Intimate partner violence and correlates in pregnant HIV positive Nigerians
Ezechi, O.C.; Gab-Okafor, C.; Onwujekwe, D.I.; Adu, R.A.; Amadi, E.; Herbertson, E.
Archives of Gynecology and Obstetrics 280(5): 745-752
2009
ISSN/ISBN: 1432-0711 PMID: 19242706 DOI: 10.1007/s00404-009-0956-9Document Number: 209110
To determine the prevalence, types and correlates of intimate partner violence (IPV) in pregnant Nigerian living with HIV. Cross sectional study. HIV positive pregnant women. A large HIV comprehensive treatment centre. A cross sectional study of 652 HIV positive pregnant Nigerians seen at Nigerian Institute of Medical Research, Lagos, Nigeria over a 24 months period. Prevalence of intimate partner violence after HIV diagnosis. Among the women interviewed, 423 (65.8%) reported abuse. In 74.0% of abused women, the abuse started after HIV diagnosis. Though having a HIV negative spouse and disclosure of HIV status were associated with abuse, only having a HIV negative partner retained its association with IPV (OR 3.1; CI 2.4-5.3) after controlling for confounding variables. Sixty-two (9.6%) women have not disclosed their HIV status because of fear of rejection. Verbal abuse (51.7%), threat of violence in 97 (22.9%) and sexual deprivation in 91 (21.5%) were the common forms of abuse reported. IPV is common among HIV positive pregnant Nigerians; with a threefold increased risk in women in HIV serodiscordant relationship.
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