No Association between HIV and Intimate Partner Violence among Women in 10 Developing Countries

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-inco...

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Main Authors:	Harling, G., Msisha, W., Subramanian, S. V.
Format:	Journal Article
Language:	EN
Published:	2012
Online Access:	http://hdl.handle.net/10986/5241

id	okr-10986-5241
recordtype	oai_dc
spelling	okr-10986-52412021-04-23T14:02:21Z No Association between HIV and Intimate Partner Violence among Women in 10 Developing Countries Harling, G. Msisha, W. Subramanian, S. V. 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. 2012-03-30T07:31:56Z 2012-03-30T07:31:56Z 2010 Journal Article Plos One 1932-6203 http://hdl.handle.net/10986/5241 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article Dominican Republic Haiti India Kenya Liberia Malawi Mali Rwanda Zambia Zimbabwe
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	EN
geographic_facet	Dominican Republic Haiti India Kenya Liberia Malawi Mali Rwanda Zambia Zimbabwe
relation	http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description	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.
format	Journal Article
author	Harling, G. Msisha, W. Subramanian, S. V.
spellingShingle	Harling, G. Msisha, W. Subramanian, S. V. No Association between HIV and Intimate Partner Violence among Women in 10 Developing Countries
author_facet	Harling, G. Msisha, W. Subramanian, S. V.
author_sort	Harling, G.
title	No Association between HIV and Intimate Partner Violence among Women in 10 Developing Countries
title_short	No Association between HIV and Intimate Partner Violence among Women in 10 Developing Countries
title_full	No Association between HIV and Intimate Partner Violence among Women in 10 Developing Countries
title_fullStr	No Association between HIV and Intimate Partner Violence among Women in 10 Developing Countries
title_full_unstemmed	No Association between HIV and Intimate Partner Violence among Women in 10 Developing Countries
title_sort	no association between hiv and intimate partner violence among women in 10 developing countries
publishDate	2012
url	http://hdl.handle.net/10986/5241
_version_	1764394424286052352

No Association between HIV and Intimate Partner Violence among Women in 10 Developing Countries

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