Transactional sex, alcohol use and intimate partner violence against women in the Rakai region of Uganda

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Miller, Amanda P. ; Pitpitan, Eileen V. ; Nabukalu, Dorean ; Nalugoda, Fred ; Nakigozi, Gertrude ; Kigozi, Godfrey ; Grabowski, Mary Kate ; Kennedy, Caitlin ; Wagman, Jennifer A.
• Description:
  Transactional sex (TS) is prevalent in sub-Saharan Africa. Women's engagement in TS is linked with HIV infection; little is known about the relationship between TS, intimate partner violence (IPV) and alcohol use-established HIV risk behaviors. Using modified Poisson regression, we assessed associations between TS and physical, verbal and sexual IPV among 8248 women (15-49 years) who participated in the Rakai Community Cohort Study across forty communities in Uganda. An interaction term assessed moderation between alcohol use and TS and no significant interaction effects were found. In adjusted analysis, alcohol use and TS were significantly associated with all forms of IPV. In stratified analysis, TS was only associated with IPV in agrarian communities; alcohol use was not associated with physical IPV in trade communities or sexual IPV in trade and fishing communities. Identifying differences in IPV risk factors by community type is critical for the development of tailored interventions.
• Subjects:
  Cohort Studies Cross-Sectional Studies Female HIV Infections Humans Intimate Partner Violence Risk Factors Sexual Partners
• Source:
  AIDS Behav. 25(4):1144-1158
• Pubmed ID:
  33128109
• Pubmed Central ID:
  PMC8807528
• Document Type:
  Journal Article
• Funding:
  F31AA028198-01/AA/NIAAA NIH HHSUnited States/ ; 5U2GGH000817/NH/NIH HHSUnited States/ ; R01AA018074/DA/NIDA NIH HHSUnited States/ ; K01AA024068/AA/NIAAA NIH HHSUnited States/ ; U2G GH000817/GH/CGH CDC HHSUnited States/ ; T32 DA023356/DA/NIDA NIH HHSUnited States/ ; R01 AA018074/AA/NIAAA NIH HHSUnited States/ ; R01 HD072695/HD/NICHD NIH HHSUnited States/ ; 5RO1HD072695/National Institute of Child Health and Human Development/ ; R01 AI114438/AI/NIAID NIH HHSUnited States/ ; P30 AI094189/AI/NIAID NIH HHSUnited States/ ; R01AI114438/National Institute of Allergy and Infectious Diseases/ ; F31 MH095649/MH/NIMH NIH HHSUnited States/ ; K01 AA024068/AA/NIAAA NIH HHSUnited States/ ; F31 AA028198/AA/NIAAA NIH HHSUnited States/
• Place as Subject:
  Uganda
• Volume:
  25
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:09b96766e2453ab9f8a0d55f0df789e3dc9c9d603710376560d6cbf0d19d4824
• Download URL:
  https://stacks.cdc.gov/view/cdc/115858/cdc_115858_DS1.pdf
• File Type:
  [PDF - 402.98 KB ]