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A Prospective Cohort Study of Intimate Partner Violence and Unprotected Sex in HIV-Positive Female Sex Workers in Mombasa, Kenya.
Wilson, Kate S; Deya, Ruth; Yuhas, Krista; Simoni, Jane; Vander Stoep, Ann; Shafi, Juma; Jaoko, Walter; Hughes, James P; Richardson, Barbra A; McClelland, R Scott.
Afiliação
  • Wilson KS; Department of Global Health, University of Washington, Box 359931, Seattle, 98104, USA. ksw@uw.edu.
  • Deya R; Department of Epidemiology, University of Washington, Seattle, USA. ksw@uw.edu.
  • Yuhas K; Department of Global Health, University of Washington, Box 359931, Seattle, 98104, USA.
  • Simoni J; Department of Global Health, University of Washington, Box 359931, Seattle, 98104, USA.
  • Vander Stoep A; Department of Psychology, University of Washington, Seattle, USA.
  • Shafi J; Department of Epidemiology, University of Washington, Seattle, USA.
  • Jaoko W; University of Nairobi, Nairobi, Kenya.
  • Hughes JP; Coast Province General Hospital, Mombasa, Kenya.
  • Richardson BA; University of Nairobi, Nairobi, Kenya.
  • McClelland RS; Department of Biostatistics, University of Washington, Seattle, USA.
AIDS Behav ; 20(9): 2054-64, 2016 09.
Article em En | MEDLINE | ID: mdl-27094785
ABSTRACT
We conducted a prospective cohort study to test the hypothesis that intimate partner violence (IPV) is associated with unprotected sex in HIV-positive female sex workers in Mombasa, Kenya. Women completed monthly visits and quarterly examinations. Any IPV in the past year was defined as ≥1 act of physical, sexual, or emotional violence by the current or most recent emotional partner ('index partner'). Unprotected sex with any partner was measured by self-report and prostate specific antigen (PSA) test. Recent IPV was associated with significantly higher risk of unprotected sex (adjusted relative risk [aRR] 1.91, 95 % CI 1.32, 2.78, p = 0.001) and PSA (aRR 1.54, 95 % CI 1.17, 2.04, p = 0.002) after adjusting for age, alcohol use, and sexual violence by someone besides the index partner. Addressing IPV in comprehensive HIV programs for HIV-positive women in this key population is important to improve wellbeing and reduce risk of sexual transmission of HIV.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Soropositividade para HIV / Sexo sem Proteção / Profissionais do Sexo / Violência por Parceiro Íntimo Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Middle aged País/Região como assunto: Africa Idioma: En Revista: AIDS Behav Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Soropositividade para HIV / Sexo sem Proteção / Profissionais do Sexo / Violência por Parceiro Íntimo Tipo de estudo: Etiology_studies / Observational_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Middle aged País/Região como assunto: Africa Idioma: En Revista: AIDS Behav Ano de publicação: 2016 Tipo de documento: Article