Journal article
'Endure and excuse': a mixed-methods study to understand disclosure of intimate partner violence among women living with HIV in Uganda
CULTURE HEALTH & SEXUALITY, v 24(4), pp 499-516
06 Apr 2022
PMID: 33530887
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Intimate partner violence and HIV remain significant health challenges among women living with HIV. Intimate partner violence has been linked to negative health outcomes and poorer HIV care engagement. This study examined intimate partner violence among Ugandan women living with HIV, their experiences disclosing such violence and how culturally normative factors affected disclosure-related outcomes. In a mixed-methods study conducted in Uganda in 2018, 168 women participated in interviewer-administered surveys; a sub-set who reported experiencing intimate partner violence participated in in-depth interviews (IDIs). Intimate partner violence was prevalent among women in the sample (68.0%); almost half experienced emotional violence (45.2%), while a smaller proportion had experienced physical (32.1%) and/or sexual violence (19.6%). Most women living with HIV (61.8%) had disclosed their experience of intimate partner violence to someone. Women who experienced intimate partner violence had higher odds of disclosure if they feared their partner and perpetrated violence against their partner. Thematic analysis of IDIs revealed enduring violence and blaming alcohol for men's perpetration of violence. Traditional cultural and gender norms, especially concerning motherhood and partnership, influenced women's experiences of intimate partner violence and disclosure. Multi-sectoral responses to challenge and reform cultural norms that perpetuate violence are needed, including mobilising key stakeholders (e.g. family, community, policy-makers) to serve as catalysts for change and encourage resource- and safety-seeking for women living with HIV to escape violence.
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Details
- Title
- 'Endure and excuse': a mixed-methods study to understand disclosure of intimate partner violence among women living with HIV in Uganda
- Publication Details
- CULTURE HEALTH & SEXUALITY, v 24(4), pp 499-516
- Publisher
- ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD; ABINGDON
- Number of pages
- 0
- Grant note
- This work was funded by the San Diego State University MHIRT Program [grant no: 5 T37 MD001442]; and a San Diego State University Graduate Student Travel Award; University of California, San Diego Graduate Student Travel Award.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:000614197800001
- Scopus ID
- 2-s2.0-85100552695
- Other Identifier
- 991021860678104721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Family Studies
- Social Sciences, Biomedical