Sexual Relationship Power and Malnutrition Among HIV-Positive Women in Rural Uganda

Siedner, Mark J.; Tsai, Alexander C.; Dworkin, Shari; Mukiibi, Nozmo F. B.; Emenyonu, Nneka I.; Hunt, Peter W.; Haberer, Jessica E.; Martin, Jeffrey N.; Bangsberg, David R.; Weiser, Sheri D.

doi:10.1007/s10461-012-0162-9

Cited by 18HIV/AIDS Research and InterventionsIntimate Partner and Family ViolenceMarriage and Sexual Relationships

Sexual Relationship Power and Malnutrition Among HIV-Positive Women in Rural Uganda

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Siedner, Mark J., Tsai, Alexander C., Dworkin, Shari, Mukiibi, Nozmo F. B., Emenyonu, Nneka I., Hunt, Peter W., Haberer, Jessica E., Martin, Jeffrey N. +2 more·2012·AIDS and Behavior

DOI 10.1007/s10461-012-0162-9PMC PMC3439197

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Abstract

Inequality within partner relationships is associated with HIV acquisition and gender violence, but little is known about more pervasive effects on women's health. We performed a cross-sectional analysis of associations between sexual relationship power and nutritional status among women in Uganda. Participants completed questionnaires and anthropometric measurements. We assessed sexual relationship power using the Sexual Relationship Power Scale (SRPS). We performed logistic regression to test for associations between sexual relationship power and poor nutritional status including body mass index, body fat percentage, and mid-upper arm circumference. Women with higher sexual relationship power scores had decreased odds of low body mass index (OR 0.29, p = 0.01), low body fat percentage (OR 0.54, p = 0.04), and low mid-upper arm circumference (OR 0.22, p = 0.01). These relationships persisted in multivariable models adjusted for potential confounders. Targeted interventions to improve intimate partner relationship equality should be explored to improve health status among women living with HIV in rural Africa.

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HIV-positive women are highly vulnerable to stigma, discrimination, and poor physical and mental health because of their HIV status.
“and are highly susceptible to stigma, discrimination, and poor physical and mental health as a consequence of their HIV status [39–41]”
From Relationship power and sexual violence among HIV-positive women in rural Uganda (2016) · cites this paper as [41]
The finding that RC correlates more strongly with sexual violence than DMD is consistent with a Ugandan study of malnutrition among HIV-positive women and with research framing sexual violence as men's attempt to control female partners.
“We also found that RC (i.e., relationship control) was more strongly correlated with sexual violence than DMD (i.e., decision-making dominance), which is consistent with a study of malnutrition among HIV-positive women from Uganda [41] and other research describing sexual violence as an attempt by men to maintain control over female partners (e.g., [22, 58, 59]).”
From Relationship power and sexual violence among HIV-positive women in rural Uganda (2016) · cites this paper as [41]

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Authors: Siedner, M. J., Tsai, A. C., Dworkin, S., Mukiibi, N. F. B., Emenyonu, N. I., Hunt, P. W., Haberer, J. E., Martin, J. N., Bangsberg, D. R., & Weiser, S. D.
Affiliations: Harvard University (US)
University of California, San Francisco (US)
Mbarara University of Science and Technology (UG)
Corresponding author: Siedner, Mark J.
ORCID: Siedner, Mark J.
Tsai, Alexander C.
Dworkin, Shari
Emenyonu, Nneka I.
Hunt, Peter W.
Haberer, Jessica E.
Martin, Jeffrey N.
Bangsberg, David R.
Weiser, Sheri D.
Venue: AIDS and Behavior
Publisher: Springer Science and Business Media LLC
Published: 2012-03-02
Volume: 16
Issue: 6
Pages: 1542-1548
ISSN: 1090-7165 (ISSN-L)
1573-3254
DOI: 10.1007/s10461-012-0162-9
PMC: PMC3439197
OpenAlex: W2004271445
Cited by: 18
References: 48
Citations by year: 2026: 2 · 2025: 1 · 2022: 1 · 2020: 2 · 2019: 5 · 2017: 2 · 2016: 2 · 2015: 1 · 2013: 1 · 2012: 1
FWCI: 0.67
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.springer.com/tdm (tdm)
Locations: AIDS and Behavior (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: Burke Foundation
National Institutes of Health (5k23mh079713-05)
National Institute of Mental Health (K23 MH079713-03S1, K23 MH-079713, R01MH054907, K24MH087227)
National Institute of Allergy and Infectious Diseases (P30 AI027793, P30AI027763, P30AI060354)
Topics: Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Social Sciences › Health › Intimate Partner and Family Violence
Social Sciences › Sociology and Political Science › Marriage and Sexual Relationships
Keywords: sexual relationship power, women living with HIV, malnutrition, nutritional status, body mass index, body fat percentage, mid-upper arm circumference, women's health, rural Uganda
MeSH terms: Adult, Aged, Cross-Sectional Studies, Female, HIV Seropositivity, Humans, Interpersonal Relations, Male, Middle Aged, Nutritional Status, Power, Psychological, Rural Population, Sexual Partners, Socioeconomic Factors, Spouse Abuse, Uganda, Women, Body Mass Index, Logistic Models, Malnutrition, Young Adult

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Sexual Relationship Power and Malnutrition Among HIV-Positive Women in Rural Uganda

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