TY - JOUR
T1 - Incidence of violence against HIV-infected and uninfected women
T2 - Findings from the HIV epidemiology research (HER) study
AU - Gruskin, Leslie
AU - Gange, Stephen J.
AU - Celentano, David
AU - Schuman, Paula
AU - Moore, Janet S.
AU - Zierler, Sally
AU - Vlahov, David
N1 - Funding Information:
This work was supported by cooperative agreements U64(CCU106795, U64(CCU200714, U64(CCU306802, and U64(CCU506831 with the Centers for Disease Control and Prevention. Dr. Leslie Gruskin was supported by National Institutes of Health, National Research Service Award NR07311 from the National Institute of Nursing Research.
PY - 2002/12
Y1 - 2002/12
N2 - The effect of human immunodeficiency virus (HIV) infection on the incidence of violence against women was addressed in a prospective cohort of HIV-infected and uninfected women. Participants were enrolled between 1993 and 1995 in four US cities and followed up semiannually through 1998. Among 1,087 women with a total accrual of 2,988 person-years (PY) of follow-up, there were 185 reports of abuse (incidence rate = 6.19 per 100 PY). The rate of abuse among HIV-infected women with a CD4+ count less than 350 cells/μL was lower than that among HIV-infected women with more CD4+ cells/μL or among uninfected women (4.87, 6.92, and 6.44 per 100 PY, respectively). In multivariate analysis, being separated or divorced, having a history of abuse in adulthood, using marijuana, using crack, and having multiple sex partners were each significantly associated with an elevated abuse rate; being older was inversely associated with abuse. Among HIV-infected women, those with fewer CD4+ cells/μL continued to show a decreased abuse rate (hazard ratio = 0.55, 95% CI = 0.36, 0.82) after adjustment for these factors. It is important to complement existing and future HIV prevention and intervention strategies with efforts to reduce violence against women.
AB - The effect of human immunodeficiency virus (HIV) infection on the incidence of violence against women was addressed in a prospective cohort of HIV-infected and uninfected women. Participants were enrolled between 1993 and 1995 in four US cities and followed up semiannually through 1998. Among 1,087 women with a total accrual of 2,988 person-years (PY) of follow-up, there were 185 reports of abuse (incidence rate = 6.19 per 100 PY). The rate of abuse among HIV-infected women with a CD4+ count less than 350 cells/μL was lower than that among HIV-infected women with more CD4+ cells/μL or among uninfected women (4.87, 6.92, and 6.44 per 100 PY, respectively). In multivariate analysis, being separated or divorced, having a history of abuse in adulthood, using marijuana, using crack, and having multiple sex partners were each significantly associated with an elevated abuse rate; being older was inversely associated with abuse. Among HIV-infected women, those with fewer CD4+ cells/μL continued to show a decreased abuse rate (hazard ratio = 0.55, 95% CI = 0.36, 0.82) after adjustment for these factors. It is important to complement existing and future HIV prevention and intervention strategies with efforts to reduce violence against women.
KW - Abuse
KW - HIV infection
KW - Incidence
KW - Violence against women
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U2 - 10.1093/jurban/79.4.512
DO - 10.1093/jurban/79.4.512
M3 - Article
C2 - 12468671
AN - SCOPUS:0036945948
SN - 1099-3460
VL - 79
SP - 512
EP - 524
JO - Bulletin of the New York Academy of Medicine
JF - Bulletin of the New York Academy of Medicine
IS - 4
ER -