224560 Prevalence and Correlates of Intimate Partner Violence among HIV Voluntary Counseling and Testing Clients in Northern Tanzania

Monday, November 8, 2010

Malavika Prabhu, BS , Duke University, Durham, NC
Bariki Mchome, MD , Department of Obstetrics and Gynecology, Kilimanjaro Christian Medical Centre, Moshi, Tanzania
Antipas Mtalo , KIWAKKUKI (Women Against AIDS in Kilimanjaro), Moshi, Tanzania
Dafrosa Itemba, BA , KIWAKKUKI (Women Against AIDS in Kilimanjaro), Moshi, Tanzania
Anna Mgonja , KIWAKKUKI (Women Against AIDS in Kilimanjaro), Moshi, Tanzania
Florida Muro, MD, MPH , Kilimanjaro Christian Medical Centre, Moshi, Tanzania
Jeffrey Wilkinson, MD , Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, NC
Jan Ostermann, PhD , Duke Global Health Institute, Duke University, Durham, NC
Nathan Thielman, MD, MPH , Department of Medicine and Infectious Disease, Duke University, Durham, NC
Background. HIV infection has been associated with intimate partner violence (IPV), especially in high seroprevalence regions. We investigated IPV among women at an HIV voluntary counseling and testing center in Northern Tanzania. Methods. We assessed clients' lifetime history of physical or sexual IPV and performed bivariate and ordered logistic regression analyses to identify risk factors for IPV and IPV frequency. Frequency was described by ordinal values assigned to each IPV response level (“never,” “sometimes,” “frequently”) and summated, creating a total violence score. Results. Of 2,486 women presenting between June 2005 and January 2008, 18% reported IPV during their lifetime. Older, unemployed, less educated women, and those with children were more likely to have experienced IPV (all p<0.05). IPV exposure differed by marital status (p<0.001), with 11% of single, 22% of married, and 30% of divorced women reporting IPV. Married women had 1.48 (95% CI 1.07-2.04) greater odds, and divorced women had 2.28 (95% CI 1.66-3.13) greater odds, of more frequent IPV compared to single women, adjusted for other sociodemographic characteristics. HIV seropositivity rates did not differ by IPV exposure category; however, 23% of single women with IPV were HIV-infected vs. 15% without IPV (p<0.032), and 50% of divorced women with the highest rates of IPV were HIV-infected. Conclusion. IPV is prevalent among women in northern Tanzania and is associated with HIV among single women. Rates of IPV are likely underreported, and the association between marital status and IPV may help identify women in need of support services.

Learning Areas:
Public health or related public policy
Social and behavioral sciences

Learning Objectives:
By the end of the session, the participant will be able to… (1) Identify prevalence and correlates of intimate partner violence (IPV) in a sub-Saharan African setting (2) Describe how IPV prevalence differs by marital status (3) Discuss association of IPV with HIV

Keywords: Domestic Violence, HIV/AIDS

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have prior experience in research on intimate partner violence and in developing countries and have published peer-reviewed manuscripts in other areas of medicine. For this study, I performed the stated analyses and drafted the abstract text.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.