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.
National Centre in HIV Social Research, University of New South Wales, Sydney 2052, Australia. i.zablotska@unsw.edu.au
Iryna B
IB
Zablotska
Ronald H
RH
Gray
Michael A
MA
Koenig
David
D
Serwadda
Fred
F
Nalugoda
Godfrey
G
Kigozi
Nelson
N
Sewankambo
Tom
T
Lutalo
Fred
F
Wabwire Mangen
Maria
M
Wawer
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