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Violence Against Women
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In Their Own Voices

A Qualitative Study of Women's Risk for Intimate Partner Violence and HIV in South Africa

Ashley M. Fox

Columbia University

Sharon S. Jackson

Yale University

Nathan B. Hansen

Yale University

Nolwazi Gasa

Development Bank of Southern Africa

Mary Crewe

University of Pretoria

Kathleen J. Sikkema

Yale University

This study qualitatively examines the intersections of risk for intimate partner violence (IPV) and HIV infection in South Africa. Eighteen women seeking services for relationship violence were asked semistructured questions regarding their abusive experiences and HIV risk. Participants had experienced myriad forms of abuse, which reinforced each other to create a climate that sustained abuse and multiplied HIV risk. Male partners having multiple concurrent sexual relationships, and poor relationship communication compounded female vulnerability to HIV and abuse. A social environment of silence, male power, and economic constraints enabled abuse to continue. "Breaking the silence" and women's empowerment were suggested solutions.

Key Words: HIV risk • intimate partner violence • South Africa

Violence Against Women, Vol. 13, No. 6, 583-602 (2007)
DOI: 10.1177/1077801207299209
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