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Wome
n who are beaten or dominated by their partner are nearly half
as likely to become infected by HIV when compared with women who
live in non-violent households, a South African study says.
The research was carried out among 1 366 women who attended health
centres in Soweto, Johannesburg, and who agreed to be tested for
the Aids virus and be interviewed about their home life.
After being adjusted for factors that could skew the outcome, such
as whether the interviewees had engaged in casual sex or
prostitution, the figures showed women who were beaten by their
husbands or boyfriends were 48% likelier to become infected by HIV
than their counterparts.
And those who were emotionally or financially dominated by their
partner were 52% likelier to catch the virus.
"Women with violent or controlling male partners are at increased
risk of infection," say the authors, led by Kristin Dunkle, a
University of Michigan epidemiologist.
"We postulate that abusive men are more likely to have HIV and
impose risky sexual practices on partners." Feminists have long
warned that gender violence and gender inequality are major, but
tragically unpublicised, factors in spreading the global Aids
epidemic.
But facts to back this contention have, until now, been rare.
In their annual update last December, UNAIDS and the World Health
Organisation (WHO) estimated the global tally of people infected
with AIDS or the human immunodeficiency virus (HIV) in 2003 to be
around 40-million.
Two-thirds of this total live in sub-Saharan Africa, of which an
overwhelming majority are women and girls.
The research is published in Saturday's issue of The Lancet, the
British medical weekly.
South African organisations who took part included the Gender and
Health Group of the Medical Research Council and the Chris Hani
Baragwanath Hospital at the University of Witwatersrand. - Sapa-AFP