ArticleJournal of interpersonal violence2016
Prospective Study of the Mental Health Consequences of Sexual Violence Among Women Living With HIV in Rural Uganda.
Article in Journal of interpersonal violence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The association between sexual violence and mental disorders among women victim-survivors in sub-Saharan Africa: a systematic review and meta-analysis.BMJ global health · 2025Pooled it
- Pooled it
- Intimate Partner Violence and Depression Symptom Severity among South African Women during Pregnancy and Postpartum: Population-Based Prospective Cohort Study.PLoS medicine · 2016Trial
- Intimate partner violence typology and major depressive disorder among postpartum adolescents in Central Uganda: a cross-sectional study.BMC psychiatry · 2026Article
- Characterising the effects of displacement on gender-based violence among women living with HIV in Ukraine: a cross-sectional study.BMJ global health · 2025Article
- Misperception of Norms About Intimate Partner Violence as a Driver of Personal IPV Attitudes and Perpetration: A Population-Based Study of Men in Rural Uganda.Journal of interpersonal violence · 2025Article
- Correlates of maternal depression, anxiety and functioning across an urban-rural gradient in northern Ecuador.Global public health · 2024Article
- Intimate partner violence, depression, hazardous alcohol use, and social support among people with HIV initiating HIV care in Cameroon.PloS one · 2024Article
- Mental health burden among females living with HIV and AIDS in sub-Saharan Africa: A systematic review.PLOS global public health · 2024Article
- Coping Strategies and Symptoms of Mental Health Disorders Among People with HIV Initiating HIV Care in Cameroon.AIDS and behavior · 2023Article
- Epidemiology of Campus Sexual Assault Among University Women in Eswatini.Journal of interpersonal violence · 2021Article
- Tolerance of Violence against Women and the Risk of Psychosocial Distress in Humanitarian Settings in Northern Uganda.International journal of environmental research and public health · 2021Article
- Age and Sex Disparities in Sexual Trauma, Depressive Symptoms, and Antiretroviral Adherence Among People Living with HIV in the Deep South: A Mediation Analysis.Archives of sexual behavior · 2021Article
- Associations of Emotional, Physical, or Sexual Intimate Partner Violence and Depression Symptoms Among South African Women in a Prospective Cohort Study.Journal of interpersonal violence · 2021Article
- Article
- Understanding the role of interpersonal violence in assisted partner notification for HIV: a mixed-methods study in refugee settlements in West Nile Uganda.Journal of global health · 2020Article
- Why place and space matter for intimate partner violence survivors' mental wellbeing and communities in Northeastern Uganda.Women & health · 2020Article
- PMTCT Adherence in Pregnant South African Women: The Role of Depression, Social Support, Stigma, and Structural Barriers to Care.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2020Article
- Observational
- A Dyadic Investigation of Relationship Dynamics and Depressive Symptoms in HIV-Affected Couples in Malawi.AIDS and behavior · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
The association between sexual violence and depression is well known, but the temporal aspects of the association have not been well established. We analyzed data from a cohort of 173 HIV-positive women in rural Uganda who were interviewed every 3 months for a median of 1.8 years of follow-up. The method of generalized estimating equations (GEE) was used to model the marginal expectation of depression symptom severity (Hopkins Symptom Checklist for Depression), mental health-related quality of life (MOS-HIV Mental Health Summary), and heavy drinking (Alcohol Use Disorders Identification Test) as a function of self-reported forced-sex victimization in the 3 months prior to interview. Estimates were adjusted for variables known to confound the association between victimization and mental health status. To assess any potential reciprocal relationships, we reversed the temporal ordering of the exposures and outcomes and refitted similar GEE models. In multivariable analyses, victimization was associated with greater depression symptom severity (b = 0.17; 95% CI = [0.02, 0.33]) and lower mental health-related quality of life (b = -5.65; 95% CI = [-9.34, -1.96]), as well as increased risks for probable depression (adjusted relative risk [ARR] = 1.58; 95% CI = [1.01, 2.49) and heavy drinking (ARR = 3.99; 95% CI = [1.84, 8.63]). We did not find strong evidence of a reciprocal relationship. Our findings suggest that forced sex is associated with adverse mental health outcomes among HIV-positive women in rural Uganda. Given the substantial mental health-related impacts of victimization, effective health sector responses are needed.
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