Publication Cover
AIDS Care
Psychological and Socio-medical Aspects of AIDS/HIV
Volume 25, 2013 - Issue 4
665
Views
25
CrossRef citations to date
0
Altmetric
ORIGINAL ARTICLES

Intimate partner violence and HIV risk factors among African-American and African-Caribbean women in clinic-based settings

, , , , , , , & show all
Pages 472-480 | Received 02 Feb 2012, Accepted 16 Aug 2012, Published online: 25 Sep 2012
 

Abstract

Despite progress against intimate partner violence (IPV) and HIV/AIDS in the past two decades, both epidemics remain major public health problems, particularly among women of color. The objective of this study was to assess the relationship between recent IPV and HIV risk factors (sexual and drug risk behaviors, sexually transmitted infections [STIs], condom use, and negotiation) among women of African descent. We conducted a comparative case–control study in women's health clinics in Baltimore, MD, USA and St. Thomas and St. Croix, US Virgin Islands (USVI). Women aged 18–55 years who experienced physical and/or sexual IPV in the past two years (Baltimore, n=107; USVI, n=235) were compared to women who never experienced any form of abuse (Baltimore, n=207; USVI, n=119). Logistic regression identified correlates of recent IPV by site. In both sites, having a partner with concurrent sex partners was independently associated with a history of recent IPV (Baltimore, AOR: 3.91, 95% CI: 1.79–8.55 and USVI, AOR: 2.25, 95% CI: 1.11–4.56). In Baltimore, factors independently associated with recent IPV were lifetime casual sex partners (AOR: 1.99, 95% CI: 1.11–3.57), exchange sex partners (AOR: 5.26, 95% CI: 1.92–14.42), infrequent condom use during vaginal sex (AOR: 0.24, 95% CI: 0.08–0.72), and infrequent condom use during anal sex (AOR: 0.29, 95% CI: 0.09–0.93). In contrast, in the USVI, having a concurrent sex partner (AOR: 3.33, 95% CI: 1.46–7.60), frequent condom use during vaginal sex (AOR: 1.97, 95% CI: 1.06–3.65), frequent condom use during anal sex (AOR: 6.29, 95% CI: 1.57–25.23), drug use (AOR: 3.16, 95% CI: 1.00–10.06), and a past-year STI (AOR: 2.68, 95% CI: 1.25–5.72) were associated with recent IPV history. The divergent results by site warrant further investigation into the potential influence of culture, norms, and intentions on the relationships examined. Nonetheless, study findings support a critical need to continue the development and implementation of culturally tailored screening for IPV within HIV prevention and treatment programs.

Acknowledgements

The authors thank the study participants and staff for their participation, time, and effort. This study was supported by a subcontract with the Caribbean Exploratory NIMHD Research Center of Excellence, University of the Virgin Islands, funded by the National Institutes of Health (NIMHD P20MD002286). J.K. Stockman is supported by NIDA (K01DA031593), NIMHD (L60MD003701) and NIMH (R25MH080664). M.B. Lucea, B. Sabri, and J.C. Anderson are supported by NICHD (T32HD064428). J.E. Draughon is supported by NIMH (F31MH088850). The contents of this article are solely the responsibility of the authors and do not necessarily represent the official views of the National Institutes of Health.

Log in via your institution

Log in to Taylor & Francis Online

PDF download + Online access

  • 48 hours access to article PDF & online version
  • Article PDF can be downloaded
  • Article PDF can be printed
USD 53.00 Add to cart

Issue Purchase

  • 30 days online access to complete issue
  • Article PDFs can be downloaded
  • Article PDFs can be printed
USD 464.00 Add to cart

* Local tax will be added as applicable

Related Research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.