Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda

Gender-based power imbalances place women at significant risk for sexual violence, however, little research has examined this association among women living with HIV/AIDS. We performed a cross-sectional analysis of relationship power and sexual violence among HIV-positive women on anti-retroviral th...

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Bibliographic Details
Published in:AIDS and behavior 2016-09, Vol.20 (9), p.2045-2053
Main Authors: Conroy, Amy A., Tsai, Alexander C., Clark, Gina M., Boum, Yap, Hatcher, Abigail M., Kawuma, Annet, Hunt, Peter W., Martin, Jeffrey N., Bangsberg, David R., Weiser, Sheri D.
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adult
Aggression
AIDS
Anti-Retroviral Agents - therapeutic use
Cross-Sectional Studies
Decision making
Dependent variables
Domestic violence
Female
Females
Gender
Health Psychology
HIV
HIV Infections - diagnosis
HIV Infections - drug therapy
HIV Infections - ethnology
HIV Infections - psychology
HIV Seropositivity - psychology
Human immunodeficiency virus
Humans
Infectious Diseases
Lentivirus
Logistic Models
Male
Medicine
Medicine & Public Health
Multivariable control
Original Paper
Personal relationships
Power
Power (Psychology)
Prevention
Public Health
Regression analysis
Risk Factors
Rural areas
Rural Population
Sex
Sex crimes
Sex Offenses - ethnology
Sex Offenses - psychology
Sexual assault
Sexual Behavior
Sexually transmitted diseases
Social Stigma
Statistical analysis
STD
Uganda - epidemiology
Violence
Women
Young Adult
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Summary:Gender-based power imbalances place women at significant risk for sexual violence, however, little research has examined this association among women living with HIV/AIDS. We performed a cross-sectional analysis of relationship power and sexual violence among HIV-positive women on anti-retroviral therapy in rural Uganda. Relationship power was measured using the Sexual Relationship Power Scale (SRPS), a validated measure consisting of two subscales: relationship control (RC) and decision-making dominance. We used multivariable logistic regression to test for associations between the SRPS and two dependent variables: recent forced sex and transactional sex. Higher relationship power (full SRPS) was associated with reduced odds of forced sex (AOR = 0.24; 95 % CI 0.07–0.80; p  = 0.020). The association between higher relationship power and transactional sex was strong and in the expected direction, but not statistically significant (AOR = 0.47; 95 % CI 0.18–1.22; p  = 0.119). Higher RC was associated with reduced odds of both forced sex (AOR = 0.18; 95 % CI 0.06–0.59; p  
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-016-1385-y