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Characteristics of male perpetrators of intimate partner violence and implications for women’s HIV status: A pooled analysis of cohabiting couples from 27 countries in Africa (2000–2020)

Intimate partner violence (IPV) may increase women’s HIV acquisition risk. Still, knowledge on pathways through which IPV exacerbates HIV burden is emerging. We examined the individual and partnership-level characteristics of male perpetrators of physical and/or sexual IPV and considered their impli...

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Autores principales: Kuchukhidze, Salome, Panagiotoglou, Dimitra, Boily, Marie-Claude, Diabaté, Souleymane, Imai-Eaton, Jeffrey W., Stöckl, Heidi, Mbofana, Francisco, Wanyenze, Rhoda K., Maheu-Giroux, Mathieu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482294/
https://www.ncbi.nlm.nih.gov/pubmed/37672520
http://dx.doi.org/10.1371/journal.pgph.0002146
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author Kuchukhidze, Salome
Panagiotoglou, Dimitra
Boily, Marie-Claude
Diabaté, Souleymane
Imai-Eaton, Jeffrey W.
Stöckl, Heidi
Mbofana, Francisco
Wanyenze, Rhoda K.
Maheu-Giroux, Mathieu
author_facet Kuchukhidze, Salome
Panagiotoglou, Dimitra
Boily, Marie-Claude
Diabaté, Souleymane
Imai-Eaton, Jeffrey W.
Stöckl, Heidi
Mbofana, Francisco
Wanyenze, Rhoda K.
Maheu-Giroux, Mathieu
author_sort Kuchukhidze, Salome
collection PubMed
description Intimate partner violence (IPV) may increase women’s HIV acquisition risk. Still, knowledge on pathways through which IPV exacerbates HIV burden is emerging. We examined the individual and partnership-level characteristics of male perpetrators of physical and/or sexual IPV and considered their implications for women’s HIV status. We pooled individual-level data from nationally representative, cross-sectional surveys in 27 countries in Africa (2000–2020) with information on past-year physical and/or sexual IPV and HIV serology among cohabiting couples (≥15 years). Current partners of women experiencing past-year IPV were assumed to be IPV perpetrators. We used Poisson regression, based on Generalized Estimating Equations, to estimate prevalence ratios (PR) for male partner and partnership-level factors associated with perpetration of IPV, and men’s HIV status. We used marginal standardization to estimate the adjusted risk differences (aRD) quantifying the incremental effect of IPV on women’s risk of living with HIV, beyond the risk from their partners’ HIV status. Models were adjusted for survey fixed effects and potential confounders. In the 48 surveys available from 27 countries (N = 111,659 couples), one-fifth of women reported that their partner had perpetrated IPV in the past year. Men who perpetrated IPV were more likely to be living with HIV (aPR = 1.09; 95%CI: 1.01–1.16). The aRD for living with HIV among women aged 15–24 whose partners were HIV seropositive and perpetrated past-year IPV was 30% (95%CI: 26%-35%), compared to women whose partners were HIV seronegative and did not perpetrate IPV. Compared to the same group, aRD among women whose partner was HIV seropositive without perpetrating IPV was 27% (95%CI: 23%-30%). Men who perpetrated IPV are more likely to be living with HIV. IPV is associated with a slight increase in young women’s risk of living with HIV beyond the risk of having an HIV seropositive partner, which suggests the mutually reinforcing effects of HIV/IPV.
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spelling pubmed-104822942023-09-07 Characteristics of male perpetrators of intimate partner violence and implications for women’s HIV status: A pooled analysis of cohabiting couples from 27 countries in Africa (2000–2020) Kuchukhidze, Salome Panagiotoglou, Dimitra Boily, Marie-Claude Diabaté, Souleymane Imai-Eaton, Jeffrey W. Stöckl, Heidi Mbofana, Francisco Wanyenze, Rhoda K. Maheu-Giroux, Mathieu PLOS Glob Public Health Research Article Intimate partner violence (IPV) may increase women’s HIV acquisition risk. Still, knowledge on pathways through which IPV exacerbates HIV burden is emerging. We examined the individual and partnership-level characteristics of male perpetrators of physical and/or sexual IPV and considered their implications for women’s HIV status. We pooled individual-level data from nationally representative, cross-sectional surveys in 27 countries in Africa (2000–2020) with information on past-year physical and/or sexual IPV and HIV serology among cohabiting couples (≥15 years). Current partners of women experiencing past-year IPV were assumed to be IPV perpetrators. We used Poisson regression, based on Generalized Estimating Equations, to estimate prevalence ratios (PR) for male partner and partnership-level factors associated with perpetration of IPV, and men’s HIV status. We used marginal standardization to estimate the adjusted risk differences (aRD) quantifying the incremental effect of IPV on women’s risk of living with HIV, beyond the risk from their partners’ HIV status. Models were adjusted for survey fixed effects and potential confounders. In the 48 surveys available from 27 countries (N = 111,659 couples), one-fifth of women reported that their partner had perpetrated IPV in the past year. Men who perpetrated IPV were more likely to be living with HIV (aPR = 1.09; 95%CI: 1.01–1.16). The aRD for living with HIV among women aged 15–24 whose partners were HIV seropositive and perpetrated past-year IPV was 30% (95%CI: 26%-35%), compared to women whose partners were HIV seronegative and did not perpetrate IPV. Compared to the same group, aRD among women whose partner was HIV seropositive without perpetrating IPV was 27% (95%CI: 23%-30%). Men who perpetrated IPV are more likely to be living with HIV. IPV is associated with a slight increase in young women’s risk of living with HIV beyond the risk of having an HIV seropositive partner, which suggests the mutually reinforcing effects of HIV/IPV. Public Library of Science 2023-09-06 /pmc/articles/PMC10482294/ /pubmed/37672520 http://dx.doi.org/10.1371/journal.pgph.0002146 Text en © 2023 Kuchukhidze et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Kuchukhidze, Salome
Panagiotoglou, Dimitra
Boily, Marie-Claude
Diabaté, Souleymane
Imai-Eaton, Jeffrey W.
Stöckl, Heidi
Mbofana, Francisco
Wanyenze, Rhoda K.
Maheu-Giroux, Mathieu
Characteristics of male perpetrators of intimate partner violence and implications for women’s HIV status: A pooled analysis of cohabiting couples from 27 countries in Africa (2000–2020)
title Characteristics of male perpetrators of intimate partner violence and implications for women’s HIV status: A pooled analysis of cohabiting couples from 27 countries in Africa (2000–2020)
title_full Characteristics of male perpetrators of intimate partner violence and implications for women’s HIV status: A pooled analysis of cohabiting couples from 27 countries in Africa (2000–2020)
title_fullStr Characteristics of male perpetrators of intimate partner violence and implications for women’s HIV status: A pooled analysis of cohabiting couples from 27 countries in Africa (2000–2020)
title_full_unstemmed Characteristics of male perpetrators of intimate partner violence and implications for women’s HIV status: A pooled analysis of cohabiting couples from 27 countries in Africa (2000–2020)
title_short Characteristics of male perpetrators of intimate partner violence and implications for women’s HIV status: A pooled analysis of cohabiting couples from 27 countries in Africa (2000–2020)
title_sort characteristics of male perpetrators of intimate partner violence and implications for women’s hiv status: a pooled analysis of cohabiting couples from 27 countries in africa (2000–2020)
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10482294/
https://www.ncbi.nlm.nih.gov/pubmed/37672520
http://dx.doi.org/10.1371/journal.pgph.0002146
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