Jay G. Silverman
Intimate Partner Violence and HIV Infection Among Married Indian Women
National Institute for Research in Reproductive Health|Boston University|Harvard University|Population Council
despite reductions prevalence human immunodeficiency virus hiv infection among general population india women account rising percentage hiv cases husbands risk behavior described major source womens infection intimate partner violence ipv described associated heterosexual transmission hiv women india elsewhereto assess relationship experiencing ipv occurrence hiv infection nationally representative sample married indian women tested hivthe indian national family health survey 3 conducted across indian states 2005 2006 nationally representative sample included 124385 married women analyses conducted 2007 2008 limited 28139 married women provided ipv data hiv test results via systematic selection respective subsamplesprevalence estimates lifetime ipv hiv infection calculated demographic differences assessed intimate partner violence conceptualized physical violence without sexual violence categorized physical violence vs physical sexual violence regression models used estimate odds ratios ors 95 confidence intervals cis hiv infection among indian women based experiences ipv adjusting demographics womens hiv risk behaviorsonethird married indian women 3549 reported experiencing physical ipv without sexual violence husbands 768 reported physical sexual ipv 2780 reported experiencing physical ipv absence sexual violence approximately 1 450 women 022 tested positive hiv adjusted models married indian women experiencing physical sexual violence husbands demonstrated elevated hiv infection prevalence vs experiencing ipv 073 vs 019 adjusted 392 95 ci 1411094 p 01 physical ipv alone associated risk hiv infection womens personal sexual risk behaviors associated hiv infectionamong married indian women physical violence combined sexual violence husbands associated increased prevalence hiv infection prevention ipv may augment efforts reduce spread hivaids