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Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda

TitleAlcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda
Publication TypeJournal Article
Year of Publication2009
AuthorsZablotska, IB, Gray, RH, Koenig, MA, Serwadda, D, Nalugoda, F, Kigozi, G, Sewankambo, N, Lutalo, T, Wabwire Mangen, F, Wawer, M
JournalAIDS and behavior
Volume13
Pagination225-233
Date PublishedApr
ISBN Number1573-3254; 1090-7165
Accession Number18064556
KeywordsAdolescent, Adult, Alcohol Drinking/epidemiology/psychology, Battered Women/statistics & numerical data, Coercion, Female, HIV Infections/epidemiology/prevention & control, Humans, Sex Offenses/statistics & numerical data, Sexual Partners/psychology, Spouse Abuse/statistics & numerical data, Uganda/epidemiology, Women's Health, Young Adult
Abstract

Disinhibition due to alcohol may induce intimate partner violence and sexual coercion and increased risk of HIV infection. In a sample of 3,422 women aged 15-24 from the Rakai cohort, Uganda, we examined the association between self-reported alcohol use before sex, physical violence/sexual coercion in the past and prevalent HIV, using adjusted odds ratios (Adj OR) and 95% confidence intervals (95% CI). During the previous year, physical violence (26.9%) and sexual coercion (13.4%) were common, and alcohol use before sex was associated with a higher risk of physical violence/sexual coercion. HIV prevalence was significantly higher with alcohol consumption before sex (Adj OR = 1.45, 95% CI: 1.06-1.98) and especially when women reported both prior sexual coercion and alcohol use before sex (Adj OR = 1.79, 95% CI: 1.25-2.56). Alcohol use before sex was associated with physical violence and sexual coercion, and both are jointly associated with HIV infection risk in young women.