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

Amy A. Conroy, Alexander C. Tsai, Gina M. Clark, Yap Boum, Abigail M. Hatcher, Annet Kawuma, Peter W. Hunt, Jeffrey N. Martin, David Bangsberg, Sheri D. Weiser

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

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 < 0.01) and transactional sex (AOR = 0.38; 95 % CI 0.15–0.99; p = 0.048). Violence prevention interventions with HIV-positive women should consider approaches that increase women’s power in their relationships.

Original languageEnglish (US)
Pages (from-to)2045-2053
Number of pages9
JournalAIDS and Behavior
Volume20
Issue number9
DOIs
StatePublished - Sep 1 2016
Externally publishedYes

Fingerprint

Uganda
Sex Offenses
HIV
Power (Psychology)
Violence
Decision Making
Acquired Immunodeficiency Syndrome
Cross-Sectional Studies
Logistic Models

Keywords

  • Africa
  • HIV/AIDS
  • Relationship power
  • Sexual violence
  • Transactional sex

ASJC Scopus subject areas

  • Social Psychology
  • Medicine(all)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Conroy, A. A., Tsai, A. C., Clark, G. M., Boum, Y., Hatcher, A. M., Kawuma, A., ... Weiser, S. D. (2016). Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda. AIDS and Behavior, 20(9), 2045-2053. https://doi.org/10.1007/s10461-016-1385-y

Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda. / Conroy, Amy A.; Tsai, Alexander C.; Clark, Gina M.; Boum, Yap; Hatcher, Abigail M.; Kawuma, Annet; Hunt, Peter W.; Martin, Jeffrey N.; Bangsberg, David; Weiser, Sheri D.

In: AIDS and Behavior, Vol. 20, No. 9, 01.09.2016, p. 2045-2053.

Research output: Contribution to journalArticle

Conroy, AA, Tsai, AC, Clark, GM, Boum, Y, Hatcher, AM, Kawuma, A, Hunt, PW, Martin, JN, Bangsberg, D & Weiser, SD 2016, 'Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda', AIDS and Behavior, vol. 20, no. 9, pp. 2045-2053. https://doi.org/10.1007/s10461-016-1385-y
Conroy AA, Tsai AC, Clark GM, Boum Y, Hatcher AM, Kawuma A et al. Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda. AIDS and Behavior. 2016 Sep 1;20(9):2045-2053. https://doi.org/10.1007/s10461-016-1385-y
Conroy, Amy A. ; Tsai, Alexander C. ; Clark, Gina M. ; Boum, Yap ; Hatcher, Abigail M. ; Kawuma, Annet ; Hunt, Peter W. ; Martin, Jeffrey N. ; Bangsberg, David ; Weiser, Sheri D. / Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda. In: AIDS and Behavior. 2016 ; Vol. 20, No. 9. pp. 2045-2053.
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