Alcohol use and intimate partner violence in HIV-uninfected pregnant women in Cape Town, South Africa
| Autor: | Joseph Davey, Dvora L, Le Roux, Stanzi M, Brittain, Kirsty, Dovell, Kathryn, Shoptaw, Steve, Miller, Amanda P, Phillips, Tamsin K, Zerbe, Allison, Abrams, Elaine J, Myer, Landon |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
Alcohol Drinking intimate partner violence PMTCT Intimate Partner Violence substance use Violence Against Women HIV Infections Reproductive health and childbirth Cohort Studies South Africa Substance Misuse Alcohol Use and Health Risk Factors Pregnancy Clinical Research Behavioral and Social Science Prevalence Humans Psychology Conditions Affecting the Embryonic and Fetal Periods Violence Research Pediatric alcohol Prevention Infant HIV Gender Equality Alcoholism Cross-Sectional Studies Mental Health Good Health and Well Being Public Health and Health Services HIV/AIDS Female Pregnant Women Public Health Infection |
| Zdroj: | AIDS care, vol 34, iss 2 |
| Popis: | In settings with a high burden of HIV, pregnant women often experience a cluster of risk factors, including alcohol use and intimate partner violence (IPV). These interrelated risks are poorly understood among pregnant women at risk of HIV in sub-Saharan Africa. We aim to determine cross-sectional associations between pregnant women's alcohol use and victimization due to IPV in the HIV-Unexposed-Uninfected Mother-Infant Cohort Study in Cape Town, South Africa. Women who tested HIV-negative at first antenatal care (ANC) visit were followed to delivery. Trained interviewers collected demographic and psychosocial information, including recent alcohol use and experiences of IPV victimization. We assess the prevalence of alcohol use and associations with IPV using multivariable logistic regression. In 406 HIV-uninfected pregnant women (mean age = 28 years; mean gestational age = 21 weeks), 41 (10%) reported alcohol consumption in the past 12 months; 30/41 (73%) of these at hazardous levels. Any and hazardous alcohol use were associated with greater odds of reporting past year IPV (adjusted odds ratio [aOR] for hazardous use: 3.24, 95% CI = 1.11, 7.56; aOR for any alcohol use: 2.97, 95% CI = 1.19, 7.45). These data suggest the occurrence of overlapping HIV risk factors among pregnant women and may help design improved health interventions in this population. |
| Databáze: | OpenAIRE |
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