Rates and Covariates of Recent Sexual and Physical Violence Against HIV-Infected Outpatient Drinkers in Western Kenya

Rebecca K. Papas, Benson N. Gakinya, Michael M. Mwaniki, Hana Lee, Stella W. Kiarie, Steve Martino, Michelle P. Loxley, Alfred K. Keter, Debra A. Klein, John Sidle, Joyce B. Baliddawa, Stephen A. Maisto

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Victimization from physical and sexual violence presents global health challenges. Partner violence is higher in Kenya than Africa. Violence against drinkers and HIV-infected individuals is typically elevated, so dual vulnerabilities may further augment risk. Understanding violence risks can improve interventions. Participants were 614 HIV-infected outpatient drinkers in western Kenya enrolled in a randomized trial to reduce alcohol use. At baseline, past 90-day partner physical and sexual violence were examined descriptively and in gender-stratified regression models. We hypothesized higher reported violence against women than men, and positive violence association with HIV stigma and alcohol use across gender. Women reported significantly more current sexual (26.3 vs. 5.7%) and physical (38.9 vs. 24.8%) victimization than men. Rates were generally higher than Kenyan lifetime national averages. In both regression models, HIV stigma and alcohol-related sexual expectations were significantly associated with violence while alcohol use was not. For women, higher violence risk was also conferred by childhood violence, past-year transactional sex, and younger age. HIV-infected Kenyan drinkers, particularly women, endorse high current violence due to multiple risk factors. Findings have implications for HIV interventions. Longitudinal research is needed to understand development of risk.

Original languageEnglish (US)
Pages (from-to)1-10
Number of pages10
JournalAIDS and Behavior
DOIs
StateAccepted/In press - Jan 17 2017

Fingerprint

Kenya
Sex Offenses
Violence
Outpatients
HIV
Alcohols
Crime Victims
Physical Abuse

Keywords

  • Alcohol
  • HIV
  • Kenya
  • Physical violence
  • Sexual violence
  • Transactional sex

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Papas, R. K., Gakinya, B. N., Mwaniki, M. M., Lee, H., Kiarie, S. W., Martino, S., ... Maisto, S. A. (Accepted/In press). Rates and Covariates of Recent Sexual and Physical Violence Against HIV-Infected Outpatient Drinkers in Western Kenya. AIDS and Behavior, 1-10. https://doi.org/10.1007/s10461-017-1684-y

Rates and Covariates of Recent Sexual and Physical Violence Against HIV-Infected Outpatient Drinkers in Western Kenya. / Papas, Rebecca K.; Gakinya, Benson N.; Mwaniki, Michael M.; Lee, Hana; Kiarie, Stella W.; Martino, Steve; Loxley, Michelle P.; Keter, Alfred K.; Klein, Debra A.; Sidle, John; Baliddawa, Joyce B.; Maisto, Stephen A.

In: AIDS and Behavior, 17.01.2017, p. 1-10.

Research output: Contribution to journalArticle

Papas, RK, Gakinya, BN, Mwaniki, MM, Lee, H, Kiarie, SW, Martino, S, Loxley, MP, Keter, AK, Klein, DA, Sidle, J, Baliddawa, JB & Maisto, SA 2017, 'Rates and Covariates of Recent Sexual and Physical Violence Against HIV-Infected Outpatient Drinkers in Western Kenya', AIDS and Behavior, pp. 1-10. https://doi.org/10.1007/s10461-017-1684-y
Papas, Rebecca K. ; Gakinya, Benson N. ; Mwaniki, Michael M. ; Lee, Hana ; Kiarie, Stella W. ; Martino, Steve ; Loxley, Michelle P. ; Keter, Alfred K. ; Klein, Debra A. ; Sidle, John ; Baliddawa, Joyce B. ; Maisto, Stephen A. / Rates and Covariates of Recent Sexual and Physical Violence Against HIV-Infected Outpatient Drinkers in Western Kenya. In: AIDS and Behavior. 2017 ; pp. 1-10.
@article{1a4de2f6a81545619bc60c2aae225117,
title = "Rates and Covariates of Recent Sexual and Physical Violence Against HIV-Infected Outpatient Drinkers in Western Kenya",
abstract = "Victimization from physical and sexual violence presents global health challenges. Partner violence is higher in Kenya than Africa. Violence against drinkers and HIV-infected individuals is typically elevated, so dual vulnerabilities may further augment risk. Understanding violence risks can improve interventions. Participants were 614 HIV-infected outpatient drinkers in western Kenya enrolled in a randomized trial to reduce alcohol use. At baseline, past 90-day partner physical and sexual violence were examined descriptively and in gender-stratified regression models. We hypothesized higher reported violence against women than men, and positive violence association with HIV stigma and alcohol use across gender. Women reported significantly more current sexual (26.3 vs. 5.7{\%}) and physical (38.9 vs. 24.8{\%}) victimization than men. Rates were generally higher than Kenyan lifetime national averages. In both regression models, HIV stigma and alcohol-related sexual expectations were significantly associated with violence while alcohol use was not. For women, higher violence risk was also conferred by childhood violence, past-year transactional sex, and younger age. HIV-infected Kenyan drinkers, particularly women, endorse high current violence due to multiple risk factors. Findings have implications for HIV interventions. Longitudinal research is needed to understand development of risk.",
keywords = "Alcohol, HIV, Kenya, Physical violence, Sexual violence, Transactional sex",
author = "Papas, {Rebecca K.} and Gakinya, {Benson N.} and Mwaniki, {Michael M.} and Hana Lee and Kiarie, {Stella W.} and Steve Martino and Loxley, {Michelle P.} and Keter, {Alfred K.} and Klein, {Debra A.} and John Sidle and Baliddawa, {Joyce B.} and Maisto, {Stephen A.}",
year = "2017",
month = "1",
day = "17",
doi = "10.1007/s10461-017-1684-y",
language = "English (US)",
pages = "1--10",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",

}

TY - JOUR

T1 - Rates and Covariates of Recent Sexual and Physical Violence Against HIV-Infected Outpatient Drinkers in Western Kenya

AU - Papas, Rebecca K.

AU - Gakinya, Benson N.

AU - Mwaniki, Michael M.

AU - Lee, Hana

AU - Kiarie, Stella W.

AU - Martino, Steve

AU - Loxley, Michelle P.

AU - Keter, Alfred K.

AU - Klein, Debra A.

AU - Sidle, John

AU - Baliddawa, Joyce B.

AU - Maisto, Stephen A.

PY - 2017/1/17

Y1 - 2017/1/17

N2 - Victimization from physical and sexual violence presents global health challenges. Partner violence is higher in Kenya than Africa. Violence against drinkers and HIV-infected individuals is typically elevated, so dual vulnerabilities may further augment risk. Understanding violence risks can improve interventions. Participants were 614 HIV-infected outpatient drinkers in western Kenya enrolled in a randomized trial to reduce alcohol use. At baseline, past 90-day partner physical and sexual violence were examined descriptively and in gender-stratified regression models. We hypothesized higher reported violence against women than men, and positive violence association with HIV stigma and alcohol use across gender. Women reported significantly more current sexual (26.3 vs. 5.7%) and physical (38.9 vs. 24.8%) victimization than men. Rates were generally higher than Kenyan lifetime national averages. In both regression models, HIV stigma and alcohol-related sexual expectations were significantly associated with violence while alcohol use was not. For women, higher violence risk was also conferred by childhood violence, past-year transactional sex, and younger age. HIV-infected Kenyan drinkers, particularly women, endorse high current violence due to multiple risk factors. Findings have implications for HIV interventions. Longitudinal research is needed to understand development of risk.

AB - Victimization from physical and sexual violence presents global health challenges. Partner violence is higher in Kenya than Africa. Violence against drinkers and HIV-infected individuals is typically elevated, so dual vulnerabilities may further augment risk. Understanding violence risks can improve interventions. Participants were 614 HIV-infected outpatient drinkers in western Kenya enrolled in a randomized trial to reduce alcohol use. At baseline, past 90-day partner physical and sexual violence were examined descriptively and in gender-stratified regression models. We hypothesized higher reported violence against women than men, and positive violence association with HIV stigma and alcohol use across gender. Women reported significantly more current sexual (26.3 vs. 5.7%) and physical (38.9 vs. 24.8%) victimization than men. Rates were generally higher than Kenyan lifetime national averages. In both regression models, HIV stigma and alcohol-related sexual expectations were significantly associated with violence while alcohol use was not. For women, higher violence risk was also conferred by childhood violence, past-year transactional sex, and younger age. HIV-infected Kenyan drinkers, particularly women, endorse high current violence due to multiple risk factors. Findings have implications for HIV interventions. Longitudinal research is needed to understand development of risk.

KW - Alcohol

KW - HIV

KW - Kenya

KW - Physical violence

KW - Sexual violence

KW - Transactional sex

UR - http://www.scopus.com/inward/record.url?scp=85009798967&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009798967&partnerID=8YFLogxK

U2 - 10.1007/s10461-017-1684-y

DO - 10.1007/s10461-017-1684-y

M3 - Article

C2 - 28097617

AN - SCOPUS:85009798967

SP - 1

EP - 10

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

ER -