@article{ref1,
title="Intimate partner violence and HIV sexual risk behaviour among women who inject drugs in Indonesia: a respondent-driven sampling study",
journal="AIDS and behavior",
year="2018",
author="Stoicescu, Claudia and Cluver, Lucie D. and Spreckelsen, Thees and Casale, Marisa and Sudewo, Anindita Gabriella and Irwanto, ",
volume="22",
number="10",
pages="3307-3323",
abstract="Women who inject drugs are disproportionately affected by HIV and intimate partner violence (IPV); however, the link between IPV and HIV remains under-researched among substance-using women in low- and middle-income countries. This study examined associations and additive effects of different forms of IPV victimization (psychological, physical and/or injurious, and sexual) on HIV sexual risk behavior among women who inject drugs in Indonesia. Respondent-driven sampling (RDS) was used to recruit 731 women from Greater Jakarta and Bandung, West Java. RDS-II weighted prevalence of any past-year IPV was 68.9% (95% CI 65.0, 72.6) in Jakarta and 55.9% (95% CI 48.0, 63.5) in Bandung. In separate logistic regressions controlling for socio-demographic covariates, all three forms of IPV showed statistically significant associations with sexual risk behavior. After adjusting for all IPV types, psychological (OR 1.87; 95% CI 1.17, 2.99; p = 0.009) and sexual (OR 1.98; 95% CI 1.22, 3.21; p = 0.006) IPV independently predicted women's sexual risk behavior. Marginal effects models suggested that co-occurrence of multiple forms of IPV had greater adverse consequences: sexual risk behavior was reported by 64.1% of women who did not experience any IPV, but increased to 89.9% among women exposed to all three types. Comprehensive harm reduction services that integrate IPV monitoring and prevention are urgently needed to reduce both HIV and IPV.<p /> <p>Language: en</p>",
language="en",
issn="1090-7165",
doi="10.1007/s10461-018-2186-2",
url="http://dx.doi.org/10.1007/s10461-018-2186-2"
}