Non-consensual Sex and Association with Incident HIV Infection Among Women: A Cohort Study in Rural Uganda, 1990-2008.


Birdthistle, I; Mayanja, BN; Maher, D; Floyd, S; Seeley, J; Weiss, HA; (2013) Non-consensual Sex and Association with Incident HIV Infection Among Women: A Cohort Study in Rural Uganda, 1990-2008. AIDS and behavior, 17 (7). pp. 2430-8. ISSN 1090-7165 DOI: https://doi.org/10.1007/s10461-012-0378-8

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Abstract

: Non-consensual sex is associated with HIV infection in Africa, but there is little longitudinal data on this association. We describe reported non-consensual sex among women over two decades in southwest Uganda, including associations with incident HIV infection. Between 1990 and 2008, individuals in a population cohort who recently seroconverted to HIV were enrolled into a clinical cohort, along with randomly selected HIV-negative controls. Participants were invited to the study clinic every 3 months, and females asked about recent experiences of sex against their will. Associations of non-consensual sex with HIV status were analyzed prospectively using conditional logistic regression, adjusting for age and year of interview, allowing for within-woman correlation. 476 women aged 14-81 enrolled and attended 10,475 visits over 19 years. The results show high levels of repeated non-consensual sex, often long after HIV infection. There was more reporting among women living with HIV compared to HIV-negative women (22 vs 9 %; OR = 2.29, 95 %CI 1.03-5.09), with the strongest associations among married participants. HIV programmes should address repeated sexual coercion before and subsequent to HIV infection.<br/>

Item Type: Article
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- ) > Dept of Population Studies (1974-2012)
Faculty of Epidemiology and Population Health > Dept of Population Health (2012- )
Research Centre: Centre for Maternal, Reproductive and Child Health (MARCH)
Tropical Epidemiology Group
Population Studies Group
PubMed ID: 23212853
Web of Science ID: 323246500014
URI: http://researchonline.lshtm.ac.uk/id/eprint/491686

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