Increase in HIV incidence in women exposed to rape
OBJECTIVE: 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, enrolled women aged 16-40 years from postrape...
| Main Authors: | , , , , , , , , , , |
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| Format: | Journal Article |
| Language: | English |
| Published: |
2021
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| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/85596 |
| _version_ | 1848764747858575360 |
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| author | Abrahams, N. Mhlongo, S. Dunkle, K. Chirwa, E. Lombard, C. Seedat, S. Kengne, A.P. Myers-Franchi, Bronwyn Peer, N. Garcia-Moreno, C. Jewkes, R. |
| author_facet | Abrahams, N. Mhlongo, S. Dunkle, K. Chirwa, E. Lombard, C. Seedat, S. Kengne, A.P. Myers-Franchi, Bronwyn Peer, N. Garcia-Moreno, C. Jewkes, R. |
| author_sort | Abrahams, N. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | OBJECTIVE: 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, enrolled women 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 6 months 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. |
| first_indexed | 2025-11-14T11:24:17Z |
| format | Journal Article |
| id | curtin-20.500.11937-85596 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| language | eng |
| last_indexed | 2025-11-14T11:24:17Z |
| publishDate | 2021 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-855962021-10-18T00:34:50Z Increase in HIV incidence in women exposed to rape Abrahams, N. Mhlongo, S. Dunkle, K. Chirwa, E. Lombard, C. Seedat, S. Kengne, A.P. Myers-Franchi, Bronwyn Peer, N. Garcia-Moreno, C. Jewkes, R. Adolescent Adult Female HIV Infections Humans Incidence Prospective Studies Rape Risk Factors South Africa Young Adult OBJECTIVE: 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, enrolled women 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 6 months 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. 2021 Journal Article http://hdl.handle.net/20.500.11937/85596 10.1097/QAD.0000000000002779 eng http://creativecommons.org/licenses/by/3.0/ fulltext |
| spellingShingle | Adolescent Adult Female HIV Infections Humans Incidence Prospective Studies Rape Risk Factors South Africa Young Adult Abrahams, N. Mhlongo, S. Dunkle, K. Chirwa, E. Lombard, C. Seedat, S. Kengne, A.P. Myers-Franchi, Bronwyn Peer, N. Garcia-Moreno, C. Jewkes, R. Increase in HIV incidence in women exposed to rape |
| title | Increase in HIV incidence in women exposed to rape |
| title_full | Increase in HIV incidence in women exposed to rape |
| title_fullStr | Increase in HIV incidence in women exposed to rape |
| title_full_unstemmed | Increase in HIV incidence in women exposed to rape |
| title_short | Increase in HIV incidence in women exposed to rape |
| title_sort | increase in hiv incidence in women exposed to rape |
| topic | Adolescent Adult Female HIV Infections Humans Incidence Prospective Studies Rape Risk Factors South Africa Young Adult |
| url | http://hdl.handle.net/20.500.11937/85596 |