HIV-Positive Women Report More Lifetime Partner Violence: Findings From a Voluntary Counseling and Testing Clinic in Dar es Salaam, Tanzania
Suzanne Maman, PhD,
Jessie K. Mbwambo, MD,
Nora M. Hogan, PsyD,
Gad P. Kilonzo, MBChB, MMed, FRCP(C),
Jacquelyn C. Campbell, PhD, RN, FAAN,
Ellen Weiss, MSc and
Michael D. Sweat, PhD
Suzanne Maman and Michael D. Sweat are with the Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Md. Jessie K. Mbwambo, Nora M. Hogan, and Gad P. Kilonzo are with the Department of Psychiatry, Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania. Jacquelyn C. Campbell is with the Johns Hopkins University School of Nursing, Baltimore, Md. Ellen Weiss is with the Horizons Project/International Center for Research on Women, Washington, DC.
Correspondence: Requests for reprints should be sent to Suzanne Maman, PhD, Department of International Health, Johns Hopkins University Bloomberg School of Public Health, 615 N Wolfe St, Room E7146, Baltimore, MD 21205 (e-mail: smaman{at}jhsph.edu).
Objectives. Experiences of partner violence were compared betweenHIV-positive and HIV-negative women.
Methods. Of 340 women enrolled, 245 (72%) were followed andinterviewed 3 months after HIV testing to estimate the prevalenceand identify the correlates of violence.
Results. The odds of reporting at least 1 violent event wassignificantly higher among HIV-positive women than among HIV-negativewomen (physical violence odds ratio [OR] = 2.63; 95% confidenceinterval [CI] = 1.23, 5.63; sexual violence OR = 2.39; 95% CI= 1.21, 4.73). Odds of reporting partner violence was 10 timeshigher among younger (< 30 years) HIV-positive women thanamong younger HIV-negative women (OR = 9.99; 95% CI = 2.67,37.37).
Conclusions. Violence is a risk factor for HIV infection thatmust be addressed through multilevel prevention approaches.
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