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Correlates of psychological intimate partner violence with HIV care outcomes on patients in HIV care
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. MET...
Autores principales: | , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8502266/ https://www.ncbi.nlm.nih.gov/pubmed/34627181 http://dx.doi.org/10.1186/s12889-021-11854-x |
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author | Fredericksen, R. J. Nance, R. M. Whitney, B. M. Harding, B. N. Fitzsimmons, E. Del Rio, C. Eron, J. Feaster, D. J. Kalokhe, A. S. Mathews, W. C. Mayer, K. H. Metsch, L. R. Mugavero, M. J. Potter, J. O’Cleirigh, C. Napravnik, S. Rodriguez, B. Ruderman, S. JAC, Delaney Crane, H. M. |
author_facet | Fredericksen, R. J. Nance, R. M. Whitney, B. M. Harding, B. N. Fitzsimmons, E. Del Rio, C. Eron, J. Feaster, D. J. Kalokhe, A. S. Mathews, W. C. Mayer, K. H. Metsch, L. R. Mugavero, M. J. Potter, J. O’Cleirigh, C. Napravnik, S. Rodriguez, B. Ruderman, S. JAC, Delaney Crane, H. M. |
author_sort | Fredericksen, R. J. |
collection | PubMed |
description | 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-11854-x. |
format | Online Article Text |
id | pubmed-8502266 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-85022662021-10-20 Correlates of psychological intimate partner violence with HIV care outcomes on patients in HIV care Fredericksen, R. J. Nance, R. M. Whitney, B. M. Harding, B. N. Fitzsimmons, E. Del Rio, C. Eron, J. Feaster, D. J. Kalokhe, A. S. Mathews, W. C. Mayer, K. H. Metsch, L. R. Mugavero, M. J. Potter, J. O’Cleirigh, C. Napravnik, S. Rodriguez, B. Ruderman, S. JAC, Delaney Crane, H. M. BMC Public Health Research Article 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-021-11854-x. BioMed Central 2021-10-09 /pmc/articles/PMC8502266/ /pubmed/34627181 http://dx.doi.org/10.1186/s12889-021-11854-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Fredericksen, R. J. Nance, R. M. Whitney, B. M. Harding, B. N. Fitzsimmons, E. Del Rio, C. Eron, J. Feaster, D. J. Kalokhe, A. S. Mathews, W. C. Mayer, K. H. Metsch, L. R. Mugavero, M. J. Potter, J. O’Cleirigh, C. Napravnik, S. Rodriguez, B. Ruderman, S. JAC, Delaney Crane, H. M. 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 |
title_full | Correlates of psychological intimate partner violence with HIV care outcomes on patients in HIV care |
title_fullStr | Correlates of psychological intimate partner violence with HIV care outcomes on patients in HIV care |
title_full_unstemmed | Correlates of psychological intimate partner violence with HIV care outcomes on patients in HIV care |
title_short | Correlates of psychological intimate partner violence with HIV care outcomes on patients in HIV care |
title_sort | correlates of psychological intimate partner violence with hiv care outcomes on patients in hiv care |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8502266/ https://www.ncbi.nlm.nih.gov/pubmed/34627181 http://dx.doi.org/10.1186/s12889-021-11854-x |
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