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Emotional Violence is Associated with Increased HIV Risk Behavior Among South African Adolescent Girls and Young Women in the HPTN 068 Cohort

Year: 2021

Type: article

Abstract: Limited research has explored how emotional intimate partner violence (IPV) shapes HIV risk behaviors. Using cross-sectional data from the HPTN 068 post-trial visit (N = 1942), we assessed the association between emotional IPV and its sub-domains (verbal abuse and threats) with condomless sex, transactional sex, and frequent alcohol use among young women in South Africa. In adjusted multivariable logistic regression models, any emotional IPV and verbal IPV were associated with increased odds of condomless sex (aOR: 1.47; 95% CI: 1.15, 1.87; and aOR: 1.48; 95% CI: 1.15, 1.89), transactional sex (aOR: 2.32; 95% CI: 1.74, 3.08; and aOR: 2.02; 95% CI: 1.51, 2.71) and alcohol use (aOR: 1.88; 95% CI: 1.39, 2.53; and aOR: 1.87; 95% CI: 1.37, 2.55). Threats were associated with transactional sex (aOR: 3.67; 95% CI: 2.62, 5.14). Future research should examine this relationship over-time and HIV prevention programs should consider and address emotional IPV.

Source: AIDS and Behavior

DOI: 10.1007/s10461-021-03535-y

Authors: Anna M. Leddy, Amanda Selin, Sheri A. Lippman, Linda J. Kimaru, Rhian Twine, Xavier Gómez-Olivé, Kathleen Kahn, Audrey Pettifor

Institutions: University of California, San Francisco, Stanford Medicine, Stanford University, University of the Witwatersrand, Agincourt Health and Socio-Demographic Surveillance System, University of North Carolina at Chapel Hill, Umeå University

Language: English

Topic: Intimate Partner and Family Violence

Subfield: Health

Field: Social Sciences

Domain: Social Sciences

SDGs: Good health and well-being, Gender equality, Peace, justice, and strong institutions

Open Access status: hybrid

Estimated APC paid: $3,860

Funders: Wellcome Trust, South African Medical Research Council, National Institutes of Health, Medical Research Council, National Institute of Mental Health, National Institute on Drug Abuse, National Institute of Allergy and Infectious Diseases, Eunice Kennedy Shriver National Institute of Child Health and Human Development

Awards: G3166951867, Health, population and social transitions in rural Southern Africa: Elucidating pathways and testing interventions., Preventing cardiometabolic diseases in Africa: life-course and multi-sector approaches., G3910588361, Investigating and responding to health, population and social transitions in rural Southern Africa., G4892396737, Carolina Population Center, G8186070293, G9000027606, G9000035439, G9000072712, Traineeships in AIDS Prevention Studies, Center for AIDS Prevention Studies (CAPS), G95499620, G95938990

OpenAlex ID: W3212141582

FWCI: 0.276

Cites: 43

Cited by: 7

Related to: 10