Alcohol use, intimate partner violence, sexual coercion and HIV among women aged 15-24 in Rakai, Uganda

AIDS Behav. 2009 Apr;13(2):225-33. doi: 10.1007/s10461-007-9333-5. Epub 2007 Dec 7.


Disinhibition due to alcohol may induce intimate partner violence and sexual coercion and increased risk of HIV infection. In a sample of 3,422 women aged 15-24 from the Rakai cohort, Uganda, we examined the association between self-reported alcohol use before sex, physical violence/sexual coercion in the past and prevalent HIV, using adjusted odds ratios (Adj OR) and 95% confidence intervals (95% CI). During the previous year, physical violence (26.9%) and sexual coercion (13.4%) were common, and alcohol use before sex was associated with a higher risk of physical violence/sexual coercion. HIV prevalence was significantly higher with alcohol consumption before sex (Adj OR = 1.45, 95% CI: 1.06-1.98) and especially when women reported both prior sexual coercion and alcohol use before sex (Adj OR = 1.79, 95% CI: 1.25-2.56). Alcohol use before sex was associated with physical violence and sexual coercion, and both are jointly associated with HIV infection risk in young women.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Alcohol Drinking / epidemiology*
  • Alcohol Drinking / psychology*
  • Battered Women / statistics & numerical data
  • Coercion*
  • Female
  • HIV Infections / epidemiology*
  • HIV Infections / prevention & control
  • Humans
  • Sex Offenses / statistics & numerical data*
  • Sexual Partners / psychology
  • Spouse Abuse / statistics & numerical data*
  • Uganda / epidemiology
  • Women's Health
  • Young Adult