The association between domestic violence, HIV status and consent to testing among Zambian women

Type Thesis or Dissertation - Masters
Title The association between domestic violence, HIV status and consent to testing among Zambian women
Publication (Day/Month/Year) 2010
Page numbers 0-0
Background: In the past twenty years a global trend has emerged illustrating increasing rates of violence against women. Unfortunately, women around the world are not only experiencing an increase in domestic violence, but also HIV rates. Sub-Saharan Africa carries the heaviest burden of HIV infection, with women disproportionately affected. Despite the significance of the problem, there is scant corpus of literature exploring the influence of domestic violence on HIV. Therefore, this study examined the association between domestic violence and women’s decision to consent to HIV testing, and their HIV status. Methods: The 2007 Zambia Demographic and Health Survey was used for this analysis. This study examined two outcomes; 1) Consenting to HIV testing and 2) HIV status. The variable defining domestic violence included a positive response to physical, sexual, or emotional abuse by current or ex-husband. Covariates assessed included demographic variables, contraception use, number of sexual partners, and women’s opinions on refusing sex with her husband. Survey logistic regression analyses were conducted and OR and 95% CI were calculated. Results: Women who have experienced domestic violence were 13% more likely to consent to an HIV test (Odds Ratio = .79, 95% Confidence Interval = (0.67, 0.93). Women who had experienced domestic violence were 11% more likely to test positive for HIV (Odds Ratio = 1.09, 95% Confidence Interval = (0.89, 1.33). However, the association did not show statistical significance. Conclusion: It is encouraging that women who experienced domestic violence were more likely to be tested for HIV. Although not statistically significant, those with domestic violence were more likely to test positive. Future studies are needed to confirm this finding and public health programs should continue to educate the public on the benefits of HIV prevention and the importance of testing.

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