The relationship between intimate partner violence and HIV: A model-based evaluation
| dc.contributor.author | Rigby, Simon W. | |
| dc.contributor.author | Johnson, Leigh F. | |
| dc.date.accessioned | 2017-07-18T22:05:53Z | |
| dc.date.available | 2017-07-18T22:05:53Z | |
| dc.date.issued | 2017-02-16 | |
| dc.description.abstract | Background: Many studies have shown that women who have experienced intimate partner violence (IPV) are at a greater risk of HIV, but the factors accounting for this association are unclear, and trials of interventions to reduce IPV have not consistently reduced HIV incidence. Methods: This study uses an agent-based model, calibrated to South African data sources, to evaluate hypotheses about likely causal pathways linking IPV, HIV, and other confounding factors. Assumptions about associations between IPV and HIV risk behaviours were based on reviews of international literature. Findings: There is an association between past IPV experience and HIV incidence even when no causal effects are assumed (IRR 1.28, 95% CI 1.23e1.34), because women with a propensity for multiple partners are more likely to have ever been in a relationship with a violent partner. If, in addition, men with a propensity for concurrent relationships are more likely to perpetrate IPV, the IRR increases to 1.42 (95% CI 1.36e1.48), consistent with empirical IRR estimates. Alternative scenarios in which experience of IPV is assumed to cause changes in women's sexual behaviour have little effect on the IRR. An intervention that reduces IPV by 50% could be expected to reduce HIV incidence by at most 1.3%. Interpretation: Much of the observed association between IPV and HIV is likely to be due to confounding behavioural factors. Although interventions to reduce IPV are important, these interventions alone are unlikely to have a substantial impact on HIV incidence. | en_ZA |
| dc.identifier.apacitation | Rigby, Simon W., & Johnson, Leigh F. (2017). The relationship between intimate partner violence and HIV: A model-based evaluation. <i>Infectious Disease Modelling</i>, http://hdl.handle.net/11427/24766 | en_ZA |
| dc.identifier.chicagocitation | Rigby, Simon W., and Leigh F. Johnson "The relationship between intimate partner violence and HIV: A model-based evaluation." <i>Infectious Disease Modelling</i> (2017) http://hdl.handle.net/11427/24766 | en_ZA |
| dc.identifier.citation | Rigby, S. W., & Johnson, L. F. (2017). The relationship between intimate partner violence and HIV: A model-based evaluation. Infectious Disease Modelling, 2(1), 71-89. | en_ZA |
| dc.identifier.ris | TY - Journal Article AU - Rigby, Simon W. AU - Johnson, Leigh F. AB - Background: Many studies have shown that women who have experienced intimate partner violence (IPV) are at a greater risk of HIV, but the factors accounting for this association are unclear, and trials of interventions to reduce IPV have not consistently reduced HIV incidence. Methods: This study uses an agent-based model, calibrated to South African data sources, to evaluate hypotheses about likely causal pathways linking IPV, HIV, and other confounding factors. Assumptions about associations between IPV and HIV risk behaviours were based on reviews of international literature. Findings: There is an association between past IPV experience and HIV incidence even when no causal effects are assumed (IRR 1.28, 95% CI 1.23e1.34), because women with a propensity for multiple partners are more likely to have ever been in a relationship with a violent partner. If, in addition, men with a propensity for concurrent relationships are more likely to perpetrate IPV, the IRR increases to 1.42 (95% CI 1.36e1.48), consistent with empirical IRR estimates. Alternative scenarios in which experience of IPV is assumed to cause changes in women's sexual behaviour have little effect on the IRR. An intervention that reduces IPV by 50% could be expected to reduce HIV incidence by at most 1.3%. Interpretation: Much of the observed association between IPV and HIV is likely to be due to confounding behavioural factors. Although interventions to reduce IPV are important, these interventions alone are unlikely to have a substantial impact on HIV incidence. DA - 2017-02-16 DB - OpenUCT DP - University of Cape Town J1 - Infectious Disease Modelling LK - https://open.uct.ac.za PB - University of Cape Town PY - 2017 T1 - The relationship between intimate partner violence and HIV: A model-based evaluation TI - The relationship between intimate partner violence and HIV: A model-based evaluation UR - http://hdl.handle.net/11427/24766 ER - | en_ZA |
| dc.identifier.uri | http://hdl.handle.net/11427/24766 | |
| dc.identifier.vancouvercitation | Rigby Simon W, Johnson Leigh F. The relationship between intimate partner violence and HIV: A model-based evaluation. Infectious Disease Modelling. 2017; http://hdl.handle.net/11427/24766. | en_ZA |
| dc.language | eng | en_ZA |
| dc.publisher | Ke Ai | en_ZA |
| dc.publisher.department | Department of Mathematics and Applied Mathematics | en_ZA |
| dc.publisher.faculty | Faculty of Science | en_ZA |
| dc.publisher.institution | University of Cape Town | |
| dc.rights | Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | en_ZA |
| dc.source | Infectious Disease Modelling | en_ZA |
| dc.title | The relationship between intimate partner violence and HIV: A model-based evaluation | en_ZA |
| dc.type | Journal Article | en_ZA |
| uct.subject.keywords | Epidemiology, Gender, HIV, Modelling, Violence | en_ZA |
| uct.type.filetype | Text | |
| uct.type.filetype | Image | |
| uct.type.publication | Research | en_ZA |
| uct.type.resource | Article | en_ZA |