Despite the growing body of evidence demonstrating the high prevalence of intimate partner violence (IPV) among male couples and the unique antecedents to IPV that male couples may experience, research efforts have focused almost exclusively on North American populations. Missing from the literature is an understanding of the experience of IPV among male couples in African nations where social norms and legal restrictions around same-sex behavior may be more conservative. This paper presents data from an innovative study of male couples (Together Tomorrow) from two Southern African countries characterized by high prevalence of HIV: Namibia and South Africa. A one-time cross-sectional survey was conducted with 140 partnered MSM (70 couples) in Namibia and 300 partnered MSM (150 couples) in KZN, South Africa, for a total sample size of 440 partnered MSM (220 couples). Surveys measured the recent (12 month) experience of physical, sexual and emotional IPV and the experience of sexuality-related stressors. Reporting of IPV was relatively low: 7.3% reported being the victim of IPV from their male partner in the 12 months prior to the survey, and 10.2% reported participating in bi-directional IPV in their relationship in the previous 12 months. Men who reported different experiences of internalized homophobia and external acts of discrimination were more likely to report IPV and bi-directional IPV. The results offer several potential intervention points to disrupt pathways between stigma and IPV for partnered MSM in South Africa and Namibia, and point to the need for services for this critically overlooked population.
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Ali, P. A., Dhingra, K., & McGarry, J. (2016). A literature review of intimate partner violence and its classifications. Aggression and Violent Behavior, 31, 16–25.
Andrinopoulos, K., Hembling, J., Guardado, M. E., de Maria, H. F., Nieto, A. I., & Melendez, G. (2015). Evidence of the negative effect of sexual minority stigma on HIV testing among MSM and transgender women in San Salvador, El Salvador. AIDS and Behavior, 19(1), 60–71. https://doi.org/10.1007/s10461-014-0813-0.
Arnold, M. P., Struthers, H., McIntyre, J., & Lane, T. (2013). Contextual correlates of per partner unprotected anal intercourse rates among MSM in Soweto, South Africa. AIDS and Behavior, 17(1), 4–11. https://doi.org/10.1007/s10461-012-0324-9.
Balsam, K. F., & Szymanski, D. M. (2005). Relationship quality and domestic violence in Women's same sex relationships: The role of minority stress. Psychology of Women Quarterly, 29, 258–269.
Bartholomew, K., Regan, K. V., White, M. A., & Oram, D. (2008). Patterns of abuse in male same-sex relationships. Violence and Victims, 23(5), 617–636. https://doi.org/10.1891/0886-6708.23.5.617.
Bauermeister, J. A. (2007). It’s all about “connecting”: Reasons for drug use among latino living in the San Francisco bay area. Journal of Ethnicity in Substance Abuse, 6(1), 109–129.
Burgard, S. A., Seefeldt, K. S., & Zelner, S. (2012). Housing instability and health: Findings from the Michigan recession and recovery study. Social Science & Medicine, 75(12), 2215–2224.
Capaldi, D. M., Kim, H. K., & Shortt, J. W. (2007). Observed initiation and reciprocity of physical aggression in young, at-risk couples. Journal of Family Violence, 22, 101–111.
Carvalho, A. F., Lewis, R. J., Derlega, V. J., Winstead, B. A., & Viggiano, C. (2011). Internalized sexual minority stressors and same-sex intimate partner violence. Journal of Family Violence, 26(7), 501–509. https://doi.org/10.1007/s10896-011-9384-2.
CDC in Namibia. US Department of Health and Human Services. (2020). https://www.cdc.gov/globalhealth/countries/namibia/pdf/Namibia_FactSheet.pdf. Accessed 5 May 2020
Choi, K. H., Hudes, E. S., & Steward, W. T. (2008). Social discrimination, concurrent sexual partnerships, and hiv risk among men who have sex with men in Shanghai, China. AIDS and Behavior, 12, 71–77. https://doi.org/10.1007/s10461-008-9394-0.
Craft, S. M., & Serovich, J. M. (2005). Family-of-origin factors and partner violence in the intimate relationships of gay men who are HIV positive. Journal of Interpersonal Violence, 20(7), 777–791. https://doi.org/10.1177/0886260505277101.
der Pol, V., Reygan, F., Gumede, N., Essack, Z., & van Rooyen, H. (2018). A situational analysis and critical review of sexual health and HIV services for men who have sex with men (MSM) in eastern and southern Africa: Final report. Sweetwaters: HSRC.
Eaton, L. A., Pitpotam, E. V., Kalichman, S. C., Sikkena, K. J., Skinner, D., Wat, M. H., & Pieterse, D. (2013). Men who report recent male and female sex Partners in Cape Town, South Africa: An understudied and underserved population. Archives of Sexual Behavior, 42(7), 1299–1308 http://apps.who.int/iris/bitstream/10665/77432/1/WHO_RHR_12.36_eng.pdf. Accessed 5 May 2020
Edwards, K. M., & Sylaska, K. M. (2012). The perpetration of intimate partner violence among LGBTQ college youth: The role of minority stress. Journal of Youth and Adolescence, 42(11), 1721–1731.
Feldman, M. B., Ream, G. L., Díaz, R. M., & El-Bassel, N. (2008). Intimate partner violence and HIV sexual risk behavior among Latino gay and bisexual men: The role of situational factors. Journal of LGBT Health Research, 3(4), 75–87. https://doi.org/10.1080/15574090802226618.
Finneran, C., & Stephenson, R. (2013). Intimate partner violence among men who have sex with men: A systematic review. Trauma Violence Abuse, 14(2), 168–185. https://doi.org/10.1177/1524838012470034.
Finneran, C., Chard, A., & Stephenson, R. (2012). Intimate partner violence and social pressure among gay men in six countries. The Western Journal of Emergency Medicine, 13(3), 260–271.
Folch, C., Esteve, A., Zaragoza, K., Munoz, R., & Casabona, J. (2010). Correlates of intensive alcohol and drug use in men who have sex with men in Catalonia, Spain. The European Journal of Public Health, 20, 139–145.
Frost, D. M., & Meyer, I. (2009). Internalized homophobia and relationship quality among lesbians, gay men, and bisexuals. Journal of Counseling Psychology, 56(1), 91–109.
Goldenberg, T., Stephenson, R., Freeland, R., Finneran, C., & Hadley, C. (2016). 'Struggling to be the alpha': Sources of tension and intimate partner violence in same-sex relationships between men. Culture, Health & Sexuality, 18(8), 875–889.
Greenwood, G. L., Relf, M. V., Huang, B., Pollack, L. M., Canchola, J. A., & Catania, J. A. (2002). Battering victimization among a probability-based sample of men who have sex with men. American Journal of Public Health, 92(12), 1964–1969.
Ha, H., Risser, J. M., Ross, M. W., Huynh, N. T., & Nguyen, H. T. (2015). Homosexuality-related stigma and sexual risk behaviours among men who have sex with men in Hanoi, Vietnam. Archives of Sexual Behavior, 44, 349–356.
Heckathorn, D. (1997). Respondent driven sampling: A new approach to the study of hidden populations. Social Problems, 44(2), 174–199.
Hernandez-Romieu, A. C., Sullivan, P. S., Sanchez, T. H., Kelley, C. F., Peterson, J. L., del Rio, C., Salazar, L. F., Frew, P. M., & Rosenberg, E. S. (2014). The comparability of men who have sex with men recruited from venue-time-space sampling and Facebook: A cohort study. JMIR Research Protocols, 3(3), e37.
Houston, E., & McKirnan, D. J. (2007). Intimate partner abuse among gay and bisexual men: Risk correlates and health outcomes. Journal of Urban Health, 84(5), 681–690.
Humeniuk, R., Ali, R., Babor, T. F., Farrell, M., Formigoni, M. L., Jittiwutikarn, J., de Lacerda, R. B., Ling, W., Marsden, J., Monteiro, M., Nhiwatiwa, S., Pal, H., Poznyak, V., & Simon, S. (Jun 2008). Validation of the alcohol, smoking and substance involvement screening test (ASSIST). Addiction., 103(6), 1039–1047.
Hunt, C. J., Fasoli, F., Carnaghi, A., & Cadinu, M. (2016). Masculine self-presentation and distancing from femininity in gay men: An experimental examination of the role of masculinity threat. Psychology of Men & Masculinity, 17(1), 108–112. https://doi.org/10.1037/a0039545.
Kalokhe, A. S., Paranjape, A., Bell, C. E., Cardenas, G. A., Kuper, T., Metsch, L. R., & del Rio, C. (2012). Intimate partner violence among HIV-infected crack cocaine users. AIDS Patient Care and STDs, 26(4), 234–240.
Koblin, B. A., Torian, L., Xu, G., Guilin, V., Makki, H., Mackellar, D., & Valleroy, L. (2006). Violence and HIV-related risk among young men who have sex with men. AIDS Care, 18(8), 961–967. https://doi.org/10.1080/09540120500467182.
Levinger, G., & Pietromonaco, P. (1989). `a measure of perceived conflict resolution styles in Relationships', unpublished manuscript. Boston: University of Massachusetts.
Lewis, R. J., Mason, T. B., Winstead, B. A., & Kelley, M. L. (2017). Empirical investigation of a model of sexual minority specific and general risk factors for intimate partner violence among lesbian women. Psychology of Violence, 7(1), 110–119.
Liu, H., Feng, T., Rhodes, A. G., & Liu, H. (2009). Assessment of the Chinese version of HIV and homosexuality related stigma scales. Sexually Transmitted Infections, 85, 65–69.
McCarty-Caplan, D., Jantz, I., & Swartz, J. (2014). MSM and drug use: A latent class analysis of drug use and related sexual risk behaviours. AIDS and Behavior, 18(7), 1339–1351.
Messerschmidt, J. W. (2000). Becoming “real men”: Adolescent masculinity challenges and sexual violence. Men and Masculinities, 2(3), 286–307.
Meyer, I. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36(1), 38–56.
Meyer, I. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697.
Moore, T. M., & Stuart, G. L. (2005). A review of the literature on masculinity and partner violence. Psychology of Men & Masculinity, 6(1), 46–61.
Osinde, M., Kaye, D. K., & Kakaire, O. (2011). Intimate partner violence among women with HIV infection in rural Uganda: Critical implications for policy and practice. BMC Women's Health, 11(50), 1–7.
Ottonson, D. (2007). State homophobia: A world survey of laws prohibiting same sex activity between consenting adults. Stockholm: Soderton University.
Pantalone, D. W., Schneider, K. L., Valentine, S. E., & Simoni, J. M. (2012). Investigating partner abuse among HIV-positive men who have sex with men. AIDS and Behavior, 16(4), 1031–1043. https://doi.org/10.1007/s10461-011-0011-2.
Peacock, E., Andrinopoulos, K., & Hembling, J. (2015). Binge drinking among men who have sex with men and transgender women in San Salvador: Correlates and sexual health implications. Journal of Urban Health, 92, 701–716.
Pruitt, K. L., White, D., Mitchell, J. W., & Stephenson, R. (2015). Sexual agreements and intimate-partner violence among male couples. International Journal of Sexual Health, 27(4), 429–441. https://doi.org/10.1080/19317611.2015.1037037.
Radloff, L. S. (1977). CES-D scale: A self report depression scale for research in the general populations. Applied Psychological Measurement, 1, 385–401.
Relf, M. V. (2001). Battering and HIV in men who have sex with men: A critique and synthesis of the literature. Journal of the Association of Nurses in AIDS Care, 12(3), 41–48. https://doi.org/10.1016/s1055-3290(06)60143-x.
Rusbult, C. E., Martz, J. M., & Agnew, C. R. (1998). The investment model scale: Measuring commitment level, satisfaction level, quality of alternatives, and investment size. Personal Relationships, 5, 357–391.
Saunders, J., Aasland, O., Babor, T. F., de la Fuente, J., & Grant, M. (1993). Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption--II. Addiction., 88(6), 791–804.
Smolenski, D. J., Diamond, P. M., Ross, M. W., & Rosser, B. R. S. (2010). Revision, criterion validity, and multigroup assessment of the reactions to homosexuality scale. Journal of Personality Assessment, 92(6), 568–576.
Spanier, G. B. (1976). Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads. Journal of Marriage and the Family, 38, 15–28.
Stachowski, C., & Stephenson, R. (2015). Homophobia and communal coping for HIV risk management among gay men in relationships. Archives of Sexual Behavior, 44(2), 467–474.
Statistics South Africa. Mid-Year Estimates (2018). Statistical release P0302. Statistics South Africa. https://www.statssa.gov.za/publications/P0302/P03022018.pdf/. Accessed 5 May 2020
Stephenson, R., & Finneran, C. (2013a). The IPV-GBM scale: A new scale to measure intimate partner violence among gay and bisexual men. PLoS One, 8(6), e62592. https://doi.org/10.1371/journal.pone.0062592.
Stephenson, R., & Finneran, C. (2013b). The IPV-GBM scale: A new scale to measure intimate partner violence among gay and bisexual men. PLoS One, 8(6), e62592.
Stephenson, R., & Finneran, C. (2017). Minority stress and intimate partner violence among gay and bisexual men in Atlanta. American Journal of Men's Health, 11(4), 952–961.
Stephenson, R., & Finneran, C. (2017a). Receipt and perpetration of intimate partner violence and Condomless anal intercourse among gay and bisexual men in Atlanta. AIDS and Behavior, 21(8), 2253–2260. https://doi.org/10.1007/s10461-017-1709-6/.
Stephenson, R., & Finneran, C. (2017b). Minority stress and intimate partner violence among gay and bisexual men in Atlanta. American Journal of Men's Health, 11(4), 952–961.
Stephenson, R., Khosropour, C., & Sullivan, P. (2010). Reporting of intimate partner violence among men who have sex with men in an online survey. The Western Journal of Emergency Medicine, 11(3), 5.
Stephenson, R., de Voux, A., & Sullivan, P. S. (2011a). Intimate partner violence and sexual risk-taking among men who have sex with men in South Africa. The Western Journal of Emergency Medicine, 12(3), 343–347.
Stephenson, R., Rentsch, C., Salazar, L. F., & Sullivan, P. S. (2011b). Dyadic characteristics and intimate partner violence among men who have sex with men. The Western Journal of Emergency Medicine, 12(3), 324–332.
United Nations Population Fund (2015). Implementing comprehensive HIV-STI programmes MSM: Practical guidance for collaborative interventions; 2014. http://www.unfpa.org/sites/default/files/pub-pdf/MSMIT_for_Web.pdf. Accessed 5 May 2020
Welles, S. L., Corbin, T. J., Rich, J. A., Reed, E., & Raj, A. (2011). Intimate partner violence among men having sex with men, women, or both: Early-life sexual and physical abuse as antecedents. Journal of Community Health, 36(3), 477–485. https://doi.org/10.1007/s10900-010-9331-9.
World Health Organization (2012). Understanding and addressing violence against women. Geneva: World Health Organization. Available at. https://www.who.int/reproductivehealth/topics/violence/vaw_series/en/. Accessed 30 Apr 2020.
Zhang, H., Teng, T., Lu, H., Zhao, Y., Liu, H., Yin, L., … Vermund, S. H. (2016). Poppers use and risky sexual behaviours among men who have sex with men in Beijing, China. Drug and Alcohol Dependence, 160, 42–48.
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Stephenson, R., Darbes, L.A., Chavanduka, T. et al. Intimate Partner Violence among Male Couples in South Africa and Namibia. J Fam Viol (2020). https://doi.org/10.1007/s10896-020-00214-9
- South Africa
- Intimate partner violence
- Gay men