Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda
Zablotska, I.B.; Gray, R.H.; Koenig, M.A.; Serwadda, D.; Nalugoda, F.; Kigozi, G.; Sewankambo, N.; Lutalo, T.; Wabwire Mangen, F.; Wawer, M.
Aids and Behavior 13(2): 225-233
2009
ISSN/ISBN: 1573-3254 PMID: 18064556 DOI: 10.1007/s10461-007-9333-5Document Number: 205307
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.
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