Sexual Relationship Power Equity Is Associated With Consistent Condom Use and Fewer Experiences of Recent Violence Among Women Living With HIV in Canada

被引:3
作者
Closson, Kalysha [1 ,2 ]
Lee, Melanie [3 ]
Gibbs, Andrew [4 ,5 ]
Nicholson, Valerie [2 ,3 ]
Gormley, Rebecca [2 ,3 ]
Parry, Rebeccah [3 ]
Ding, Erin [2 ]
Li, Jenny [2 ]
Carter, Allison [6 ]
Pick, Neora [7 ]
Loutfy, Mona [8 ,9 ]
de Pokomandy, Alexandra [10 ,11 ]
Greene, Saara [12 ]
Logie, Carmen H. [8 ,9 ]
Kaida, Angela [3 ]
机构
[1] Univ British Columbia, Sch Populat & Publ Hlth, Vancouver, BC, Canada
[2] British Columbia Ctr Excellence HIV AIDS, Vancouver, BC, Canada
[3] Simon Fraser Univ, Fac Hlth Sci, BLU 10522 8888,Univ Dr, Burnaby, BC V5A 1S6, Canada
[4] South African Med Res Council, Cape Town, South Africa
[5] Univ KwaZulu Natal, Sch Nursing & Publ Hlth, Ctr Rural Hlth, Durban, South Africa
[6] Univ New South Wales, Kirby Inst, Sexual Hlth Program, Sydney, NSW, Australia
[7] Womens Hosp Med Ctr, Oak Tree Clin, Vancouver, BC, Canada
[8] Womens Coll Hosp, Toronto, ON, Canada
[9] Univ Toronto, Toronto, ON, Canada
[10] McGill Univ, Hlth Ctr, Montreal, PQ, Canada
[11] McGill Univ, Montreal, PQ, Canada
[12] McMaster Univ, Sch Social Work, Hamilton, ON, Canada
基金
英国医学研究理事会; 加拿大健康研究院;
关键词
women; Canada; violence; condom use; sexual relationship power; CHIWOS; INTIMATE-PARTNER VIOLENCE; INJECTION-DRUG USERS; REPRODUCTIVE HEALTH; FOOD INSECURITY; GENDER; ADHERENCE; COUPLES; RACISM; RISK;
D O I
10.1097/QAI.0000000000003008
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background: Sexual relationship power (SRP) inequities, including having a controlling partner, have not been widely examined among women living with HIV (WLWH). We measured the prevalence and key outcomes of relationship control among WLWH in Canada. Methods: Baseline data from WLWH (>= 16 years), reporting consensual sex in the last month enrolled in a Canadian community-collaborative cohort study in British Columbia, Ontario, and Quebec, included the relationship control SRP subscale by Pulerwitz (2000). Scale scores were dichotomized into medium/low (score = 1-2.82) vs. high relationship control (score = 2.82-4), and high scores indicate greater SRP equity. Cronbach's alpha assessed scale reliability. Bivariate analyses compared women with high vs. medium/low relationship control. Crude and adjusted multinomial regression examined associations between relationship control and condom use [consistent (ref), inconsistent, or never]; any sexual, physical, and/or emotional violence; and physical and/or sexual violence [never (ref), recent (<= 3 months ago), and previous (>3 months ago)]. Results: Overall, 473 sexually active WLWH (33% of cohort), median age = 39 (IQR = 33-46) years, 81% on antiretroviral therapy, and 78% with viral loads <50 copies/mL were included. The subscale demonstrated good reliability (Cronbach's alpha = 0.92). WLWH with high relationship control (80%) were more likely (P < 0.05) to be in a relationship, have no children, have greater resilience, and report less sociostructural inequities. In adjusted models, high relationship control was associated with lower odds of inconsistent vs. consistent condom use [adjusted odds ratio (aOR): 0.39 (95% confidence interval: 0.18 to 0.85)], any recent violence [aOR: 0.14 (0.04-0.47)] as well as recent physical and/or sexual [aOR : 0.05 (0.02-0.17)] but not previous violence (vs. never). Discussion: Prioritizing relationship equity and support for WLWH is critical for addressing violence and promoting positive health outcomes.
引用
收藏
页码:482 / 493
页数:12
相关论文
共 79 条
[31]   2The role of controlling behaviour in intimate partner violence and its health effects: a population based study from rural Vietnam [J].
Krantz, Gunilla ;
Vung, Nguyen Dang .
BMC PUBLIC HEALTH, 2009, 9
[32]   Positive sexuality: HIV disclosure, gender, violence and the law-A qualitative study [J].
Krusi, Andrea ;
Renville, Flo ;
Gurney, Lulu ;
Lyons, Tara ;
Shoveller, Jean ;
Shannon, Kate .
PLOS ONE, 2018, 13 (08)
[33]   Mental health among transgender women living with HIV in Canada: findings from a national community-based research study [J].
Lacombe-Duncan, Ashley ;
Warren, Laura ;
Kay, Emma Sophia ;
Persad, Yasmeen ;
Soor, Jaspreet ;
Kia, Hannah ;
Underhill, Angela ;
Logie, Carmen H. ;
Kazemi, Mina ;
Kaida, Angela ;
de Pokomandy, Alexandra ;
Loutfy, Mona .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2021, 33 (02) :192-200
[34]   A scoping review of the integration of empowerment-based perspectives in quantitative intersectional stigma research [J].
Logie, Carmen H. ;
Earnshaw, Valerie ;
Nyblade, Laura ;
Turan, Janet ;
Stangl, Ann ;
Poteat, Tonia ;
Nelson, LaRon ;
Baral, Stefan .
GLOBAL PUBLIC HEALTH, 2022, 17 (08) :1451-1466
[35]   A longitudinal study of associations between HIV-related stigma, recent violence and depression among women living with HIV in a Canadian cohort study [J].
Logie, Carmen H. ;
Marcus, Natania ;
Wang, Ying ;
Kaida, Angela ;
O'Campo, Patricia ;
Ahmed, Uzma ;
O'Brien, Nadia ;
Nicholson, Valerie ;
Conway, Tracey ;
de Pokomandy, Alexandra ;
Fernet, Mylene ;
Loutfy, Mona ;
Anema, Aranka ;
Becker, Denise ;
Brotto, Lori ;
Carter, Allison ;
Cardinal, Claudette ;
Colley, Guillaume ;
Ding, Erin ;
Duddy, Janice ;
Gataric, Nada ;
Hogg, Robert S. ;
Howard, Terry ;
Jabbari, Shahab ;
Jones, Evin ;
Kestler, Mary ;
Langlois, Andrea ;
Lima, Viviane ;
Lloyd-Smith, Elisa ;
Medjuck, Melissa ;
Miller, Cari ;
Money, Deborah ;
Ogilvie, Gina ;
Patterson, Sophie ;
Pick, Neora ;
Roth, Eric ;
Salters, Kate ;
Sanchez, Margarite ;
Sas, Jacquie ;
Sereda, Paul ;
Summers, Marcie ;
Tom, Christina ;
Wang, Lu ;
Webster, Kath ;
Zhang, Wendy ;
Angel, Jonathan ;
Barry, Fatimatou ;
Bauer, Greta ;
Beaver, Kerrigan ;
Benoit, Anita .
JOURNAL OF THE INTERNATIONAL AIDS SOCIETY, 2019, 22 (07)
[36]   Prevalence and Correlates of Forced Sex as a Self-Reported Mode of HIV Acquisition Among a Cohort of Women Living With HIV in Canada [J].
Logie, Carmen H. ;
Kaida, Angela ;
de Pokomandy, Alexandra ;
O'Brien, Nadia ;
O'Campo, Pat ;
MacGillivray, Jay ;
Ahmed, Uzma ;
Arora, Nikita ;
Wang, Lu ;
Jabbari, Shahab ;
Kennedy, Logan ;
Carter, Allison ;
Proulx-Boucher, Karene ;
Conway, Tracey ;
Sereda, Paul ;
Loutfy, Mona .
JOURNAL OF INTERPERSONAL VIOLENCE, 2020, 35 (21-22) :5028-5063
[37]   Cohort profile: The Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS) [J].
Loutfy, Mona ;
de Pokomandy, Alexandra ;
Kennedy, V. Logan ;
Carter, Allison ;
O'Brien, Nadia ;
Proulx-Boucher, Karene ;
Ding, Erin ;
Lewis, Johanna ;
Nicholson, Valerie ;
Beaver, Kerrigan ;
Greene, Saara ;
Tharao, Wangari ;
Benoit, Anita ;
Dubuc, Daniele ;
Thomas-Pavanel, Jamie ;
Sereda, Paul ;
Jabbari, Shahab ;
Shurgold, Jayson H. ;
Colley, Guillaume ;
Hogg, Robert S. ;
Kaida, Angela .
PLOS ONE, 2017, 12 (09)
[38]   Establishing the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS): Operationalizing Community-based Research in a Large National Quantitative Study [J].
Loutfy, Mona ;
Greene, Saara ;
Kennedy, V. Logan ;
Lewis, Johanna ;
Thomas-Pavanel, Jamie ;
Conway, Tracey ;
de Pokomandy, Alexandra ;
O'Brien, Nadia ;
Carter, Allison ;
Tharao, Wangari ;
Nicholson, Valerie ;
Beaver, Kerrigan ;
Dubuc, Daniele ;
Gahagan, Jacqueline ;
Proulx-Boucher, Karene ;
Hogg, Robert S. ;
Kaida, Angela .
BMC MEDICAL RESEARCH METHODOLOGY, 2016, 16
[39]   Managing men: women's dilemmas about overt and covert use of barrier methods for HIV prevention [J].
MacPhail, Catherine ;
Terris-Prestholt, Fern ;
Kumaranayake, Lilani ;
Ngoako, Prudence ;
Watts, Charlotte ;
Rees, Helen .
CULTURE HEALTH & SEXUALITY, 2009, 11 (05) :485-497
[40]   Racial Discrimination, Mental Health Symptoms, and Intimate Partner Violence Perpetration in Black Adults [J].
Maldonado, Ana, I ;
Murphy, Christopher M. ;
Davis, Maxine ;
Evans, Michele K. ;
Zonderman, Alan B. .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2022, 90 (03) :209-220