Relationship Power and Sexual Violence Among HIV-Positive Women in Rural Uganda

June 2016 - Structural Prevention

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Conroy, A.A., Tsai, A.C., Clark, G.M., et al. AIDS and Behavior (April 2016), e-publication ahead of print.

This study examined the association between relationship power and two variables—forced sex and transactional sex—among HIV-positive women in Uganda. The authors recruited 307 participants from a clinic that dispenses free antiretroviral therapy to HIV-positive individuals living in southwestern Uganda. Relationship power was measured using the Sexual Relationship Power Scale (SRPS), a validated measure consisting of two subscales: relationship control (RC) and decision-making dominance (DMD). The authors reported that in bivariate analysis both higher sexual relationship power (full SRP) and higher RC were associated with reduced odds of recent forced sex and of recent transactional sex. The DMD subscale did not have a statistically significant association with recent forced sex or transactional sex. The authors concluded that interventions with HIV-positive women should consider approaches that increase women’s power in their relationships.

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