@article{fdi:010081066,
  title = {{I}ntimate partner violence by men living with {HIV} in {C}ameroon : prevalence, associated factors and implications for {HIV} transmission risk ({ANRS}-12288 {EVOLCAM})},
  author = {{F}iorentino, {M}arion and {S}ow, {A}. and {S}agaon {T}eyssier, {L}uis and {M}ora, {M}. and {M}engue, {M}. {T}. and {V}idal, {L}aurent and {K}uaban, {C}. and {M}arch, {L}aura and {L}aurent, {C}hristian and {S}pire, {B}. and {B}oyer, {S}. and {EVOLC}am {S}tudy {G}roup},
  editor = {},
  language = {{ENG}},
  abstract = {{O}bjectives {I}ntimate partner violence ({IPV}) against women is frequent in {C}entral {A}frica and may be a {HIV} infection risk factor. {M}ore data on {HIV}-positive men ({MLHIV}) committing {IPV} are needed to develop perpetrator-focused {IPV} and {HIV} prevention interventions. {W}e investigated the relationship between {IPV} and {HIV} transmission risk and {IPV}-associated factors. {M}ethods {W}e used data from the cross-sectional survey {EVOLC}am which was conducted in {C}ameroonian outpatient {HIV} structures in 2014. {T}he study population comprised {MLHIV} declaring at least one sexual partner in the previous year. {U}sing principal component analysis, we built three variables measuring, respectively, self-reported {MLHIV}-perpetrated psychological and physical {IPV} ({PPV}), severe physical {IPV} ({SPV}), and sexual {IPV} ({SV}). {O}rdinal logistic regressions helped investigate: i) the relationship between {HIV} transmission risk (defined as unstable aviremia and inconsistent condom use) and {IPV} variables, ii) factors associated with each {IPV} variable. {R}esults {PPV}, {SPV} and {SV} were self-reported by 28, 15 and 11% of the 406 study participants, respectively. {IPV} perpetrators had a significantly higher risk of transmitting {HIV} than non-{IPV} perpetrators. {F}actors independently associated with {IPV} variables were: i) socio-demographic, economic and dyadic factors, including younger age ({PPV} and {SPV}), lower income ({PPV}), not being the household head ({SPV} and {SV}), living with a main partner ({SPV}), and having a younger main partner ({SPV}); ii) sexual behaviors, including >= 2 partners in the previous year ({PPV} and {SPV}), lifetime sex with another man ({SPV}), inconsistent condom use ({SV}), and >20 partners during lifetime ({SV}); iii) {HIV}-related stigma ({PPV} and {SV}). {C}onclusion {IPV} perpetrators had a higher risk of transmitting {HIV} and having lifetime and recent risky sexual behaviors. {P}erpetrating {IPV} was more frequent in those with socioeconomic vulnerability and self-perceived {HIV}-related stigma. {T}hese findings highlight the need for interventions to prevent {IPV} by {MLHIV} and related {HIV} transmission to their(s) partner(s).},
  keywords = {{CAMEROUN}},
  booktitle = {},
  journal = {{PL}o{S} {O}ne},
  volume = {16},
  numero = {2},
  pages = {e0246192 [19 ]},
  ISSN = {1932-6203},
  year = {2021},
  DOI = {10.1371/journal.pone.0246192},
  URL = {https://www.documentation.ird.fr/hor/fdi:010081066},
}