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. 2021 Feb 18;16(2):e0246192.
doi: 10.1371/journal.pone.0246192. eCollection 2021.

Intimate partner violence by men living with HIV in Cameroon: Prevalence, associated factors and implications for HIV transmission risk (ANRS-12288 EVOLCAM)

Marion Fiorentino  1 , Abdourahmane Sow  1 , Luis Sagaon-Teyssier  1 , Marion Mora  1 , Marie-Thérèse Mengue  2 , Laurent Vidal  1 , Christopher Kuaban  3 , Laura March  4 , Christian Laurent  5 , Bruno Spire  1 , Sylvie Boyer  1 ; EVOLCam study Group
Affiliations

Intimate partner violence by men living with HIV in Cameroon: Prevalence, associated factors and implications for HIV transmission risk (ANRS-12288 EVOLCAM)

Marion Fiorentino et al. PLoS One. .

Abstract

Objectives: Intimate partner violence (IPV) against women is frequent in Central Africa and may be a HIV infection risk factor. More data on HIV-positive men (MLHIV) committing IPV are needed to develop perpetrator-focused IPV and HIV prevention interventions. We investigated the relationship between IPV and HIV transmission risk and IPV-associated factors.

Methods: We used data from the cross-sectional survey EVOLCam which was conducted in Cameroonian outpatient HIV structures in 2014. The study population comprised MLHIV declaring at least one sexual partner in the previous year. Using principal component analysis, we built three variables measuring, respectively, self-reported MLHIV-perpetrated psychological and physical IPV (PPV), severe physical IPV (SPV), and sexual IPV (SV). Ordinal logistic regressions helped investigate: i) the relationship between HIV transmission risk (defined as unstable aviremia and inconsistent condom use) and IPV variables, ii) factors associated with each IPV variable.

Results: PPV, SPV and SV were self-reported by 28, 15 and 11% of the 406 study participants, respectively. IPV perpetrators had a significantly higher risk of transmitting HIV than non-IPV perpetrators. Factors independently associated with IPV variables were: i) socio-demographic, economic and dyadic factors, including younger age (PPV and SPV), lower income (PPV), not being the household head (SPV and SV), living with a main partner (SPV), and having a younger main partner (SPV); ii) sexual behaviors, including ≥2 partners in the previous year (PPV and SPV), lifetime sex with another man (SPV), inconsistent condom use (SV), and >20 partners during lifetime (SV); iii) HIV-related stigma (PPV and SV).

Conclusion: IPV perpetrators had a higher risk of transmitting HIV and having lifetime and recent risky sexual behaviors. Perpetrating IPV was more frequent in those with socioeconomic vulnerability and self-perceived HIV-related stigma. These findings highlight the need for interventions to prevent IPV by MLHIV and related HIV transmission to their(s) partner(s).

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Conflict of interest statement

No authors have competing interests.

Figures

Fig 1
Fig 1. Unstable aviremia and HIV transmission risk according to IPV perpetration (n = 406).
Fig 2
Fig 2. Factors significantly associated with IPV perpetration in multivariate analysis.
See this image and copyright information in PMC

References

    1. World Health Organization. Global and regional estimates of violence against women: prevalence and health effects of intimate partner violence and non-partner sexual violence. World Health Organization; 2013. http://apps.who.int.gate2.inist.fr/iris/bitstream/handle/10665/85239/978...
    1. Harling G, Msisha W, Subramanian SV. No association between HIV and intimate partner violence among women in 10 developing countries. PloS one. 2010;5: e14257 10.1371/journal.pone.0014257 - DOI - PMC - PubMed
    1. Durevall D, Lindskog A. Intimate partner violence and HIV in ten sub-Saharan African countries: what do the Demographic and Health Surveys tell us? The Lancet Global Health. 2015;3: e34–e43. 10.1016/S2214-109X(14)70343-2 - DOI - PubMed
    1. Jewkes RK, Dunkle K, Nduna M, Shai N. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study. The lancet. 2010;376: 41–48. - PubMed
    1. Campbell JC, Baty ML, Ghandour RM, Stockman JK, Francisco L, Wagman J. The intersection of intimate partner violence against women and HIV/AIDS: a review. International journal of injury control and safety promotion. 2008;15: 221–231. 10.1080/17457300802423224 - DOI - PMC - PubMed

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