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

doi:10.1186/s12889-021-11854-x

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

BMC Public Health. 2021 Oct 9;21(1):1824. doi: 10.1186/s12889-021-11854-x.

Authors

R J Fredericksen¹, R M Nance², B M Whitney², B N Harding², E Fitzsimmons², C Del Rio³, J Eron⁴, D J Feaster⁵, A S Kalokhe⁶, W C Mathews⁷, K H Mayer⁸, L R Metsch⁹, M J Mugavero¹⁰, J Potter¹¹, C O'Cleirigh¹², S Napravnik¹³, B Rodriguez¹⁴, S Ruderman², Delaney Jac¹⁵, H M Crane²

Affiliations

¹ Department of Medicine, University of Washington, Seattle, Washington, USA. [email protected].
² Department of Medicine, University of Washington, Seattle, Washington, USA.
³ Department of Global Health, Emory University, Atlanta, Georgia.
⁴ School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.
⁵ Department of Public Health Sciences, University of Miami, Miami, Florida, USA.
⁶ Department of Medicine, Emory University, Atlanta, Georgia.
⁷ Department of Medicine, University of California - San Diego, San Diego, California, USA.
⁸ The Fenway Institute, Boston, MA, USA.
⁹ Department of Sociomedical Sciences, Columbia University, New York, NY, USA.
¹⁰ Department of Medicine, University of Alabama - Birmingham, Birmingham, AL, USA.
¹¹ Department of Medicine, Harvard University, Cambridge, MA, USA.
¹² Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
¹³ Department of Epidemiology, University of North Carolina, Chapel Hill, North Carolina, USA.
¹⁴ Department of Medicine, Case Western Reserve University, Cleveland, OH, USA.
¹⁵ College of Pharmacy, University of Manitoba, Winnipeg, Manitoba, USA.

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.

Keywords: HIV care; Patient reported outcomes; Psychological violence.

Publication types

Research Support, N.I.H., Extramural

MeSH terms

Anti-Retroviral Agents / therapeutic use
Cross-Sectional Studies
HIV Infections* / drug therapy
HIV Infections* / epidemiology
Humans
Intimate Partner Violence*
Prevalence
Sexual Partners
Viral Load

Substances

Anti-Retroviral Agents

Abstract

Publication types

MeSH terms

Substances

Grants and funding