AIDS and Behavior

, Volume 2, Issue 1, pp 61–73

Sexual Coercion, Physical Violence, and HIV Infection Among Women in Steady Relationships in Kigali, Rwanda


  • Ariane van der Straten
    • Center for AIDS Prevention Studies (CAPS)University of California
  • Rachel King
    • Project San Francisco, Ministry of Health
  • Olga Grinstead
    • Center for AIDS Prevention Studies (CAPS)University of California
  • Eric Vittinghoff
    • Center for AIDS Prevention Studies (CAPS)University of California
  • Antoine Serufilira
    • The National AIDS Control Program, Ministry of Health
  • Susan Allen
    • Center for AIDS Prevention Studies (CAPS)University of California
    • Project San Francisco, Ministry of Health
    • Division of Clinical Epidemiology, Department of Epidemiology and BiostatisticsUniversity of California

DOI: 10.1023/A:1022311424652

Cite this article as:
van der Straten, A., King, R., Grinstead, O. et al. AIDS Behav (1998) 2: 61. doi:10.1023/A:1022311424652


The relationship between sexual coercion, physical violence, and HIV serostatus was examined at 24 months of follow-up in a cohort of 921 women with steady partners in Kigali, Rwanda. One third of the women reported sexual coercion, and physical violence perpetrated by their male partner was reported by 21%. Sexual coercion was associated with women being HIV-positive, and physical violence was associated with their partner testing HIV-positive. Independent predictors of sexual coercion included the woman being HIV-positive, refusal to have sex, condom negotiation, financial inequality, and male partner's alcohol use. Independent predictors of physical violence were similar to predictors of sexual coercion. Sexual coercion and physical violence are public health issues relevant to HIV prevention, and are associated with financial and sexual gender power differentials. Results suggest the need to expand HIV behavioral interventions to address women's economic and cultural realities.

HIV preventionwomensexual coercionphysical violenceabuseAfricaRwandagender rolescondom negotiation

Copyright information

© Plenum Publishing Corporation 1998