title: Forced sexual initiation, sexual intimate partner violence and HIV risk in women: a global review of the literature.
abstract: Coerced or forced sexual initiation and sexual intimate partner violence (sexual IPV) contribute significantly to a woman's risk for HIV infection. This review systematically examines global research (n = 21 studies) published since 2000 on the role of coerced/forced sexual initiation and sexual IPV on HIV risk in women. In predominantly low- and middle-income countries, coerced/forced sexual initiation was associated with HIV/STIs, multiple and high-risk sex partners, and no condom use. Most studies using behaviorally specific terms for sexual IPV found strong associations between sexual IPV and HIV risk behaviors. In contrast, studies using less specific definitions often failed to find these significant associations. To develop more comprehensive HIV prevention programs, future efforts should integrate behaviorally specific terms into assessing prevalence of sexual IPV and its association with HIV risk, consider cultural differences, and identify causal pathways between coerced or forced sexual initiation, HIV risk behaviors and HIV/STI infection.
authors.affiliation: Division of Global Public Health, Department of Medicine, University of California, San Diego, 9500 Gilman Drive, MC 0849, La Jolla, CA, 92093-0849, USA. jstockman@ucsd.edu
authors.forename: Jamila K
authors.initials: JK
authors.lastname: Stockman
authors.forename: Marguerite B
authors.initials: MB
authors.lastname: Lucea
authors.forename: Jacquelyn C
authors.initials: JC
authors.lastname: Campbell
mesh_terms: D000293:Adolescent; D000328:Adult; D017579:Domestic Violence / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D015995:Prevalence; D012309:Risk-Taking; D012742:Sex Offenses / Q000706:statistics & numerical data*; D012725:Sexual Behavior; D012747:Sexual Partners; D047568:Unsafe Sex; D055815:Young Adult