Open AccessTransactional Sex, Alcohol Use and Intimate Partner Violence Against Women in the Rakai Region of Uganda
Author(s) -
Amanda P. Miller,
Eileen V. Pitpitan,
Dorean Nabukalu,
Fred Nalugoda,
Gertrude Nakigozi,
Godfrey Kigozi,
M. Kate Grabowski,
Caitlin E. Kennedy,
Jennifer A. Wagman
Publication year - 2020
Publication title -
aids and behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.994
H-Index - 106
eISSN - 1573-3254
pISSN - 1090-7165
DOI - 10.1007/s10461-020-03069-9
Subject(s) - domestic violence , medicine , demography , transactional sex , poisson regression , psychological intervention , sexual violence , poison control , population , environmental health , injury prevention , psychiatry , nursing , sociology , research methodology
Transactional sex (TS) is prevalent in sub-Saharan Africa. Women's engagement in TS is linked with HIV infection; little is known about the relationship between TS, intimate partner violence (IPV) and alcohol use-established HIV risk behaviors. Using modified Poisson regression, we assessed associations between TS and physical, verbal and sexual IPV among 8248 women (15-49 years) who participated in the Rakai Community Cohort Study across forty communities in Uganda. An interaction term assessed moderation between alcohol use and TS and no significant interaction effects were found. In adjusted analysis, alcohol use and TS were significantly associated with all forms of IPV. In stratified analysis, TS was only associated with IPV in agrarian communities; alcohol use was not associated with physical IPV in trade communities or sexual IPV in trade and fishing communities. Identifying differences in IPV risk factors by community type is critical for the development of tailored interventions.