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19.04.2016 | Original Paper

A Prospective Cohort Study of Intimate Partner Violence and Unprotected Sex in HIV-Positive Female Sex Workers in Mombasa, Kenya

verfasst von: Kate S. Wilson, Ruth Deya, Krista Yuhas, Jane Simoni, Ann Vander Stoep, Juma Shafi, Walter Jaoko, James P. Hughes, Barbra A. Richardson, R. Scott McClelland

Erschienen in: AIDS and Behavior | Ausgabe 9/2016

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Abstract

We conducted a prospective cohort study to test the hypothesis that intimate partner violence (IPV) is associated with unprotected sex in HIV-positive female sex workers in Mombasa, Kenya. Women completed monthly visits and quarterly examinations. Any IPV in the past year was defined as ≥1 act of physical, sexual, or emotional violence by the current or most recent emotional partner (‘index partner’). Unprotected sex with any partner was measured by self-report and prostate specific antigen (PSA) test. Recent IPV was associated with significantly higher risk of unprotected sex (adjusted relative risk [aRR] 1.91, 95 % CI 1.32, 2.78, p = 0.001) and PSA (aRR 1.54, 95 % CI 1.17, 2.04, p = 0.002) after adjusting for age, alcohol use, and sexual violence by someone besides the index partner. Addressing IPV in comprehensive HIV programs for HIV-positive women in this key population is important to improve wellbeing and reduce risk of sexual transmission of HIV.

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Titel: A Prospective Cohort Study of Intimate Partner Violence and Unprotected Sex in HIV-Positive Female Sex Workers in Mombasa, Kenya
verfasst von: Kate S. Wilson
Ruth Deya
Krista Yuhas
Jane Simoni
Ann Vander Stoep
Juma Shafi
Walter Jaoko
James P. Hughes
Barbra A. Richardson
R. Scott McClelland
Publikationsdatum: 19.04.2016
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 9/2016
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-016-1399-5

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