Alcohol Use, Intimate Partner Violence, Sexual Coercion and HIV among Women Aged 15–24 in Rakai, Uganda

Zablotska, Iryna; Gray, Ronald H.; Koenig, Michael A.; Serwadda, David; Nalugoda, Fred; Kigozi, Godfrey; Sewankambo, Nelson; Lutalo, Tom; Mangen, Fred Wabwire; Wawer, Maria J.

doi:10.1007/s10461-007-9333-5

Cited by 156 publications

(163 citation statements)

References 34 publications

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“…An additional eight nonoverlapping studies published prior to 2009 were identified from our previous narrative review (Allen et al, 1992;Bassett et al, 1996;Clift et al, 2003;Dunkle et al, 2004;Fisher, Cook, Sam, & Kapiga, 2008;Msuya et al, 2006;St. Lawrence et al, 2006;Zablotska et al, 2009) and three additional studies reported in Pithy and Parry (2009) (Mitsunaga & Larsen, 2008;Mmbaga et al, 2007;Seme, Mariam, & Worku, 2005). These additional three studies were likely not included in our review due to the use of different electronic databases (PsycINFO vs. PubMed).…”

Section: Methods Literature Reviewmentioning

confidence: 99%

“…There were a few notable exceptions: (1) Ayisi et al (2000) reported adjusted and unadjusted risk ratios, (2) Talbot et al (2002) reported adjusted and unadjusted prevalence ORs, and (3) all but two of the cohort studies (Allen et al, 1992;Kalichman et al, 2010) provided rate ratios or data for calculation of a rate ratio (Kapiga et al, 1998;Shaffer et al, 2010;Zablotska et al, 2006Zablotska et al, , 2009. In these instances, the measure of association reported by the authors was used in order to retain the benefit of adjusted rate/risk ratios, although separate analyses were conducted based on study design (e.g., case-control vs. cohort studies).…”

Section: Data Abstractionmentioning

confidence: 99%

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An update on alcohol use and risk of HIV infection in sub-Saharan Africa: Meta-analysis and future research directions

Woolf‐King

Steinmaus

Reingold

et al. 2013

IJADR

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Aims: Sub-Saharan Africa is disproportionately affected by HIV/AIDS, and growing evidence suggests that alcohol consumption is a co-occurring problem in the region. We conducted a meta-analysis on studies of alcohol use and HIV infection in subSaharan Africa in order to assess associations, evaluate heterogeneity in the literature, identify susceptible subgroups, and suggest avenues for future research.Design: We performed a systematic review, including published review articles and electronic database searches, and identified 35 studies on alcohol use and HIV. Setting and participants:All of the studies included in the meta-analysis occurred with adults in sub-Saharan Africa.Measurements: Pooled odds ratio (OR) estimates were calculated using both the fixed inverse variance weighting method and the random effects method when evidence of heterogeneity was present. Findings:The pooled OR estimate for all studies was 1.61 (95% CI: 1.44-1.80). The association between alcohol use and prevalence or incident HIV infection was particularly large among samples who reported problem drinking (OR = 2.17, 95% CI: 1.64-2.87) and drinking in sexual contexts (OR = 1.79, 95% CI: 1.55-2.06). Some evidence of publication bias was present; however, the OR remained statistically significant in small and large studies and with population-based and high-risk samples.

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Section: Methods Literature Reviewmentioning

confidence: 99%

Section: Data Abstractionmentioning

confidence: 99%

An update on alcohol use and risk of HIV infection in sub-Saharan Africa: Meta-analysis and future research directions

Woolf‐King

Steinmaus

Reingold

et al. 2013

IJADR

View full text Add to dashboard Cite

show abstract

“…One of these studies examined the association between alcohol use before sex (by at least one partner) and lifetime sexual coercion with prevalent HIV among young women (aged 15 -24 years). The authors found that alcohol use before sex, and especially prior sexual coercion and alcohol use before sex, was significantly associated with prevalent HIV (Zablotska et al, 2009). In the other study the use of alcohol before sex was significantly associated with an increased risk of HIV acquisition among both women and men (Zablotska et al, 2006).…”

Section: Original Articlementioning

confidence: 99%

“…In another study using data from the same community-based survey, Mitsunaga and Larsen (2008) The association between self-reported alcohol use before sex, physical violence/sexual coercion in the past and HIV prevalence was examined in a sample of young women from a population-based cohort in Rakai, Uganda (Zablotska et al, 2009 …”

Section: Community/population-based Studiesmentioning

confidence: 99%

Descriptive systematic review of sub-Saharan African studies on the association between alcohol use and HIV infection

Pithey

Parry

2009

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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The purpose of this review was to identify and assess studies that have quantified the association between alcohol consumption and HIV infection in sub-Saharan Africa. PubMed, CAB Abstracts and article references were searched to identify studies published in English between 2000 and 2008 that reported relative measures of the association between alcohol use and HIV prevalence and/or seroconversion rates. Twenty-one eligible studies were described in detail and information on study characteristics extracted. All of the identified studies were conducted either in east or southern Africa, and varied substantially regarding study population and alcohol use definitions. Overall, users of alcohol and especially problem drinkers were more likely to be HIV seropositive (HIV+) than non-users, frequency or quantity of alcohol use was positively associated with HIV prevalence, and the association varied by gender. The use of alcohol in sexual contexts was significantly associated with an increased risk of HIV acquisition and prevalence.The findings of this review of sub-Saharan African research strongly support an association between alcohol consumption and HIV infection. Although a causal relationship could not be established with certainty from the mainly cross-sectional studies, the negative consequences of such an association have profound implications for the burden of disease in this region. To confirm causality, future research should use prospective study designs, use clearly defined standardised measures of alcohol use (and problematic drinking) and an 'event-specific' approach to examine the situational links between alcohol use and HIV acquisition. Keywords: Alcohol, HIV, sexual risk, Africa.Anne Pithey is an independent researcher who has worked for the Alcohol and Drug Abuse Research Unit (ADARU) of the South African Medical Research Council (MRC) over a number of years. Her primary role has been to undertake systematic reviews of the literature and to assist with a variety of writing tasks. She holds an MSc (Med) from the University of Cape Town. Charles

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“…Features and behaviours of a male partner that increase a woman's likelihood of experiencing IPV are the male being under 25-years-old (Stats Can, 2005), his use of substances Foran & O'Leary, 2008;Golinelli, Longshore, & Wenzel, 2008;Hazen & Soriano, 2007;Muhajarine & D'Arcy, 1999;Stalans & Ritchie, 2008;Stats Can, 2005;Vatnar & Bjorkly, 2008;Zablotska et al, 2007), his use of emotional and psychological abuse (Stats Can, 2005), exertion of power and control over his partner (Fox et al, 2007;Sonis & Langer, 2008), and having more than one sexual relationship at a time (Fox et al, 2007).…”

Section: Prevalence Of Ipv For Womenmentioning

confidence: 99%

'He said he loved me. I wanted to be loved': Young women's experiences of coping with violence in intimate relationships.

Ursa¹

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Alcohol Use, Intimate Partner Violence, Sexual Coercion and HIV among Women Aged 15–24 in Rakai, Uganda

Cited by 156 publications

References 34 publications

An update on alcohol use and risk of HIV infection in sub-Saharan Africa: Meta-analysis and future research directions

An update on alcohol use and risk of HIV infection in sub-Saharan Africa: Meta-analysis and future research directions

Descriptive systematic review of sub-Saharan African studies on the association between alcohol use and HIV infection

'He said he loved me. I wanted to be loved': Young women's experiences of coping with violence in intimate relationships.

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