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

R. J. Fredericksen, R. M. Nance, B. M. Whitney, B. N. Harding, E. Fitzsimmons, C. Del Rio, J. Eron, D. J. Feaster, A. S. Kalokhe, W. C. Mathews, K. H. Mayer, L. R. Metsch, M. J. Mugavero, J. Potter, C. O’Cleirigh, S. Napravnik, B. Rodriguez, S. Ruderman, Delaney Jac, H. M. Crane

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Among 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. Methods: We conducted multivariable analyses with robust standard errors to compare patients indicating/not indicating psy-IPV. Results: Among 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]. Conclusion: Psychological 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.

Original languageEnglish (US)
Article number1824
JournalBMC public health
Volume21
Issue number1
DOIs
StatePublished - Dec 2021

Keywords

  • HIV care
  • Patient reported outcomes
  • Psychological violence

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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