Title |
Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda
|
---|---|
Published in |
AIDS and Behavior, April 2016
|
DOI | 10.1007/s10461-016-1385-y |
Pubmed ID | |
Authors |
Amy A. Conroy, Alexander C. Tsai, Gina M. Clark, Yap Boum, Abigail M. Hatcher, Annet Kawuma, Peter W. Hunt, Jeffrey N. Martin, David R. Bangsberg, Sheri D. Weiser |
Abstract |
Gender-based power imbalances place women at significant risk for sexual violence, however, little research has examined this association among women living with HIV/AIDS. We performed a cross-sectional analysis of relationship power and sexual violence among HIV-positive women on anti-retroviral therapy in rural Uganda. Relationship power was measured using the Sexual Relationship Power Scale (SRPS), a validated measure consisting of two subscales: relationship control (RC) and decision-making dominance. We used multivariable logistic regression to test for associations between the SRPS and two dependent variables: recent forced sex and transactional sex. Higher relationship power (full SRPS) was associated with reduced odds of forced sex (AOR = 0.24; 95 % CI 0.07-0.80; p = 0.020). The association between higher relationship power and transactional sex was strong and in the expected direction, but not statistically significant (AOR = 0.47; 95 % CI 0.18-1.22; p = 0.119). Higher RC was associated with reduced odds of both forced sex (AOR = 0.18; 95 % CI 0.06-0.59; p < 0.01) and transactional sex (AOR = 0.38; 95 % CI 0.15-0.99; p = 0.048). Violence prevention interventions with HIV-positive women should consider approaches that increase women's power in their relationships. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 4 | 57% |
Unknown | 3 | 43% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 6 | 86% |
Practitioners (doctors, other healthcare professionals) | 1 | 14% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Brazil | 1 | <1% |
Unknown | 143 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 24 | 17% |
Researcher | 21 | 15% |
Student > Bachelor | 19 | 13% |
Student > Ph. D. Student | 15 | 10% |
Student > Doctoral Student | 9 | 6% |
Other | 21 | 15% |
Unknown | 35 | 24% |
Readers by discipline | Count | As % |
---|---|---|
Social Sciences | 27 | 19% |
Psychology | 22 | 15% |
Nursing and Health Professions | 20 | 14% |
Medicine and Dentistry | 17 | 12% |
Agricultural and Biological Sciences | 4 | 3% |
Other | 17 | 12% |
Unknown | 37 | 26% |