Experience of sexual violence among women in HIV discordant unions after voluntary HIV counselling and testing: A qualitative critical incident study in Uganda

Donath Emusu, Nataliya Ivankova, Pauline Jolly, Russell Kirby, Herman Foushee, Fred Wabwire-Mangen, Drake Katongole, John E Ehiri

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

HIV-serodiscordant relationships are those in which one partner is infected with HIV while the other is not. We investigated experiences of sexual violence among women in HIV discordant unions attending HIV post-test club services in Uganda. A volunteer sample of 26 women from three AIDS Information Centres in Uganda who reported having experienced sexual violence in a larger epidemiological study were interviewed, using the qualitative critical incident technique. Data were analysed using TEXTPACK, a software application for computer-assisted content analysis. Incidents of sexual violence narrated by the women included use of physical force and verbal threats. Overall, four themes that characterise the women's experience of sexual violence emerged from the analysis: knowledge of HIV test results, prevalence of sexual violence, vulnerability and proprietary views and reactions to sexual violence. Alcohol abuse by the male partners was an important factor in the experience of sexual violence among the women. Their experiences evoked different reactions and feelings, including concern over the need to have children, fear of infection, desire to separate from their spouses/partners, helplessness, anger and suicidal tendencies. HIV counselling and testing centres should be supported with the capacity to address issues related to sexual violence for couples who are HIV discordant.

Original languageEnglish (US)
Pages (from-to)1363-1370
Number of pages8
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
Volume21
Issue number11
DOIs
StatePublished - Nov 2009

Fingerprint

Uganda
Sex Offenses
sexual violence
Counseling
counseling
incident
HIV
experience
Information Centers
information center
Anger
Task Performance and Analysis
club
Spouses
anger
spouse
Alcoholism
Fear
Epidemiologic Studies
Volunteers

Keywords

  • Discordant status
  • Gender-based violence
  • HIV/AIDS
  • Sexual violence
  • Women's health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Social Psychology
  • Medicine(all)

Cite this

Experience of sexual violence among women in HIV discordant unions after voluntary HIV counselling and testing : A qualitative critical incident study in Uganda. / Emusu, Donath; Ivankova, Nataliya; Jolly, Pauline; Kirby, Russell; Foushee, Herman; Wabwire-Mangen, Fred; Katongole, Drake; Ehiri, John E.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Vol. 21, No. 11, 11.2009, p. 1363-1370.

Research output: Contribution to journalArticle

Emusu, Donath ; Ivankova, Nataliya ; Jolly, Pauline ; Kirby, Russell ; Foushee, Herman ; Wabwire-Mangen, Fred ; Katongole, Drake ; Ehiri, John E. / Experience of sexual violence among women in HIV discordant unions after voluntary HIV counselling and testing : A qualitative critical incident study in Uganda. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2009 ; Vol. 21, No. 11. pp. 1363-1370.
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