Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda
Title | Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda |
Publication Type | Journal Article |
Year of Publication | 2009 |
Authors | Zablotska, IB, Gray, RH, Koenig, MA, Serwadda, D, Nalugoda, F, Kigozi, G, Sewankambo, N, Lutalo, T, Wabwire Mangen, F, Wawer, M |
Journal | AIDS and behavior |
Volume | 13 |
Pagination | 225-233 |
Date Published | Apr |
ISBN Number | 1573-3254; 1090-7165 |
Accession Number | 18064556 |
Keywords | Adolescent, 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. |