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AIDS and Behavior
Published in: AIDS and Behavior 2/2009

01-04-2009 | Original Paper

Alcohol Use, Intimate Partner Violence, Sexual Coercion and HIV among Women Aged 15–24 in Rakai, Uganda

Authors: Iryna B. Zablotska, Ronald H. Gray, Michael A. Koenig, David Serwadda, Fred Nalugoda, Godfrey Kigozi, Nelson Sewankambo, Tom Lutalo, Fred Wabwire Mangen, Maria Wawer

Published in: AIDS and Behavior | Issue 2/2009

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Abstract

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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Metadata
Title
Alcohol Use, Intimate Partner Violence, Sexual Coercion and HIV among Women Aged 15–24 in Rakai, Uganda
Authors
Iryna B. Zablotska
Ronald H. Gray
Michael A. Koenig
David Serwadda
Fred Nalugoda
Godfrey Kigozi
Nelson Sewankambo
Tom Lutalo
Fred Wabwire Mangen
Maria Wawer
Publication date
01-04-2009
Publisher
Springer US
Published in
AIDS and Behavior / Issue 2/2009
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-007-9333-5

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