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Intimate partner sexual and physical violence among women in Togo, West Africa: Prevalence, associated factors, and the specific role of HIV infection.

hal.structure.identifierEpidémiologie et Biostatistique [Bordeaux]
dc.contributor.authorBURGOS-SOTO, Juan
hal.structure.identifierEpidémiologie et Biostatistique [Bordeaux]
dc.contributor.authorORNE-GLIEMANN, Joanna
hal.structure.identifierEpidémiologie et Biostatistique [Bordeaux]
hal.structure.identifierCentre de droit comparé du travail et de la sécurité sociale [COMPTRASEC]
dc.contributor.authorENCRENAZ, Gaëlle
dc.contributor.authorPATASSI, Akouda
dc.contributor.authorWORONOWSKI, Aurore
dc.contributor.authorKARIYIARE, Benjamin
dc.contributor.authorLAWSON-EVI, Annette K
hal.structure.identifierEpidémiologie et Biostatistique [Bordeaux]
dc.contributor.authorLEROY, Valériane
hal.structure.identifierEpidémiologie et Biostatistique [Bordeaux]
hal.structure.identifierCIC-EC - Bordeaux
dc.contributor.authorDABIS, François
hal.structure.identifierProgramme PAC-CI
dc.contributor.authorEKOUEVI, Didier K
hal.structure.identifierEpidémiologie et Biostatistique [Bordeaux]
hal.structure.identifierInstitut de Santé Publique, d'Epidémiologie et de Développement [ISPED]
dc.contributor.authorBECQUET, Renaud
dc.date.issued2014
dc.identifier.issn1654-9716
dc.description.abstractEnBackground: A substantial proportion of newly diagnosed HIV infections in sub-Saharan Africa occur within serodiscordant cohabiting heterosexual couples. Intimate partner violence is a major concern for couple-oriented HIV preventive approaches. This study aimed at estimating the prevalence and associated factors of intimate partner physical and sexual violence among HIV-infected and -uninfected women in Togo. We also described the severity and consequences of this violence as well as care-seeking behaviors of women exposed to intimate partner violence. Methods: A cross-sectional survey was conducted between May and July 2011 within Sylvanus Olympio University Hospital in Lomé. HIV-infected women attending HIV care and uninfected women attending postnatal care and/or children immunization visits were interviewed. Intimate partner physical and sexual violence and controlling behaviors were assessed using an adapted version of the WHO Multi-country study on Women's Health and Life Events questionnaire. Results: Overall, 150 HIV-uninfected and 304 HIV-infected women accepted to be interviewed. The prevalence rates of lifetime physical and sexual violence among HIV-infected women were significantly higher than among uninfected women (63.1 vs. 39.3%, p<0.01 and 69.7 vs. 35.3%, p<0.01, respectively). Forty-two percent of the women reported having ever had physical injuries as a consequence of intimate partner violence. Among injured women, only one-third had ever disclosed real causes of injuries to medical staff and none of them had been referred to local organizations to receive appropriate psychological support. Regardless of HIV status and after adjustment on potential confounders, the risk of intimate partner physical and sexual violence was strongly and significantly associated with male partner multi-partnership and early start of sexual life. Among uninfected women, physical violence was significantly associated with gender submissive attitudes. Discussion and conclusions: The prevalence rates of both lifetime physical and sexual violence were very high among HIV-uninfected women and even higher among HIV-infected women recruited in health facilities in this West African country. Screening for intimate partner violence should be systematic in health-care settings, and specifically within HIV care services. At a time of increased investments in couple-oriented HIV prevention interventions, further longitudinal research to better understanding of HIV-serodiscordant couple dynamics in terms of intimate partner violence is needed.
dc.language.isoen
dc.publisherHäggeby : Co-Action Publishing
dc.title.enIntimate partner sexual and physical violence among women in Togo, West Africa: Prevalence, associated factors, and the specific role of HIV infection.
dc.typeArticle de revue
dc.identifier.doi10.3402/gha.v7.23456
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologie
bordeaux.journalGlobal Health Action
bordeaux.page23456
bordeaux.volume7
bordeaux.peerReviewedoui
hal.identifierhal-00999368
hal.version1
hal.popularnon
hal.audienceInternationale
hal.origin.linkhttps://hal.archives-ouvertes.fr//hal-00999368v1
bordeaux.COinSctx_ver=Z39.88-2004&amp;rft_val_fmt=info:ofi/fmt:kev:mtx:journal&amp;rft.jtitle=Global%20Health%20Action&amp;rft.date=2014&amp;rft.volume=7&amp;rft.spage=23456&amp;rft.epage=23456&amp;rft.eissn=1654-9716&amp;rft.issn=1654-9716&amp;rft.au=BURGOS-SOTO,%20Juan&amp;ORNE-GLIEMANN,%20Joanna&amp;ENCRENAZ,%20Ga%C3%ABlle&amp;PATASSI,%20Akouda&amp;WORONOWSKI,%20Aurore&amp;rft.genre=article


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