Choice-Disability and HIV Infection: A Cross Sectional Study of HIV Status in Botswana, Namibia and Swaziland

被引：23

作者：

Andersson, Neil ^{[1
]}

Cockcroft, Anne ^{[2
]}

机构：

[1] Univ Autonoma Guerrero, Ctr Invest Enfermedades Trop, Acapulco, Mexico

[2] CIET Trust Botswana, Gaborone, Botswana

来源：

AIDS AND BEHAVIOR | 2012年 / 16卷 / 01期

关键词：

HIV; Choice-disability; Risk factors; Intimate partner violence; INTIMATE-PARTNER VIOLENCE; SUB-SAHARAN AFRICA; SEXUALLY-TRANSMITTED-DISEASES; GENDER-BASED VIOLENCE; SOUTHERN AFRICA; BEHAVIORAL INTERVENTIONS; DOMESTIC VIOLENCE; RISK BEHAVIOR; WOMEN; PREVENTION;

D O I：

10.1007/s10461-011-9912-3

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Interpersonal power gradients may prevent people implementing HIV prevention decisions. Among 7,464 youth aged 15-29 years in Botswana, Namibia and Swaziland we documented indicators of choice-disability (low education, educational disparity with partner, experience of sexual violence, experience of intimate partner violence (IPV), poverty, partner income disparity, willingness to have sex without a condom despite believing partner at risk of HIV), and risk behaviours like inconsistent use of condoms and multiple partners. In Botswana, Namibia and Swaziland, 22.9, 9.1, and 26.1% women, and 8.3, 2.8, and 9.3% men, were HIV positive. Among both women and men, experience of IPV, IPV interacted with age, and partner income disparity interacted with age were associated with HIV positivity in multivariate analysis. Additional factors were low education (for women) and poverty (for men). Choice disability may be an important driver of the AIDS epidemic. New strategies are needed that favour the choice-disabled.

引用

页码：189 / 198

页数：10

共 68 条

[11]

Central Statistics Office, 2008, STAT BRIEF PREL RES

[12] Sexual Risk Factors for HIV Infection in Early and Advanced HIV Epidemics in Sub-Saharan Africa: Systematic Overview of 68 Epidemiological Studies [J].

Chen, Li ;

Jha, Prabhat ;

Stirling, Bridget ;

Sgaier, Sema K. ;

Daid, Tina ;

Kaul, Rupert ;

Nagelkerke, Nico .

PLOS ONE, 2007, 2 (10)

[13] Acceptability of universal screening for intimate partner violence in voluntary HIV testing and counseling services in South Africa and service implications [J].

Christofides, Nicola ;

Jewkes, Rachel .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2010, 22 (03) :279-285

[14] Domestic violence and childhood sexual abuse in HIV-infected women and women at risk for HIV [J].

Cohen, M ;

Deamant, C ;

Barkan, S ;

Richardson, J ;

Young, M ;

Holman, S ;

Anastos, K ;

Cohen, J ;

Melnick, S .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2000, 90 (04) :560-565

[15]

CSO/Swaziland & Macro International, 2008, SWAZ DEM HLTH SURV 2

[16] Hazardous journey in intimacy: HIV transmission risk behaviors of young men who are victims of past sexual abuses and who have sexual relations with men [J].

Dorais, M .

JOURNAL OF HOMOSEXUALITY, 2004, 48 (02) :103-124

[17] Transactional sex with casual and main partners among young South African men in the rural Eastern Cape: Prevalence, predictors, and associations with gender-based violence [J].

Dunkle, Kristin L. ;

Jewkes, Rachel ;

Nduna, Mzlkazi ;

Jama, Nwabisa ;

Levin, Jonathan ;

Sikweyiya, Yandisa ;

Koss, Mary P. .

SOCIAL SCIENCE & MEDICINE, 2007, 65 (06) :1235-1248

[18]

Epstein H, 2004, NY TIMES 0613

[19] Socioeconomic status (SES) as a determinant of adherence to treatment in HIV infected patients: a systematic review of the literature [J].

Falagas, Matthew E. ;

Zarkadoulia, Efstathia A. ;

Pliatsika, Paraskevi A. ;

Panos, George .

RETROVIROLOGY, 2008, 5 (1)

[20] Increased risk of HIV in women experiencing physical partner violence in Nairobi, Kenya [J].

Fonck, K ;

Els, L ;

Kidula, N ;

Ndinya-Achola, J ;

Temmerman, M .

AIDS AND BEHAVIOR, 2005, 9 (03) :335-339

← 1 2 3 4 5 6 7 →