{"doi":"10.1089/jwh.2019.7972","title":"A Prospective Study of Exposure to Gender-Based Violence and Risk of Sexually Transmitted Infection Acquisition in the Women's Interagency HIV Study, 1995–2018","abstract":"Background: Our objectives were to estimate the association of gender-based violence (GBV) experience with the risk of sexually transmitted infection (STI) acquisition in HIV-seropositive and HIV-seronegative women, to compare the STI risks associated with recent and lifetime GBV exposures, and to quantify whether these associations differ by HIV status. Methods: We conducted a multicenter, prospective cohort study in the Women's Interagency HIV Study, 1994–2018. Poisson models were fitted using generalized estimating equations to estimate the association of past 6-month GBV experience (physical, sexual, or intimate partner psychological violence) with subsequent self-reported STI diagnosis (gonorrhea, syphilis, chlamydia, pelvic inflammatory disease, or trichomoniasis). Results: Data from 2868 women who reported recent sexual activity comprised 12,069 person-years. Higher STI risk was observed among HIV-seropositive women (incidence rate [IR] 5.5 per 100 person-years) compared with HIV-seronegative women (IR 4.3 per 100 person-years). Recent GBV experience was associated with a 1.28-fold (95% confidence interval [CI] 0.99, 1.65) risk after adjustment for HIV status and relevant demographic, socioeconomic, and sexual risk variables. Other important risk factors for STI acquisition included unstable housing (adjusted incidence rate ratio [AIRR] 1.81, 95% CI 1.32–2.46), unemployment (AIRR 1.42, 95% CI 1.14–1.76), transactional sex (AIRR 2.06, 95% CI 1.52–2.80), and drug use (AIRR 1.44, 95% CI 1.19–1.75). Recent physical violence contributed the highest risk of STI acquisition among HIV-seronegative women (AIRR 2.27, 95% CI 1.18–4.35), whereas lifetime GBV experience contributed the highest risk among HIV-seropositive women (AIRR 1.59, 95% CI 1.20–2.10). Conclusions: GBV prevention remains an important public health goal with direct relevance to women's sexual health.","journal":"Journal of Women s Health","year":2020,"id":64749,"datarank":0.5271855027145214,"base_score":3.258096538021482,"endowment":3.258096538021482,"self_citation_contribution":0.4887144807032224,"citation_network_contribution":0.03847102201129894,"self_endowment_contribution":0.4887144807032224,"citer_contribution":0.03847102201129894,"corpus_percentile":null,"corpus_rank":null,"citation_count":25,"citer_count":22,"citers_with_citation_signal":3,"citers_with_endowment":3,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8782,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":342210,"name":"Michele R. Decker","orcid":"0000-0002-7085-7080","position":1,"is_corresponding":false},{"id":285994,"name":"Adebola Adedimeji","orcid":"0000-0002-8012-9124","position":2,"is_corresponding":false},{"id":343372,"name":"Kathleen M. Weber","orcid":null,"position":3,"is_corresponding":false},{"id":69682,"name":"Seble Kassaye","orcid":"0000-0002-7527-7384","position":4,"is_corresponding":false},{"id":301951,"name":"Tonya Taylor","orcid":"0000-0003-4609-202X","position":5,"is_corresponding":false},{"id":343373,"name":"Jennifer Cohen","orcid":null,"position":6,"is_corresponding":false},{"id":301953,"name":"Adaora A. Adimora","orcid":"0000-0001-5035-1552","position":7,"is_corresponding":false},{"id":342211,"name":"Lisa B. Haddad","orcid":"0000-0002-7631-6760","position":8,"is_corresponding":false},{"id":301952,"name":"Margaret A. Fischl","orcid":"0000-0001-9241-5390","position":9,"is_corresponding":false},{"id":343374,"name":"Sarah Cunningham","orcid":null,"position":10,"is_corresponding":false},{"id":301949,"name":"Elizabeth T. Golub","orcid":"0000-0001-5860-4913","position":11,"is_corresponding":false},{"id":342209,"name":"Ruth J. Geller","orcid":"0000-0001-8828-0761","position":0,"is_corresponding":true}],"reference_count":53,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-18T21:12:58.081635Z","pmid":"32996812","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}