Emotional Violence is Associated with Increased HIV Risk Behavior among South African Adolescent Girls and Young Women in the HPTN 068 Cohort

Citation

Leddy, Anna M.; Selin, Amanda J.; Lippman, Sheri A.; Kimaru, Linda; Twine, Rhian; Gómez-Olivé, Xavier; Kahn, Kathleen; & Pettifor, Audrey E. (2022). Emotional Violence is Associated with Increased HIV Risk Behavior among South African Adolescent Girls and Young Women in the HPTN 068 Cohort. AIDS and Behavior, 26(6), 1863-1870. PMCID: PMC9046300

Abstract

Limited research has explored how emotional intimate partner violence (IPV) shapes HIV risk behaviors. Using cross-sectional data from the HPTN 068 post-trial visit (N = 1942), we assessed the association between emotional IPV and its sub-domains (verbal abuse and threats) with condomless sex, transactional sex, and frequent alcohol use among young women in South Africa. In adjusted multivariable logistic regression models, any emotional IPV and verbal IPV were associated with increased odds of condomless sex (aOR: 1.47; 95% CI: 1.15, 1.87; and aOR: 1.48; 95% CI: 1.15, 1.89), transactional sex (aOR: 2.32; 95% CI: 1.74, 3.08; and aOR: 2.02; 95% CI: 1.51, 2.71) and alcohol use (aOR: 1.88; 95% CI: 1.39, 2.53; and aOR: 1.87; 95% CI: 1.37, 2.55). Threats were associated with transactional sex (aOR: 3.67; 95% CI: 2.62, 5.14). Future research should examine this relationship over-time and HIV prevention programs should consider and address emotional IPV.

URL

http://dx.doi.org/10.1007/s10461-021-03535-y

Reference Type

Journal Article

Year Published

2022

Journal Title

AIDS and Behavior

Author(s)

Leddy, Anna M.
Selin, Amanda J.
Lippman, Sheri A.
Kimaru, Linda
Twine, Rhian
Gómez-Olivé, Xavier
Kahn, Kathleen
Pettifor, Audrey E.

Article Type

Regular

PMCID

PMC9046300

Data Set/Study

HIV Prevention Trials Network (HPTN)

Continent/Country

South Africa

Sex/Gender

Women

ORCiD

Pettifor - 0000-0002-3387-0817