Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda

Iryna B. Zablotska, Ronald H. Gray, Michael A. Koenig, David Serwadda, Fred Nalugoda, Godfrey Kigozi, Nelson Sewankambo, Tom Lutalo, Fred Wabwire Mangen, Maria Wawer

Research output: Contribution to journalArticlepeer-review

Abstract

Disinhibition due to alcohol may induce intimate partner violence and sexual coercion and increased risk of HIV infection. In a sample of 3,422 women aged 15-24 from the Rakai cohort, Uganda, we examined the association between self-reported alcohol use before sex, physical violence/sexual coercion in the past and prevalent HIV, using adjusted odds ratios (Adj OR) and 95% confidence intervals (95% CI). During the previous year, physical violence (26.9%) and sexual coercion (13.4%) were common, and alcohol use before sex was associated with a higher risk of physical violence/sexual coercion. HIV prevalence was significantly higher with alcohol consumption before sex (Adj OR = 1.45, 95% CI: 1.06-1.98) and especially when women reported both prior sexual coercion and alcohol use before sex (Adj OR = 1.79, 95% CI: 1.25-2.56). Alcohol use before sex was associated with physical violence and sexual coercion, and both are jointly associated with HIV infection risk in young women.

Original languageEnglish (US)
Pages (from-to)225-233
Number of pages9
JournalAIDS and behavior
Volume13
Issue number2
DOIs
StatePublished - Apr 2009

Keywords

  • Alcohol use before sex
  • HIV
  • Intimate partner
  • Physical violence
  • Sexual coercion

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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