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Accepted (AM)Open Access (License Unspecified), Open
Journal article
A longitudinal study of the relationship between intimate partner violence and postpartum unsafe sex among newly diagnosed HIV-infected South African women
AIDS care, v 31(6), pp 707-713
03 Jun 2019
PMID: 30522335
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
HIV-positive women who engage in postpartum unsafe sex are at risk for sexually transmitted infection (STI), unintended pregnancy, and secondary transmission of HIV to uninfected partners. One factor that may increase risk for postpartum unsafe sex among HIV-positive women is intimate partner violence (IPV) victimization; few studies, however, have examined this association. This longitudinal study examined whether patterns of psychological, physical, and sexual IPV, assessed during pregnancy, predicted unsafe sex at 14 weeks postpartum among South African women diagnosed as HIV-positive during pregnancy (n = 561). In a latent class analysis, we identified three distinct patterns of IPV victimization: non-victims (74%), moderate IPV (20%), and multiform severe controlling IPV (5%). Compared to non-victims, victims of multiform severe controlling IPV were significantly more likely to engage in postpartum unsafe sex (p = .01), even after adjusting for potential confounding factors. Moderate IPV was not associated with postpartum unsafe sex. Findings support the need for targeted sexual risk reduction interventions for HIV-positive pregnant women who have experienced severe patterns of IPV.
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Details
- Title
- A longitudinal study of the relationship between intimate partner violence and postpartum unsafe sex among newly diagnosed HIV-infected South African women
- Creators
- H. Luz McNaughton Reyes - Department of HealthSuzanne Maman - Department of HealthAllison K. Groves - Drexel UniversityDhayendre Moodley - University of KwaZulu-NatalMay S. Chen - Department of Health
- Publication Details
- AIDS care, v 31(6), pp 707-713
- Publisher
- Taylor & Francis
- Grant note
- 1-R03-HD089140-01 / Eunice Kennedy Shriver National Institute of Child Health and Human Development (10.13039/100009633)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000463066900008
- Scopus ID
- 2-s2.0-85058181052
- Other Identifier
- 991019169544004721
UN Sustainable Development Goals (SDGs)
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Health Policy & Services
- Psychology, Multidisciplinary
- Public, Environmental & Occupational Health
- Respiratory System
- Social Sciences, Biomedical