TY - JOUR
T1 - A prospective study of exposure to gender-based violence and risk of sexually transmitted infection acquisition in the women's interagency hiv study, 1995-2018
AU - Geller, Ruth J.
AU - Decker, Michele R.
AU - Adedimeji, Adebola A.
AU - Weber, Kathleen M.
AU - Kassaye, Seble
AU - Taylor, Tonya N.
AU - Cohen, Jennifer
AU - Adimora, Adaora A.
AU - Haddad, Lisa B.
AU - Fischl, Margaret
AU - Cunningham, Sarah
AU - Golub, Elizabeth T.
N1 - Publisher Copyright:
© 2020 Mary Ann Liebert Inc.. All rights reserved.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - Background: Our objectives were to estimate the association of gender-based violence (GBV) experience with the risk of sexually transmitted infection (STI) acquisition in HIV-seropositive and HIV-seronegative women, to compare the STI risks associated with recent and lifetime GBV exposures, and to quantify whether these associations differ by HIV status. Methods: We conducted a multicenter, prospective cohort study in the Women's Interagency HIV Study, 1994- 2018. Poisson models were fitted using generalized estimating equations to estimate the association of past 6-month GBV experience (physical, sexual, or intimate partner psychological violence) with subsequent self-reported STI diagnosis (gonorrhea, syphilis, chlamydia, pelvic inflammatory disease, or trichomoniasis). Results: Data from 2868 women who reported recent sexual activity comprised 12,069 person-years. Higher STI risk was observed among HIV-seropositive women (incidence rate [IR] 5.5 per 100 person-years) compared with HIV-seronegative women (IR 4.3 per 100 person-years). Recent GBV experience was associated with a 1.28-fold (95% confidence interval [CI] 0.99, 1.65) risk after adjustment for HIV status and relevant demographic, socioeconomic, and sexual risk variables. Other important risk factors for STI acquisition included unstable housing (adjusted incidence rate ratio [AIRR] 1.81, 95% CI 1.32-2.46), unemployment (AIRR 1.42, 95% CI 1.14-1.76), transactional sex (AIRR 2.06, 95% CI 1.52-2.80), and drug use (AIRR 1.44, 95% CI 1.19- 1.75). Recent physical violence contributed the highest risk of STI acquisition among HIV-seronegative women (AIRR 2.27, 95% CI 1.18-4.35), whereas lifetime GBV experience contributed the highest risk among HIVseropositive women (AIRR 1.59, 95% CI 1.20-2.10). Conclusions: GBVprevention remains an important public health goalwith direct relevance towomen's sexual health.
AB - Background: Our objectives were to estimate the association of gender-based violence (GBV) experience with the risk of sexually transmitted infection (STI) acquisition in HIV-seropositive and HIV-seronegative women, to compare the STI risks associated with recent and lifetime GBV exposures, and to quantify whether these associations differ by HIV status. Methods: We conducted a multicenter, prospective cohort study in the Women's Interagency HIV Study, 1994- 2018. Poisson models were fitted using generalized estimating equations to estimate the association of past 6-month GBV experience (physical, sexual, or intimate partner psychological violence) with subsequent self-reported STI diagnosis (gonorrhea, syphilis, chlamydia, pelvic inflammatory disease, or trichomoniasis). Results: Data from 2868 women who reported recent sexual activity comprised 12,069 person-years. Higher STI risk was observed among HIV-seropositive women (incidence rate [IR] 5.5 per 100 person-years) compared with HIV-seronegative women (IR 4.3 per 100 person-years). Recent GBV experience was associated with a 1.28-fold (95% confidence interval [CI] 0.99, 1.65) risk after adjustment for HIV status and relevant demographic, socioeconomic, and sexual risk variables. Other important risk factors for STI acquisition included unstable housing (adjusted incidence rate ratio [AIRR] 1.81, 95% CI 1.32-2.46), unemployment (AIRR 1.42, 95% CI 1.14-1.76), transactional sex (AIRR 2.06, 95% CI 1.52-2.80), and drug use (AIRR 1.44, 95% CI 1.19- 1.75). Recent physical violence contributed the highest risk of STI acquisition among HIV-seronegative women (AIRR 2.27, 95% CI 1.18-4.35), whereas lifetime GBV experience contributed the highest risk among HIVseropositive women (AIRR 1.59, 95% CI 1.20-2.10). Conclusions: GBVprevention remains an important public health goalwith direct relevance towomen's sexual health.
KW - HIV
KW - Intimate partner violence
KW - Physical violence
KW - Sexual violence
KW - Sexually transmitted infections
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UR - http://www.scopus.com/inward/citedby.url?scp=85093705499&partnerID=8YFLogxK
U2 - 10.1089/jwh.2019.7972
DO - 10.1089/jwh.2019.7972
M3 - Article
C2 - 32996812
AN - SCOPUS:85093705499
SN - 1540-9996
VL - 29
SP - 1256
EP - 1267
JO - Journal of Women's Health
JF - Journal of Women's Health
IS - 10
ER -
