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Arch Gynecol Obstet. 2009 Nov;280(5):745-52. doi: 10.1007/s00404-009-0956-9. Epub 2009 Feb 26.

Intimate partner violence and correlates in pregnant HIV positive Nigerians.

Author information

1
Sexual and Reproductive Health Unit, Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria. oezechi@yahoo.co.uk

Abstract

OBJECTIVE:

To determine the prevalence, types and correlates of intimate partner violence (IPV) in pregnant Nigerian living with HIV.

DESIGN:

Cross sectional study.

POPULATION:

HIV positive pregnant women.

SETTING:

A large HIV comprehensive treatment centre.

METHODS:

A cross sectional study of 652 HIV positive pregnant Nigerians seen at Nigerian Institute of Medical Research, Lagos, Nigeria over a 24 months period.

MAIN OUTCOME MEASURES:

Prevalence of intimate partner violence after HIV diagnosis.

RESULTS:

Among the women interviewed, 423 (65.8%) reported abuse. In 74.0% of abused women, the abuse started after HIV diagnosis. Though having a HIV negative spouse and disclosure of HIV status were associated with abuse, only having a HIV negative partner retained its association with IPV (OR 3.1; CI 2.4-5.3) after controlling for confounding variables. Sixty-two (9.6%) women have not disclosed their HIV status because of fear of rejection. Verbal abuse (51.7%), threat of violence in 97 (22.9%) and sexual deprivation in 91 (21.5%) were the common forms of abuse reported.

CONCLUSION:

IPV is common among HIV positive pregnant Nigerians; with a threefold increased risk in women in HIV serodiscordant relationship.

PMID:
19242706
DOI:
10.1007/s00404-009-0956-9
[Indexed for MEDLINE]
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