Publications
Back to browse results
 
No Association between HIV and Intimate Partner Violence among Women in 10 Developing Countries.
Authors: Guy Harling, Wezi Msisha, S. V. Subramanian
Source: PLoS ONE , 5(12): e14257. doi:10.1371/journal.pone.0014257
Topic(s): Domestic violence
HIV/AIDS
Women's health
Country: Africa
  Liberia
Asia
  India
Latin American/Caribbean
  Haiti
  Dominican Republic
More than one region
  Multiple Regions
Africa
  Kenya
  Malawi
  Mali
  Rwanda
  Zimbabwe
  Zambia
Published: DEC 2010
Abstract: Abstract Background Intimate Partner Violence (IPV) has been reported to be a determinant of women's risk for HIV. We examined the relationship between women's self-reported experiences of IPV in their most recent relationship and their laboratory-confirmed HIV serostatus in ten low- to middle-income countries. Methodology/Principal Findings Data for the study came from the most recent Demographic and Health Surveys conducted in Dominican Republic, Haiti, India, Kenya, Liberia, Malawi, Mali, Rwanda, Zambia and Zimbabwe. Each survey population was a cross-sectional sample of women aged 15–49 years. Information on IPV was obtained by a face-to-face interview with the mother with an 81.1% response rate; information on HIV serostatus was obtained from blood samples with an 85.3% response rate. Demographic and socioeconomic variables were considered as potentially confounding covariates. Logistic regression models accounting for multi-stage survey design were estimated individually for each country and as a pooled total with country fixed effects (n = 60,114). Country-specific adjusted odds ratios (OR) for physical or sexual IPV compared to neither ranged from 0.45 [95% confidence interval (CI): 0.23–0.90] in Haiti to 1.35 [95% CI: 0.95–1.90] in India; the pooled association was 1.03 [95% CI: 0.94–1.13]. Country-specific adjusted ORs for physical and sexual IPV compared to no sexual IPV ranged from 0.41 [95% CI: 0.12–1.36] in Haiti to 1.41 [95% CI: 0.26–7.77] in Mali; the pooled association was 1.05 [95% CI: 0.90–1.22]. Conclusions IPV and HIV were not found to be consistently associated amongst ever-married women in national population samples in these lower income countries, suggesting that IPV is not consistently associated with HIV prevalence worldwide. More research is needed to understand the circumstances in which IPV and HIV are and are not associated with one another.
Web: http://www.plosone.org/article/info:doi%2F10.1371%2Fjournal.pone.0014257