Association between intimate partner violence and HIV status among Haitian Women

Glob Public Health. 2019 Nov;14(11):1557-1568. doi: 10.1080/17441692.2019.1602156. Epub 2019 Apr 18.

Abstract

The prevalence of intimate partner violence (IPV) among women living in Haiti increased from 25% in 2006-29% in 2012, with escalating reports of crisis in the last several years. We examined the association between IPV and HIV status among these women in Haiti. Participants were drawn from a larger sample of women (n = 513) with a history of IPV. Women living with HIV (n = 55) were matched to uninfected women (n = 110) to form a control group. Attitudes towards gender roles, mental and physical well-being, and partner violence were assessed and compared. Logistic regressions were utilised to calculate multivariable-adjusted odds ratios. Women living with HIV were more likely to report more severe forms of psychological violence (p < 0.01), and severe physical violence (p < 0.0001). Women who experienced severe forms of IPV were 3.5 times more likely to have an HIV positive status compared to those who did not experience severe IPV (p < 0.0001). There were significant associations between severe forms of IPV, and HIV status among Haitian women. IPV severity should be integrated into eligibility screening for biomedical strategies of prevention such as pre-exposure prophylaxis (PrEP) among Haitian women.

Keywords: Haiti; Intimate partner violence; gender-based attitudes; mental health.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Female
  • HIV Infections*
  • Haiti
  • Humans
  • Intimate Partner Violence / trends*
  • Logistic Models
  • Mental Health
  • Middle Aged
  • Self Report
  • Young Adult