Sexual relationship power and malnutrition among HIV-positive women in rural uganda

Mark J. Siedner; Alexander C. Tsai; Shari Dworkin; Nozmo F.B. Mukiibi; Nneka I. Emenyonu; Peter W. Hunt; Jessica E. Haberer; Jeffrey N. Martin; David R. Bangsberg; Sheri D. Weiser

doi:10.1007/s10461-012-0162-9

Sexual relationship power and malnutrition among HIV-positive women in rural uganda

Mark J. Siedner, Alexander C. Tsai, Shari Dworkin, Nozmo F.B. Mukiibi, Nneka I. Emenyonu, Peter W. Hunt, Jessica E. Haberer, Jeffrey N. Martin, David R. Bangsberg, Sheri D. Weiser

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

Inequality within partner relationships is associated with HIV acquisition and gender violence, but little is known about more pervasive effects on women's health. We performed a cross-sectional analysis of associations between sexual relationship power and nutritional status among women in Uganda. Participants completed questionnaires and anthropometric measurements. We assessed sexual relationship power using the Sexual Relationship Power Scale (SRPS). We performed logistic regression to test for associations between sexual relationship power and poor nutritional status including body mass index, body fat percentage, and mid-upper arm circumference. Women with higher sexual relationship power scores had decreased odds of low body mass index (OR 0.29, p = 0.01), low body fat percentage (OR 0.54, p = 0.04), and low mid-upper arm circumference (OR 0.22, p = 0.01). These relationships persisted in multivariable models adjusted for potential confounders. Targeted interventions to improve intimate partner relationship equality should be explored to improve health status among women living with HIV in rural Africa.

Original language	English (US)
Pages (from-to)	1542-1548
Number of pages	7
Journal	AIDS and Behavior
Volume	16
Issue number	6
DOIs	https://doi.org/10.1007/s10461-012-0162-9
State	Published - Aug 2012
Externally published	Yes

Keywords

Gender Equality
HIV/AIDS
Malnutrition
Sub-Saharan Africa

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-012-0162-9

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@article{1af7e9f02648430a88fd85a25aeedca9,

title = "Sexual relationship power and malnutrition among HIV-positive women in rural uganda",

abstract = "Inequality within partner relationships is associated with HIV acquisition and gender violence, but little is known about more pervasive effects on women's health. We performed a cross-sectional analysis of associations between sexual relationship power and nutritional status among women in Uganda. Participants completed questionnaires and anthropometric measurements. We assessed sexual relationship power using the Sexual Relationship Power Scale (SRPS). We performed logistic regression to test for associations between sexual relationship power and poor nutritional status including body mass index, body fat percentage, and mid-upper arm circumference. Women with higher sexual relationship power scores had decreased odds of low body mass index (OR 0.29, p = 0.01), low body fat percentage (OR 0.54, p = 0.04), and low mid-upper arm circumference (OR 0.22, p = 0.01). These relationships persisted in multivariable models adjusted for potential confounders. Targeted interventions to improve intimate partner relationship equality should be explored to improve health status among women living with HIV in rural Africa.",

keywords = "Gender Equality, HIV/AIDS, Malnutrition, Sub-Saharan Africa",

author = "Siedner, {Mark J.} and Tsai, {Alexander C.} and Shari Dworkin and Mukiibi, {Nozmo F.B.} and Emenyonu, {Nneka I.} and Hunt, {Peter W.} and Haberer, {Jessica E.} and Martin, {Jeffrey N.} and Bangsberg, {David R.} and Weiser, {Sheri D.}",

note = "Funding Information: Acknowledgments We thank the UARTO participants who made this study possible; Annet Kembabazi and Annet Kawuma for providing study coordination and support; Doreen Akello, Marcy Mutumba, Christine Ngabirano, Ruth Ssentongo, and Florence Turyashemererwa for research assistance; Dr. Jude Senkugu, Dr. Conrad Muzoora and Dr. Elias Kumbakumba for invaluable advice and oversight of study design and implementation. While these individuals are acknowledged for their assistance, no endorsement of manuscript contents or conclusions should be inferred. Sources of Support: The study was funded by the National Institutes of Health (R01 MH054907, K23 MH079713-03S1, K24 MH087227, and P30 AI027793), the Meyer Family Foundation, and the Mark and Lisa Schwartz Family Foundation. Dr. Weiser received additional support from the Burke Family Foundation. Dr. Tsai received salary support from the Robert Wood Johnson Health and Society Scholars.",

year = "2012",

month = aug,

doi = "10.1007/s10461-012-0162-9",

language = "English (US)",

volume = "16",

pages = "1542--1548",

journal = "AIDS and Behavior",

issn = "1090-7165",

publisher = "Springer New York",

number = "6",

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TY - JOUR

T1 - Sexual relationship power and malnutrition among HIV-positive women in rural uganda

AU - Siedner, Mark J.

AU - Tsai, Alexander C.

AU - Dworkin, Shari

AU - Mukiibi, Nozmo F.B.

AU - Emenyonu, Nneka I.

AU - Hunt, Peter W.

AU - Haberer, Jessica E.

AU - Martin, Jeffrey N.

AU - Bangsberg, David R.

AU - Weiser, Sheri D.

N1 - Funding Information: Acknowledgments We thank the UARTO participants who made this study possible; Annet Kembabazi and Annet Kawuma for providing study coordination and support; Doreen Akello, Marcy Mutumba, Christine Ngabirano, Ruth Ssentongo, and Florence Turyashemererwa for research assistance; Dr. Jude Senkugu, Dr. Conrad Muzoora and Dr. Elias Kumbakumba for invaluable advice and oversight of study design and implementation. While these individuals are acknowledged for their assistance, no endorsement of manuscript contents or conclusions should be inferred. Sources of Support: The study was funded by the National Institutes of Health (R01 MH054907, K23 MH079713-03S1, K24 MH087227, and P30 AI027793), the Meyer Family Foundation, and the Mark and Lisa Schwartz Family Foundation. Dr. Weiser received additional support from the Burke Family Foundation. Dr. Tsai received salary support from the Robert Wood Johnson Health and Society Scholars.

PY - 2012/8

Y1 - 2012/8

N2 - Inequality within partner relationships is associated with HIV acquisition and gender violence, but little is known about more pervasive effects on women's health. We performed a cross-sectional analysis of associations between sexual relationship power and nutritional status among women in Uganda. Participants completed questionnaires and anthropometric measurements. We assessed sexual relationship power using the Sexual Relationship Power Scale (SRPS). We performed logistic regression to test for associations between sexual relationship power and poor nutritional status including body mass index, body fat percentage, and mid-upper arm circumference. Women with higher sexual relationship power scores had decreased odds of low body mass index (OR 0.29, p = 0.01), low body fat percentage (OR 0.54, p = 0.04), and low mid-upper arm circumference (OR 0.22, p = 0.01). These relationships persisted in multivariable models adjusted for potential confounders. Targeted interventions to improve intimate partner relationship equality should be explored to improve health status among women living with HIV in rural Africa.

AB - Inequality within partner relationships is associated with HIV acquisition and gender violence, but little is known about more pervasive effects on women's health. We performed a cross-sectional analysis of associations between sexual relationship power and nutritional status among women in Uganda. Participants completed questionnaires and anthropometric measurements. We assessed sexual relationship power using the Sexual Relationship Power Scale (SRPS). We performed logistic regression to test for associations between sexual relationship power and poor nutritional status including body mass index, body fat percentage, and mid-upper arm circumference. Women with higher sexual relationship power scores had decreased odds of low body mass index (OR 0.29, p = 0.01), low body fat percentage (OR 0.54, p = 0.04), and low mid-upper arm circumference (OR 0.22, p = 0.01). These relationships persisted in multivariable models adjusted for potential confounders. Targeted interventions to improve intimate partner relationship equality should be explored to improve health status among women living with HIV in rural Africa.

KW - Gender Equality

KW - HIV/AIDS

KW - Malnutrition

KW - Sub-Saharan Africa

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U2 - 10.1007/s10461-012-0162-9

DO - 10.1007/s10461-012-0162-9

M3 - Article

C2 - 22382629

AN - SCOPUS:84865155442

SN - 1090-7165

VL - 16

SP - 1542

EP - 1548

JO - AIDS and Behavior

JF - AIDS and Behavior

IS - 6

ER -

Sexual relationship power and malnutrition among HIV-positive women in rural uganda

Abstract

Keywords

ASJC Scopus subject areas

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