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Exploring the associations between physical and sexual gender-based violence and HIV among women who use substances in South Africa: the role of agency and alcohol.
Bonner, Courtney Peasant; Browne, Felicia A; Ndirangu, Jacqueline W; Howard, Brittni; Zule, William A; Speizer, Ilene S; Kline, Tracy; Wechsberg, Wendee M.
Afiliación
  • Bonner CP; Substance Use, Gender, and Applied Research Program, RTI International , Research Triangle Park , NC , USA.
  • Browne FA; Substance Use, Gender, and Applied Research Program, RTI International , Research Triangle Park , NC , USA.
  • Ndirangu JW; Substance Use, Gender, and Applied Research Program, RTI International , Washington , DC , USA.
  • Howard B; Substance Use, Gender, and Applied Research Program, RTI International , Research Triangle Park , NC , USA.
  • Zule WA; Substance Use, Gender, and Applied Research Program, RTI International , Research Triangle Park , NC , USA.
  • Speizer IS; Gillings School of Public Health, University of North Carolina at Chapel Hill , Chapel Hill , NC , USA.
  • Kline T; Social Statistics Program, RTI International , Research Triangle Park , NC , USA.
  • Wechsberg WM; Substance Use, Gender, and Applied Research Program, RTI International , Research Triangle Park , NC , USA.
AIDS Care ; 31(11): 1369-1375, 2019 11.
Article en En | MEDLINE | ID: mdl-30939899
Objective: South Africa has the highest prevalence of HIV among women, the highest prevalence of gender-based violence (GBV), and the highest rates of per capita alcohol consumption in the world. The nuanced associations between GBV, alcohol misuse, and HIV must be explored and protective factors identified. This study examines the associations between physical and sexual GBV and HIV infection and explores how alcohol misuse and sexual agency may mediate the GBV-HIV association. Method: Participants were 361 Black African women (Mean age = 28.39, SD = 7.92) who reported using alcohol and/or drugs weekly in the past 3 months, engaging in condomless sex, and having a boyfriend. Women were recruited from disadvantaged communities in Pretoria, South Africa. Individuals who met the eligibility criteria and enrolled in the study consented and completed a computer-assisted personal interview assessing GBV, alcohol misuse, and sexual agency and underwent HIV testing (i.e., blood test). Results: The indirect effect of physical assault on HIV status at enrollment through alcohol misuse was significant (log odds = 0.23, SE = 0.12, 95% CI [0.0151, 0.4998]). Conclusions: HIV prevention efforts focusing on reducing alcohol misuse may be more effective, which might reduce the HIV burden among this group of vulnerable South African women.
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Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Consumo de Bebidas Alcohólicas / Infecciones por VIH / Violencia de Género Tipo de estudio: Etiology_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: AIDS Care Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Banco de datos: MEDLINE Asunto principal: Consumo de Bebidas Alcohólicas / Infecciones por VIH / Violencia de Género Tipo de estudio: Etiology_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Adolescent / Adult / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: AIDS Care Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2019 Tipo del documento: Article País de afiliación: Estados Unidos