AIDS and Behavior

, Volume 19, Issue 7, pp 1366–1378 | Cite as

Sexual Behavior and Risk Practices of HIV Positive and HIV Negative Rwandan Women

  • Adebola A. AdedimejiEmail author
  • Donald R. Hoover
  • Qiuhu Shi
  • Tracy Gard
  • Eugene Mutimura
  • Jean d’Amour Sinayobye
  • Mardge H. Cohen
  • Kathryn Anastos
Original Paper


It is not well understood how infection with HIV and prior experience of sexual violence affects sexual behavior in African women. We describe factors influencing current sexual practices of Rwandan women living with or without HIV/AIDS. By design, 75 % of participants were HIV positive and ~50 % reported having experienced genocidal rape. Univariate and multivariate logistic regression models were fit to describe demographic and clinical characteristics that influenced sexual behavior in the previous 6 months, condom use, history of transactional sex, and prior infection with a non-HIV sexually transmitted disease. Respondents’ age, where they lived, whether or not they lived with a husband or partner, experience of sexual trauma, CD4 count, CES-D and PTSD scores were strongly associated with risky sexual behavior and infection with non-HIV STI. HIV positive women with a history of sexual violence in the contexts of war and conflict may be susceptible to some high-risk sexual behaviors.


HIV/AIDS Sexual behavior Sexual trauma Genocide Rwanda 



This study was supported by the National Institute of Allergy and Infectious Diseases through funding for the Central Africa International Epidemiologic Databases to Evaluate AIDS (IeDEA) (5UO1AI096299-04) and through supplements to the Bronx/Manhattan Women’s Interagency HIV Study (WIHS) (UO1-AI-35004). This work was also supported in part by the AIDS International Training and Research Program (Fogarty International Center, NIH D43-TW001403).


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Adebola A. Adedimeji
    • 1
    • 2
    Email author
  • Donald R. Hoover
    • 3
  • Qiuhu Shi
    • 4
  • Tracy Gard
    • 5
    • 8
  • Eugene Mutimura
    • 6
  • Jean d’Amour Sinayobye
    • 6
  • Mardge H. Cohen
    • 7
  • Kathryn Anastos
    • 2
    • 8
  1. 1.Centre for Public Health SciencesAlbert Einstein College of MedicineBronxUSA
  2. 2.Department of Epidemiology and Population HealthAlbert Einstein College of MedicineBronxUSA
  3. 3.Department of Statistics & Biostatistics and Institute for Health, Health Care Policy and Aging ResearchRutgers UniversityNew BrunswickUSA
  4. 4.New York Medical CollegeValhallaUSA
  5. 5.Department of Psychiatry and Behavioral SciencesAlbert Einstein College of MedicineBronxUSA
  6. 6.Regional Alliance for Sustainable DevelopmentKigaliRwanda
  7. 7.Department of MedicineStroger (Cook County) Hospital and Rush UniversityChicagoUSA
  8. 8.Montefiore Medical CentreBronxUSA

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