The relationship between intimate partner violence, rape and HIV amongst South African men: a cross-sectional study

 

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dc.contributor.author Jewkes, Rachel en_ZA
dc.contributor.author Sikweyiya, Yandisa en_ZA
dc.contributor.author Morrell, Robert en_ZA
dc.contributor.author Dunkle, Kristin en_ZA
dc.date.accessioned 2016-01-11T06:49:16Z
dc.date.available 2016-01-11T06:49:16Z
dc.date.issued 2011 en_ZA
dc.identifier.citation Jewkes, R., Sikweyiya, Y., Morrell, R., & Dunkle, K. (2011). The relationship between intimate partner violence, rape and HIV amongst South African men: a cross-sectional study. PLoS One, 6(9), e24256. doi:10.1371/journal.pone.0024256 en_ZA
dc.identifier.uri http://dx.doi.org/10.1371/journal.pone.0024256 en_ZA
dc.identifier.uri http://hdl.handle.net/11427/16230
dc.description.abstract Objective: To investigate the associations between intimate partner violence, rape and HIV among South African men. Design Cross-sectional study involving a randomly-selected sample of men. METHODS: We tested hypotheses that perpetration of physical intimate partner violence and rape were associated with prevalent HIV infections in a cross-sectional household study of 1229 South African men aged 18-49. Violence perpetration was elicited in response to a questionnaire administered using an Audio-enhanced Personal Digital Assistant and blood samples were tested for HIV. A multivariable logistic regression model was built to identify factors associated with HIV. RESULTS: 18.3% of men had HIV. 29.6% (358/1211) of men disclosed rape perpetration, 5.2% (63/1208) rape in the past year and 30.7% (362/1180) of had been physically violent towards an intimate partner more than once. Overall rape perpetration was not associated with HIV. The model of factors associated with having HIV showed men under 25 years who had been physically violent towards partners were more likely to have HIV than men under 25 who had not (aOR 2.08 95% CI 1.07-4.06, p = 0.03). We failed to detect any association in older men. CONCLUSIONS: Perpetration of physical IPV is associated with HIV sero-prevalence in young men, after adjusting for other risk factors. This contributes to our understanding of why women who experience violence have a higher HIV prevalence. Rape perpetration was not associated, but the HIV prevalence among men who had raped was very high. HIV prevention in young men must seek to change ideals of masculinity in which male partner violence is rooted. en_ZA
dc.language.iso eng en_ZA
dc.publisher Public Library of Science en_ZA
dc.rights This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/4.0 en_ZA
dc.source PLoS One en_ZA
dc.source.uri http://journals.plos.org/plosone en_ZA
dc.subject.other HIV en_ZA
dc.subject.other Rape and sexual assault en_ZA
dc.subject.other Intimate partner violence en_ZA
dc.subject.other Africans en_ZA
dc.subject.other HIV infections en_ZA
dc.subject.other Blood en_ZA
dc.subject.other HIV epidemiology en_ZA
dc.subject.other HIV prevention en_ZA
dc.title The relationship between intimate partner violence, rape and HIV amongst South African men: a cross-sectional study en_ZA
dc.type Journal Article en_ZA
dc.rights.holder © 2011 Jewkes et al en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty The Enterprise en_ZA
dc.publisher.department Research Office en_ZA
uct.type.filetype Text
uct.type.filetype Image


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This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Except where otherwise noted, this item's license is described as This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.