The Dynamics of Intimate Partner Violence and Its Impact on HIV Care: A Cross-Sectional Study of People of Mixed Gender and Sexual Preference in Lima, Peru.
Adrianne Katrina NelsonChloe DenavitMaribel MuñozMilagros WongOlga SaldañaJaneth Santa CruzCarly A RodriguezAdolfo CaldasArachu CastroSonya ShinPublished in: Journal of interpersonal violence (2022)
Intimate partner violence (IPV) is associated with a higher risk of contracting HIV and developing worse HIV outcomes. This cross-sectional, mixed methods study presents data on IPV using the Conflicts Tactics Scale (CTS2-S) among 180 persons with HIV in Lima, Peru, as well as qualitative interviews with 7 of them and 18 of their community caregivers. This study used data collected for a randomized controlled trial (RCT), CASAommunity Based Accompaniment with Supervised Antiretrovirals (CASA) Community-based Accompaniment with Supervised Antiretrovirals (CASA). Physical or sexual IPV was self-reported in 82 (45.6%) of participants reporting having been in a relationship in the last year and 59,8% of those were involved in bidirectional violence. Coping subscales, social support, and stigma were associated with IPV. Intimate partner violence negatively impacted patient adherence to medication and care, particularly during times of severe conflict. In conclusion, profound psychosocial vulnerability-including low social support, substance use as coping, and HIV stigma-contextualize IPV among people with HIV. Bidirectional violence often evolved over time as victims negotiated inter-personal strategies for survival, including retaliation. Interventions should focus on a deeper understanding IPV and facilitating of coping mechanisms to help people with HIV stay in care.
Keyphrases
- intimate partner violence
- social support
- antiretroviral therapy
- hiv positive
- depressive symptoms
- hiv testing
- hiv aids
- hiv infected
- human immunodeficiency virus
- mental health
- hepatitis c virus
- men who have sex with men
- healthcare
- physical activity
- cross sectional
- palliative care
- machine learning
- south africa
- emergency department
- systematic review
- risk factors
- metabolic syndrome
- quality improvement
- big data
- type diabetes
- autism spectrum disorder
- skeletal muscle
- study protocol
- health insurance
- adipose tissue