Intimate partner violence by men living with HIV in Cameroon: Prevalence, associated factors and implications for HIV transmission risk (ANRS-12288 EVOLCAM)
| Autor: | Fiorentino, Marion, Sow, Abdourahmane, Sagaon-Teyssier, Luis, Mora, Marion, Mengue, Marie-Thérèse, Vidal, Laurent, Kuaban, Christopher, March, Laura, Laurent, Christian, Spire, Bruno, Boyer, Sylvie |
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| Přispěvatelé: | Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Université Catholique d'Afrique Centrale - Institut Catholique de Yaoundé (UCAC), University of Yaoundé [Cameroun], Infectious and Tropical Diseases Department [Montpellier], Institut de Recherche pour le Développement (IRD)-Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier)-Institut National de la Santé et de la Recherche Médicale (INSERM), EVOLCam study Group, Centre de Recherche et de Documentation sur l'Océanie (CREDO), École des hautes études en sciences sociales (EHESS)-Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS), Malbec, Odile |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
RNA viruses
Male Epidemiology [SDV]Life Sciences [q-bio] Intimate Partner Violence Social Sciences HIV Infections Criminology Pathology and Laboratory Medicine Sociology Immunodeficiency Viruses Risk Factors Surveys and Questionnaires Medicine and Health Sciences Psychology Public and Occupational Health Cameroon Traumatic Injury Risk Factors HIV diagnosis and management Vaccination and Immunization [SDV] Life Sciences [q-bio] Medical Microbiology HIV epidemiology Viral Pathogens Viruses population characteristics Female Crime Pathogens Research Article Adult HIV prevention Immunology education Antiretroviral Therapy Microbiology behavioral disciplines and activities Antiviral Therapy Retroviruses mental disorders Humans Violent Crime Microbial Pathogens Preventive medicine Behavior Lentivirus Organisms Biology and Life Sciences HIV social sciences Diagnostic medicine Cross-Sectional Studies Logistic Models Socioeconomic Factors Medical Risk Factors Human Sexual Behavior |
| Zdroj: | PLoS ONE PLoS ONE, Public Library of Science, 2021, 16 (2), pp.e0246192. ⟨10.1371/journal.pone.0246192⟩ |
| ISSN: | 1932-6203 |
| DOI: | 10.1371/journal.pone.0246192⟩ |
| Popis: | International audience; Objectives: Intimate partner violence (IPV) against women is frequent in Central Africa and may be a HIV infection risk factor. More data on HIV-positive men (MLHIV) committing IPV are needed to develop perpetrator-focused IPV and HIV prevention interventions. We investigated the relationship between IPV and HIV transmission risk and IPV-associated factors.Methods: We used data from the cross-sectional survey EVOLCam which was conducted in Cameroonian outpatient HIV structures in 2014. The study population comprised MLHIV declaring at least one sexual partner in the previous year. Using principal component analysis, we built three variables measuring, respectively, self-reported MLHIV-perpetrated psychological and physical IPV (PPV), severe physical IPV (SPV), and sexual IPV (SV). Ordinal logistic regressions helped investigate: i) the relationship between HIV transmission risk (defined as unstable aviremia and inconsistent condom use) and IPV variables, ii) factors associated with each IPV variable.Results: PPV, SPV and SV were self-reported by 28, 15 and 11% of the 406 study participants, respectively. IPV perpetrators had a significantly higher risk of transmitting HIV than non-IPV perpetrators. Factors independently associated with IPV variables were: i) socio-demographic, economic and dyadic factors, including younger age (PPV and SPV), lower income (PPV), not being the household head (SPV and SV), living with a main partner (SPV), and having a younger main partner (SPV); ii) sexual behaviors, including ≥2 partners in the previous year (PPV and SPV), lifetime sex with another man (SPV), inconsistent condom use (SV), and >20 partners during lifetime (SV); iii) HIV-related stigma (PPV and SV).Conclusion: IPV perpetrators had a higher risk of transmitting HIV and having lifetime and recent risky sexual behaviors. Perpetrating IPV was more frequent in those with socioeconomic vulnerability and self-perceived HIV-related stigma. These findings highlight the need for interventions to prevent IPV by MLHIV and related HIV transmission to their(s) partner(s). |
| Databáze: | OpenAIRE |
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