A Prospective Cohort Study of Intimate Partner Violence and Unprotected Sex in HIV-Positive Female Sex Workers in Mombasa, Kenya

We conducted a prospective cohort study to test the hypothesis that intimate partner violence (IPV) is associated with unprotected sex in HIV-positive female sex workers in Mombasa, Kenya. 

Women completed monthly visits and quarterly examinations. Any IPV in the past year was defined as ≥1 act of physical, sexual, or emotional violence by the current or most recent emotional partner ('index partner'). Unprotected sex with any partner was measured by self-report and prostate specific antigen (PSA) test. 

Recent IPV was associated with significantly higher risk of unprotected sex after adjusting for age, alcohol use, and sexual violence by someone besides the index partner. 

Addressing IPV in comprehensive HIV programs for HIV-positive women in this key population is important to improve wellbeing and reduce risk of sexual transmission of HIV.

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By:  Wilson KS^1,2, Deya R³, Yuhas K³, Simoni J⁴, Vander Stoep A⁵, Shafi J^6,7, Jaoko W⁶, Hughes JP⁸, Richardson BA^3,8, McClelland RS^3,5,9,6.

Author information

¹Department of Global Health, University of Washington, Box 359931, Seattle, 98104, USA. ksw@uw.edu.

²Department of Epidemiology, University of Washington, Seattle, USA. ksw@uw.edu.

³Department of Global Health, University of Washington, Box 359931, Seattle, 98104, USA.

⁴Department of Psychology, University of Washington, Seattle, USA.

⁵Department of Epidemiology, University of Washington, Seattle, USA.

⁶University of Nairobi, Nairobi, Kenya.

⁷Coast Province General Hospital, Mombasa, Kenya.

⁸Department of Biostatistics, University of Washington, Seattle, USA.

⁹Department of Medicine, University of Washington, Seattle, USA.

AIDS Behav. 2016 Apr 19. [Epub ahead of print]

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