AIDS and Behavior

, Volume 13, Issue 2, pp 225–233 | Cite as

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

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

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.

Keywords

Intimate partner Physical violence Sexual coercion Alcohol use before sex HIV 

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Iryna B. Zablotska
    • 1
  • Ronald H. Gray
    • 2
  • Michael A. Koenig
    • 2
  • David Serwadda
    • 3
  • Fred Nalugoda
    • 3
  • Godfrey Kigozi
    • 3
  • Nelson Sewankambo
    • 4
  • Tom Lutalo
    • 3
  • Fred Wabwire Mangen
    • 3
  • Maria Wawer
    • 2
  1. 1.National Centre in HIV Social ResearchUniversity of New South WalesSydneyAustralia
  2. 2.Department of Population and Family Health Sciences, Bloomberg School of Public HealthThe Johns Hopkins UniversityBaltimoreUSA
  3. 3.Rakai Health Science ProgramUganda Virus Research InstituteEntebbeUganda
  4. 4.Department of Medicine, Faculty of MedicineMacerere University KampalaUganda

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