. M., Boum, Y., Hatcher, A. M., Kawuma, A., ... & Weiser, S. D. (2016). Relationship power and sexual violence among HIV-positive women in rural Uganda. AIDS and Behavior, 20(9), 2045-2053. DOI 10.1007/s10461-016-1385-y