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Intimate partner violence and correlates in pregnant HIV positive Nigerians

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Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Objective

To determine the prevalence, types and correlates of intimate partner violence (IPV) in pregnant Nigerian living with HIV.

Design

Cross sectional study.

Population

HIV positive pregnant women.

Setting

A large HIV comprehensive treatment centre.

Methods

A cross sectional study of 652 HIV positive pregnant Nigerians seen at Nigerian Institute of Medical Research, Lagos, Nigeria over a 24 months period.

Main outcome measures

Prevalence of intimate partner violence after HIV diagnosis.

Results

Among the women interviewed, 423 (65.8%) reported abuse. In 74.0% of abused women, the abuse started after HIV diagnosis. Though having a HIV negative spouse and disclosure of HIV status were associated with abuse, only having a HIV negative partner retained its association with IPV (OR 3.1; CI 2.4–5.3) after controlling for confounding variables. Sixty-two (9.6%) women have not disclosed their HIV status because of fear of rejection. Verbal abuse (51.7%), threat of violence in 97 (22.9%) and sexual deprivation in 91 (21.5%) were the common forms of abuse reported.

Conclusion

IPV is common among HIV positive pregnant Nigerians; with a threefold increased risk in women in HIV serodiscordant relationship.

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Authors and Affiliations

  1. Sexual and Reproductive Health Unit, Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria

    Oliver Chukwujekwu Ezechi, Chidinma Gab-Okafor & Eva Amadi

  2. HIV Unit, Clinical Sciences Division, Nigerian Institute of Medical Research, Yaba, Lagos, Nigeria

    Dan I. Onwujekwe, Rosemary A. Adu & Ebiere Herbertson

  3. Surulere, P.O. Box 488, Lagos, Nigeria

    Oliver Chukwujekwu Ezechi

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  1. Oliver Chukwujekwu Ezechi
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  2. Chidinma Gab-Okafor
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Correspondence to Oliver Chukwujekwu Ezechi.

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Ezechi, O.C., Gab-Okafor, C., Onwujekwe, D.I. et al. Intimate partner violence and correlates in pregnant HIV positive Nigerians. Arch Gynecol Obstet 280, 745–752 (2009). https://doi.org/10.1007/s00404-009-0956-9

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