Prevalence of and Risk Factors for Intimate Partner Violence in the First 6 Months Following HIV Diagnosis Among a Population‑Based Sample in Rural Uganda
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Date
2020
Journal Title
Journal ISSN
Volume Title
Publisher
AIDS and behavior
Abstract
Research in Uganda examining HIV-positive status disclosure and IPV victimization is scarce, and existing findings may
not generalize to community-based samples of men and women newly diagnosed with HIV in Uganda. We investigated the
prevalence of lifetime IPV, IPV experienced between HIV diagnosis and 6 months following diagnosis (recent IPV), and IPV
specifically related to a partner learning one’s HIV-positive status among a sample of men and women newly diagnosed with
HIV in a population-based study in rural Uganda. We also examined correlates of recent IPV, including HIV-positive status
disclosure. The sample included 337 participants followed for 6 months after HIV diagnosis. Lifetime IPV findings showed
that over half of the sample reported experiencing emotional IPV (62.81% of men, 70.37% of women), followed by physical
IPV (21.49% of men, 26.39% of women) then sexual IPV (7.44% of men, 17.59% of women). For recent IPV, men and women
reported similar rates of physical (4.63% and 8.29%, respectively) and emotional (19.44% and 25.91%, respectively) IPV.
Women were more likely than men to report recent sexual IPV (8.29% vs. 1.85%); however, this relationship was no longer
significant after controlling for other risk factors associated with sexual IPV (AOR = 3.47, 95% CI [0.65, 18.42]). Participants
who disclosed their HIV-positive status to their partner had 59% lower odds of reporting emotional IPV (AOR = 0.41, 95%
CI [0.21, 0.81]) than participants who did not disclose their HIV-positive status. Younger age, non-polygamous marriage,
lower social support, and greater acceptance for violence against women were also significantly associated with experience
of recent IPV. Overall, 12.20% of participants who experienced recent IPV reported that the IPV was related to their partner
learning their HIV-positive status. Findings highlight the need for IPV screening and intervention integrated into HIV
diagnosis, care, and treatment services.
Description
Keywords
Intimate partner violence, Domestic violence, Gender-based violence, HIV-status disclosure, HIV, Uganda, Sub-Saharan Africa
Citation
Ogbonnaya, I. N., Wanyenze, R. K., Reed, E., Silverman, J. G., & Kiene, S. M. (2020). Prevalence of and risk factors for intimate partner violence in the first 6 months following HIV diagnosis among a population-based sample in rural Uganda. AIDS and behavior, 24(4), 1252-1265.https://doi.org/10.1007/s10461-019-02673-8