Abuse in the Continua: HIV Prevention and Care Outcomes and Syndemic Conditions Associated with Intimate Partner Violence Among Black Gay and Bisexual Men in the Southern United States.
Andrea L WirtzPaul A BurnsTonia PoteatMannat MalikJordan J WhiteDurryle BrooksParastu KasaieChris BeyrerPublished in: AIDS and behavior (2022)
Intimate partner violence (IPV) has been implicated in HIV acquisition and worse HIV outcomes. Limited research focuses on the experiences of Black gay and bisexual men. Using data from cross-sectional surveys in Baltimore, Maryland, and Jackson, Mississippi, we analyzed the association between IPV victimization and HIV-related outcomes among 629 adult Black gay and bisexual men, among whom 53% self-reported a negative result at last HIV test. 40% of participants reported lifetime physical, sexual, and/or psychological IPV victimization, and 24% past-year victimization. Recent and lifetime IPV were associated with recent clinical diagnosis of STI (adjPrR: 1.44; 95%CI: 1.08-1.92) and ART medication interruptions (adjPrR: 1.59; 95%CI: 1.25-2.01), respectively. Physical IPV was inversely associated with current PrEP use (adjPrR: 0.35; 95%CI: 0.13-0.90). Recent IPV was independently correlated with depression symptomatology (adjPrR: 2.36; 95%CI: 1.61-3.47) and hazardous alcohol use (adjPrR: 1.93; 95%CI: 1.42-2.61), with evidence of interactions. IPV-HIV relationships were intersected by internalized stigma, housing instability, poverty, and lack of insurance. Tailored IPV services are urgently needed for comprehensive HIV services for Black gay and bisexual men in the U.S.
Keyphrases
- intimate partner violence
- men who have sex with men
- hiv testing
- hiv positive
- antiretroviral therapy
- mental health
- hiv infected
- south africa
- human immunodeficiency virus
- healthcare
- cross sectional
- hiv aids
- middle aged
- hepatitis c virus
- type diabetes
- depressive symptoms
- metabolic syndrome
- pain management
- machine learning
- social support
- emergency department
- electronic health record
- insulin resistance
- chronic pain
- health insurance
- weight loss
- sleep quality