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Correlates of psychological intimate partner violence with HIV care outcomes on patients in HIV care

Title: Correlates of psychological intimate partner violence with HIV care outcomes on patients in HIV care
Authors: Fredericksen, RJ; Nance, RM; Whitney, BM; Harding, BN; Fitzsimmons, E; Del Rio, C; Eron, J; Feaster, DJ; Kalokhe, AS; Mathews, WC; Mayer, KH; Metsch, LR; Mugavero, MJ; Potter, J; O’Cleirigh, C; Napravnik, S; Rodriguez, B; Ruderman, S; JAC, Delaney; Crane, HM
Source: BMC Public Health, vol 21, iss 1
Publisher Information: eScholarship, University of California
Publication Year: 2021
Collection: University of California: eScholarship
Subject Terms: 4202 Epidemiology (for-2020); 4203 Health Services and Systems (for-2020); 4206 Public Health (for-2020); 42 Health Sciences (for-2020); HIV/AIDS (rcdc); Violence Against Women (rcdc); Social Determinants of Health (rcdc); Clinical Research (rcdc); Infectious Diseases (rcdc); Sexually Transmitted Infections (rcdc); Behavioral and Social Science (rcdc); Mental Health (rcdc); Women's Health (rcdc); Violence Research (rcdc); Infection (hrcs-hc); 16 Peace; Justice and Strong Institutions (sdg); Anti-Retroviral Agents (mesh); Cross-Sectional Studies (mesh); HIV Infections (mesh); Humans (mesh); Intimate Partner Violence (mesh); Prevalence (mesh); Sexual Partners (mesh); Viral Load (mesh); Psychological violence; HIV care; Patient reported outcomes; 1117 Public Health and Health Services (for); Public Health (science-metrix)
Time: 1824
Description: BackgroundAmong people living with HIV (PLWH), physical intimate partner violence (IPV) is associated with poor virologic, psychiatric, and behavioral outcomes. We examined non-physical, psychological intimate partner violence (psy-IPV) and HIV care outcomes using data from two U.S. consortia.MethodsWe conducted multivariable analyses with robust standard errors to compare patients indicating/not indicating psy-IPV.ResultsAmong PLWH (n= 5950), 9.5% indicated psy-IPV; these individuals were younger (− 3; 95% CI [− 2,-4], p-value < 0.001), less likely to be on antiretroviral treatment (ART) (0.73 [0.55,0.97], p= 0.03), less adherent to ART (− 4.2 [− 5.9,-2.4], p< 0.001), had higher odds of detectable viral load (1.43 [1.15,1.78], p= 0.001) and depression (2.63 [2.18,3.18], p< 0.001), and greater use of methamphetamines/crystal [2.98 (2.30,3.87),p< 0.001], cocaine/crack [1.57 (1.24,1.99),p< 0.001], illicit opioids [1.56 (1.13,2.16),p= 0.007], and marijuana [1.40 (1.15,1.70), p< 0.001].ConclusionPsychological IPV, even in the absence of physical or sexual IPV, appears to be associated with HIV care outcomes and should be included in IPV measures integrated into routine HIV care.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: unknown
Relation: qt2pb76440; https://escholarship.org/uc/item/2pb76440; https://escholarship.org/content/qt2pb76440/qt2pb76440.pdf
DOI: 10.1186/s12889-021-11854-x
Availability: https://escholarship.org/uc/item/2pb76440; https://escholarship.org/content/qt2pb76440/qt2pb76440.pdf; https://doi.org/10.1186/s12889-021-11854-x
Rights: CC-BY
Accession Number: edsbas.349A0165
Database: BASE