Relationship between intimate partner violence and HIV infection: A critical appraisal
Background: Although intimate partner violence (IPV) has been linked to increased risks for HIV infection among women, there is limited evidence base for this hypothesis. To critically appraise this relationship, a systematic review and meta-analysis of available evidence were undertaken. Methods: Major online databases, including Medline/PubMed, Embase, Web of Science, EBSCO (PsycINFO and CINAHL), and Ovid were searched up to November 2012. Findings: Pooled results of cross-sectional studies demonstrated that physical violence ([ORs 95% CI]: 1.44 (1.10-1.72), sexual violence ([ORs 95% CI]: 2.54 (0.60-10.80), a combination of physical and sexual violence ([ORs 95% CIs]: 2.00 (1.24, 3.22), and any type of IPV ([ORs 95% CI]: 1.71 (1.91-2.44) had marked negative impact on HIV infection among women. Cohort studies demonstrated the most marked impact of any kind IPV on HIV infection ([RRs 95% CI]: 2.51 (1.12-5.59). Interpretation: There is a need for HIV/AIDS prevention and care programs to include IPV assessment, counseling, and management. Carefully designed, high quality follow-up studies are needed to further validate the IPV-HIV infection hypothesis.
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Demonstrate evidence regarding the role of IPV in HIV infection among women
Describe lessons learned from the findings to develop strategies for prevention of IPV and HIV infection among women.
Keyword(s): HIV/AIDS, Violence
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: conceptualised the study and directed its implementation.
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.