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

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dc.contributor.authorJewkes, Rachelen_ZA
dc.contributor.authorSikweyiya, Yandisaen_ZA
dc.contributor.authorMorrell, Roberten_ZA
dc.contributor.authorDunkle, Kristinen_ZA
dc.date.accessioned2016-01-11T06:49:16Z
dc.date.available2016-01-11T06:49:16Z
dc.date.issued2011en_ZA
dc.description.abstractObjective: 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.identifier.apacitationJewkes, 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. <i>PLoS One</i>, http://hdl.handle.net/11427/16230en_ZA
dc.identifier.chicagocitationJewkes, Rachel, Yandisa Sikweyiya, Robert Morrell, and Kristin Dunkle "The relationship between intimate partner violence, rape and HIV amongst South African men: a cross-sectional study." <i>PLoS One</i> (2011) http://hdl.handle.net/11427/16230en_ZA
dc.identifier.citationJewkes, 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.0024256en_ZA
dc.identifier.ris TY - Journal Article AU - Jewkes, Rachel AU - Sikweyiya, Yandisa AU - Morrell, Robert AU - Dunkle, Kristin AB - 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. DA - 2011 DB - OpenUCT DO - 10.1371/journal.pone.0024256 DP - University of Cape Town J1 - PLoS One LK - https://open.uct.ac.za PB - University of Cape Town PY - 2011 T1 - The relationship between intimate partner violence, rape and HIV amongst South African men: a cross-sectional study TI - The relationship between intimate partner violence, rape and HIV amongst South African men: a cross-sectional study UR - http://hdl.handle.net/11427/16230 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pone.0024256en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/16230
dc.identifier.vancouvercitationJewkes R, Sikweyiya Y, Morrell R, Dunkle K. The relationship between intimate partner violence, rape and HIV amongst South African men: a cross-sectional study. PLoS One. 2011; http://hdl.handle.net/11427/16230.en_ZA
dc.language.isoengen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.publisher.departmentResearch Officeen_ZA
dc.publisher.facultyThe Enterpriseen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis 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.holder© 2011 Jewkes et alen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourcePLoS Oneen_ZA
dc.source.urihttp://journals.plos.org/plosoneen_ZA
dc.subject.otherHIVen_ZA
dc.subject.otherRape and sexual assaulten_ZA
dc.subject.otherIntimate partner violenceen_ZA
dc.subject.otherAfricansen_ZA
dc.subject.otherHIV infectionsen_ZA
dc.subject.otherBlooden_ZA
dc.subject.otherHIV epidemiologyen_ZA
dc.subject.otherHIV preventionen_ZA
dc.titleThe relationship between intimate partner violence, rape and HIV amongst South African men: a cross-sectional studyen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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