1. The intersection of intimate partner violence and HIV risk among women engaging in transactional sex in Ugandan fishing villages.
- Author
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Sileo, Katelyn M., Kintu, Michael, and Kiene, Susan M.
- Subjects
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HIV infection risk factors , *AIDS , *CONFIDENCE intervals , *ALCOHOL drinking , *FISHING , *INTERVIEWING , *SEX work , *REPORT writing , *RURAL conditions , *UNSAFE sex , *CROSS-sectional method , *INTIMATE partner violence , *DATA analysis software - Abstract
Intimate partner violence (IPV) may increase risk for HIV/AIDS among women engaging in transactional sex in Ugandan fishing communities. In this cross-sectional study, 115 women reporting engaging in transactional sex in Lake Victoria fishing communities completed a computerized interview. We tested associations between IPV and other HIV risk factors, with unprotected sex and HIV status, and tested moderators of the IPV-HIV risk relationship. Women reporting recent sexual IPV reported 3.36 times more unprotected sex acts (AdjExp[B] = 3.36, 95% CI = 1.29–8.69,p = 0.07). The effect of sexual IPV on sexual risk was significantly greater among alcohol and fish sellers compared to sex workers (interaction: Exp[B] = 12.29, 95% CI = 5.06–29.85,p < 0.001). Women reporting any sexual IPV were nearly four times more likely to report being HIV positive than women reporting no sexual IPV (AOR = 3.94, 95% CI = 1.22–12.66,p = 0.02). Integrated IPV and HIV interventions are needed in this context, especially among alcohol and fish sellers engaging in transactional sex. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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