A prospective study of intimate partner violence as a risk factor for detectable plasma viral load in hiv-positive women engaged in transactional sex in Mombasa, Kenya.
Date
2016Author
Wilson, Kate S.
Wanje, George
Yuhas, Krista
Simon, Jane M.
Masese, Linnet
Stoep, Ann V
Jaoko, Walter
Hughes, James P.
Richardson, Barbra A.
McClelland, R. Scott
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
We conducted a prospective cohort study to evaluate intimate partner violence (IPV) as a risk factor for detectable plasma viral load in HIV-positive female sex workers (FSWs) on antiretroviral therapy (ART) in Kenya. IPV in the past year was defined as ≥1 act of physical, sexual, or emotional violence by the index partner (i.e. boyfriend/husband). The primary outcome was detectable viral load (≥180 copies/ml). In-depth interviews and focus groups were included to contextualize results. Analyses included 195 women (570 visits). Unexpectedly, IPV was associated with significantly lower risk of detectable viral load (adjusted relative risk 0.21, 95 % CI 0.05–0.84, p-value = 0.02). Qualitative findings revealed that women valued emotional and financial support from index partners, despite IPV. IPV was not a major barrier to ART adherence. The observed association between IPV and lower risk of detectable viral load in FSWs may be due to unmeasured personal and relationship factors, warranting further research.
Citation
Wilson, Kate S., et al. "A prospective study of intimate partner violence as a risk factor for detectable plasma viral load in HIV-positive women engaged in transactional sex in Mombasa, Kenya." AIDS and Behavior 20.9 (2016): 2065-2077.Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
- Faculty of Health Sciences (FHS) [10378]
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