Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda.
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.
Zablotska
Iryna B
IB
National Centre in HIV Social Research, University of New South Wales, Sydney 2052, Australia. i.zablotska@unsw.edu.au
Gray
Ronald H
RH
Koenig
Michael A
MA
Serwadda
David
D
Nalugoda
Fred
F
Kigozi
Godfrey
G
Sewankambo
Nelson
N
Lutalo
Tom
T
Wabwire Mangen
Fred
F
Wawer
Maria
M
D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology* / Q000523:psychology*; D018585:Battered Women / Q000706:statistics & numerical data; D003068:Coercion; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D012742:Sex Offenses / Q000706:statistics & numerical data*; D012747:Sexual Partners / Q000523:psychology; D013179:Spouse Abuse / Q000706:statistics & numerical data*; D014454:Uganda / Q000453:epidemiology; D016387:Women's Health; D055815:Young Adult