Increase in HIV incidence in women exposed to rape

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dc.contributor.authorMhlongo, Shibeen_ZA
dc.contributor.authorAbrahams, Naeemahen_ZA
dc.contributor.authorMhlongo, Shibeen_ZA
dc.contributor.authorDunkle, Kristinen_ZA
dc.contributor.authorChirwa, Esnaten_ZA
dc.contributor.authorLombard, Carlen_ZA
dc.contributor.authorSeedat, Soraya, 1966-en_ZA
dc.contributor.authorKengne, Andre P.en_ZA
dc.contributor.authorMyers, Bronwynen_ZA
dc.contributor.authorPeer, Nasheetaen_ZA
dc.contributor.authorGarcia-Moreno, Claudiaen_ZA
dc.contributor.authorJewkes, Rachelen_ZA
dc.date.accessioned2022-04-25T13:55:42Z
dc.date.available2022-04-25T13:55:42Z
dc.date.issued2021-03
dc.descriptionCITATION: Abrahams, Naeemah et al. 2021. Increase in HIV incidence in women exposed to rape. AIDS, 35(4): 633-642, doi:10.1097/QAD.0000000000002779.en_ZA
dc.descriptionThe original publication is available at: https://pubmed.ncbi.nlm.nih.gov
dc.description.abstractObjective: To determine the incidence of HIV acquisition in women postrape compared with a cohort of women who had not been raped. Design: A prospective cohort study. Methods: The Rape Impact Cohort Evaluation study based in Durban, South Africa, enrolledwomen aged 16–40 years from postrape care services, and a control group of women from Primary Healthcare services. Women who were HIV negative at baseline (441 in the rape-exposed group and 578 in the control group) were followed for 12–36 months with assessments every 3 months in the first year and every 6months thereafter. Multivariable Cox regression models adjusted for baseline and time varying covariates were used to investigate the effect of rape exposure on HIV incidence over follow-up. Results: Eighty-six women acquired HIV during 1605.5 total person-years of follow-up, with an incident rate of 6.6 per 100 person-years [95% confidence interval (CI): 4.8–9.1] among the rape exposed group and 4.7 per 100 person-years (95% CI: 3.5–6.2) among control group. After controlling for confounders (age, previous trauma, social support, perceived stress, multiple partners and transactional sex with a casual partner), women exposed to rape had a 60% increased risk of acquiring HIV [adjusted hazard ratio: 1.59 (95% CI: 1.01–2.48)] compared with those not exposed. Survival analysis showed difference in HIV incident occurred after month 9. Conclusion: Rape is a long-term risk factor for HIV acquisition. Rape survivors need both immediate and long-term HIV prevention and care.en_ZA
dc.description.versionPublisher's version
dc.format.extent10 pages
dc.identifier.citationAbrahams, Naeemah et al. 2021. Increase in HIV incidence in women exposed to rape. AIDS, 35(4): 633-642, doi:10.1097/QAD.0000000000002779en_ZA
dc.identifier.issn0269-9370 (print)
dc.identifier.otherdoi:10.1097/QAD.0000000000002779
dc.identifier.urihttp://hdl.handle.net/10019.1/124474
dc.language.isoen_ZAen_ZA
dc.publisherWolters Kluwer Health
dc.rights.holderAuthors retain copyright
dc.subjectWomen -- Violence against -- South Africaen_ZA
dc.subjectRape -- South Africaen_ZA
dc.subjectHIV infections -- South Africaen_ZA
dc.titleIncrease in HIV incidence in women exposed to rapeen_ZA
dc.typeArticleen_ZA
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