Evidence map›Paper›PMID 36113942›Full record

ArticleBMJ open2022

Disparities in intimate partner violence among women at the intersection of disability and HIV status in South Africa: a cross-sectional study.

Ilhom Akobirshoev, Anne Valentine, Hussaini Zandam, Allyala Nandakumar, Rachel Jewkes, Mark Blecher, Monika Mitra

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Ilhom AkobirshoevLurie Institute for Disability Policy, Brandeis University Heller School for Social Policy and Management, Waltham, Massachusetts, USA ilhom@brandeis.edu.ORCID 0000-0003-0680-5101
Anne ValentineLurie Institute for Disability Policy, Brandeis University Heller School for Social Policy and Management, Waltham, Massachusetts, USA.
Hussaini ZandamLurie Institute for Disability Policy, Brandeis University Heller School for Social Policy and Management, Waltham, Massachusetts, USA.
Allyala NandakumarInstitute for Global Health and Development, Brandeis University Heller School for Social Policy and Management, Waltham, Massachusetts, USA.
Rachel JewkesGender and Health Division, South African Medical Research Council, Pretoria, South Africa.
Mark BlecherHealth and Social Development, National Treasury of South Africa, Cape Town, South Africa.
Monika MitraLurie Institute for Disability Policy, Brandeis University Heller School for Social Policy and Management, Waltham, Massachusetts, USA.
Brandeis University · USNational Treasury · ZASouth African Medical Research Council · ZA

Funding

CGH CDC HHS U2G GH001531
6 · The paper itself

Abstract

objectivePrevious research suggests a significant relationship between intimate partner violence (IPV) and HIV infection in women and that the risk of IPV is heightened in women with disabilities. Women with disabilities, particularly those residing in low-income and middle-income countries, may experience additional burdens that increase their vulnerability to IPV. We aimed to examine the association between having disability and HIV infection and the risk of IPV among women in South Africa.

designUsing the 2016 South Africa Demographic and Health Survey, we calculated the prevalence of IPV and conducted modified Poisson regressions to estimate the unadjusted and adjusted risk ratios of experiencing IPV by disability and HIV status.

participantsOur final analytical sample included 1269 ever-partnered women aged 18-49 years, who responded to the IPV module and received HIV testing.

resultsThe prevalence of IPV was twice as high in women with disabilities with HIV infection compared with women without disabilities without HIV infection (21.2% vs 50.1%). Our unadjusted regression analysis showed that compared with women without disabilities without HIV infection, women with disabilities with HIV infection had almost four times higher odds (OR 3.72, 95% CI 1.27 to 10.9, p<0.05) of experiencing IPV. It appeared that women with disabilities with HIV infection experience compounded disparity. The association was compounded, with the OR for the combination of disability status and HIV status equal to or more than the sum of each of the individual ORs.

conclusionsWomen with disabilities and HIV infection are at exceptionally high risk of IPV in South Africa. Given that HIV infection and disability magnify each other's risks for IPV, targeted interventions to prevent IPV and to address the complex and varied needs of doubly marginalised populations of women with disabilities with HIV infection are critical.

Indexed as

HIV InfectionsIntimate Partner ViolencePersons with DisabilitiesCross-Sectional StudiesFemaleHIV TestingHumansSouth AfricaEPIDEMIOLOGYHealth policyHIV & AIDS

Identifiers

PMID36113942
PMCPMC9486199
OpenAlexW4296076845

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.