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AIDS and Behavior
Published in: AIDS and Behavior 9/2016

01-09-2016 | Original Paper

A Prospective Cohort Study of Intimate Partner Violence and Unprotected Sex in HIV-Positive Female Sex Workers in Mombasa, Kenya

Authors: Kate S. Wilson, Ruth Deya, Krista Yuhas, Jane Simoni, Ann Vander Stoep, Juma Shafi, Walter Jaoko, James P. Hughes, Barbra A. Richardson, R. Scott McClelland

Published in: AIDS and Behavior | Issue 9/2016

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Abstract

We conducted a prospective cohort study to test the hypothesis that intimate partner violence (IPV) is associated with unprotected sex in HIV-positive female sex workers in Mombasa, Kenya. Women completed monthly visits and quarterly examinations. Any IPV in the past year was defined as ≥1 act of physical, sexual, or emotional violence by the current or most recent emotional partner (‘index partner’). Unprotected sex with any partner was measured by self-report and prostate specific antigen (PSA) test. Recent IPV was associated with significantly higher risk of unprotected sex (adjusted relative risk [aRR] 1.91, 95 % CI 1.32, 2.78, p = 0.001) and PSA (aRR 1.54, 95 % CI 1.17, 2.04, p = 0.002) after adjusting for age, alcohol use, and sexual violence by someone besides the index partner. Addressing IPV in comprehensive HIV programs for HIV-positive women in this key population is important to improve wellbeing and reduce risk of sexual transmission of HIV.
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Metadata
Title
A Prospective Cohort Study of Intimate Partner Violence and Unprotected Sex in HIV-Positive Female Sex Workers in Mombasa, Kenya
Authors
Kate S. Wilson
Ruth Deya
Krista Yuhas
Jane Simoni
Ann Vander Stoep
Juma Shafi
Walter Jaoko
James P. Hughes
Barbra A. Richardson
R. Scott McClelland
Publication date
01-09-2016
Publisher
Springer US
Published in
AIDS and Behavior / Issue 9/2016
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-016-1399-5

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