HIV Positive Diagnosis During Pregnancy Increases Risk of IPV Postpartum Among Women with No History of IPV in Their Relationship

  • Allison K. Groves
  • H. Luz McNaughton Reyes
  • Dhayendre Moodley
  • Suzanne Maman
Original Paper

Abstract

There has been limited study of whether and for whom physical intimate partner violence (IPV) is a consequence of an HIV-positive diagnosis. Per the diathesis stress model, the consequences of HIV infection may be worse for women with a history of IPV. We hypothesize that the positive association between HIV diagnosis in pregnancy and postpartum IPV will be exacerbated for women with a history of IPV. Data come from a prospective cohort study with 1015 participants who completed a baseline antenatal and 9-month postpartum visit. Using logistic regression analyses, we found a statistically significant interaction between HIV diagnosis, history of IPV and postpartum IPV (AOR: 0.40, 95% CI 0.17–0.96). The findings were in the opposite direction as expected: HIV-diagnosis was not associated with IPV for women with a history of IPV (AOR: 2.17, 95% CI 1.06, 4.42). However, HIV-positive women without a history of IPV faced more than two times the risk of incident postpartum IPV than HIV-negative women (AOR: 2.17, 95% CI 1.06, 4.42). Interventions to reduce incident and ongoing IPV during the perinatal period are needed.

Keywords

Intimate partner violence HIV Women Africa Prospective study 

Notes

Acknowledgements

We thank all participants for their contributions to this study. We also thank study staff in South Africa for their work and dedication.

Funding

The data for this study comes from an intervention study sponsored by the U.S. National Institute of Health (R01HD050134), the Open Society Institute and the Elton John AIDS Foundation (20020472/20030878). Dr. Groves’ time was also supported by one additional grant from the U.S. National Institution of Health; specifically R03 HD089837-01; Allison Groves, Principal Investigator.

Compliance with Ethical Standards

Conflicts of interest

There are no competing interests to declare.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Allison K. Groves
    • 1
  • H. Luz McNaughton Reyes
    • 2
  • Dhayendre Moodley
    • 3
  • Suzanne Maman
    • 2
  1. 1.Department of Community Health and Prevention, Dornsife School of Public HealthDrexel UniversityPhiladelphiaUSA
  2. 2.Department of Health Behavior, Gillings School of Global Public HealthUniversity of North Carolina at Chapel HillChapel HillUSA
  3. 3.Department of Obstetrics and Gynaecology, Nelson Mandela School of MedicineUniversity of KwaZulu-NatalDurbanSouth Africa

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