Premium
The Physiology of Sexual Violence, Genito‐anal Injury and HIV : Opportunities for Improving Risk Estimation
Author(s) -
Klot Jennifer F.
Publication year - 2013
Publication title -
american journal of reproductive immunology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.071
H-Index - 97
eISSN - 1600-0897
pISSN - 1046-7408
DOI - 10.1111/aji.12051
Subject(s) - multidisciplinary approach , transmission (telecommunications) , psychological intervention , prioritization , public health , epidemiology , environmental health , reproductive health , psychology , sexual violence , sexual transmission , human immunodeficiency virus (hiv) , medicine , computer science , immunology , psychiatry , management science , criminology , engineering , population , sociology , pathology , telecommunications , social science , microbicide
Increased understanding about the relative contribution of genito‐anal injury to HIV transmission may improve epidemic model estimates of the distribution of risk among and across different subpopulations. Better understanding about the distribution of HIV among subpopulations that are at highest risk of sexual violence can also improve the design and prioritization of combination prevention interventions that are most likely to reduce the risk of sexual violence and its potential contribution to HIV transmission. The effective incorporation of physiological and social variables into epidemic modelling will likely require new research approaches that can help communicate the level of risk associated with different types of ‘heterosexual’ transmission. Reference models that reflect the potential impact of sexual violence and genital injury can help direct attention toward key variables and uncertainties. For further research that clarifies these relationships will require multidisciplinary collaboration among groups with expertize in epidemiology, social science, public health, and clinical and basic science.