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A Prospective Study of Exposure to Gender-Based Violence and Risk of Sexually Transmitted Infection Acquisition in the Women's Interagency HIV Study, 1995-2018.
| Content Provider | Europe PMC |
|---|---|
| Author | Geller, Ruth J. Decker, Michele R. Adedimeji, Adebola A. Weber, Kathleen M. Kassaye, Seble Taylor, Tonya N. Cohen, Jennifer Adimora, Adaora A. Haddad, Lisa B. Fischl, Margaret Cunningham, Sarah Golub, Elizabeth T. |
| Copyright Year | 2020 |
| Abstract | Background: Our objectives were to estimate the association of gender-based violence (GBV) experience with the risk of sexually transmitted infection (STI) acquisition in HIV-seropositive and HIV-seronegative women, to compare the STI risks associated with recent and lifetime GBV exposures, and to quantify whether these associations differ by HIV status. Methods: We conducted a multicenter, prospective cohort study in the Women's Interagency HIV Study, 1994–2018. Poisson models were fitted using generalized estimating equations to estimate the association of past 6-month GBV experience (physical, sexual, or intimate partner psychological violence) with subsequent self-reported STI diagnosis (gonorrhea, syphilis, chlamydia, pelvic inflammatory disease, or trichomoniasis). Results: Data from 2868 women who reported recent sexual activity comprised 12,069 person-years. Higher STI risk was observed among HIV-seropositive women (incidence rate [IR] 5.5 per 100 person-years) compared with HIV-seronegative women (IR 4.3 per 100 person-years). Recent GBV experience was associated with a 1.28-fold (95% confidence interval [CI] 0.99, 1.65) risk after adjustment for HIV status and relevant demographic, socioeconomic, and sexual risk variables. Other important risk factors for STI acquisition included unstable housing (adjusted incidence rate ratio [AIRR] 1.81, 95% CI 1.32–2.46), unemployment (AIRR 1.42, 95% CI 1.14–1.76), transactional sex (AIRR 2.06, 95% CI 1.52–2.80), and drug use (AIRR 1.44, 95% CI 1.19–1.75). Recent physical violence contributed the highest risk of STI acquisition among HIV-seronegative women (AIRR 2.27, 95% CI 1.18–4.35), whereas lifetime GBV experience contributed the highest risk among HIV-seropositive women (AIRR 1.59, 95% CI 1.20–2.10). Conclusions: GBV prevention remains an important public health goal with direct relevance to women's sexual health. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC7583344&blobtype=pdf |
| Page Count | 12 |
| ISSN | 15409996 |
| Volume Number | 29 |
| DOI | 10.1089/jwh.2019.7972 |
| PubMed Central reference number | PMC7583344 |
| Issue Number | 10 |
| PubMed reference number | 32996812 |
| Journal | Journal of Women's Health [J Womens Health (Larchmt)] |
| e-ISSN | 1931843X |
| Language | English |
| Publisher | Mary Ann Liebert, Inc., publishers |
| Publisher Date | 2020-09-30 |
| Publisher Place | USA |
| Access Restriction | Open |
| Rights License | Copyright 2020, Mary Ann Liebert, Inc., publishers |
| Subject Keyword | intimate partner violence sexual violence physical violence sexually transmitted infections HIV |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
