Intimate partner violence is linked to less HIV testing uptake among high-risk, HIV-negative women in Atlanta

Ogechukwu Etudo · Nicholas Metheny · Rob B Stephenson · Ameeta Shivdas Kalokhe

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Intimate Partner and Family Violence HIV/AIDS Research and Interventions HIV, Drug Use, Sexual Risk

Abstract

Increased risk of HIV acquisition among intimate partner violence (IPV) survivors underscores the need for regular HIV testing, but IPV-associated shame, stigma, and control may hinder uptake. Between March and November 2014, we conducted a cross-sectional study of 79 HIV-negative, high-risk women aged 18-50 in Atlanta, Georgia, to explore whether IPV experience was associated with less uptake of HIV testing, and fewer motivations and more reported barriers to HIV testing uptake. Psychological and physical and/or sexual abuse was significantly associated with less past-year HIV testing (p = .022 and p = .030, respectively), longer time since last HIV test (r = 0.282, p = .012, and r = 0.282, p = .012, respectively), and more reported barriers to HIV testing (r = 0.406, p = .004, and r = 0.389, p = .006). While requiring further validation, these preliminary findings suggest IPV survivors need additional support to access HIV testing services.

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References

2015Prevalence and Characteristics of Sexual Violence, Stalking, and Intimate Partner Violence Victimization—National Intimate Partner and Sexual Violence Survey, United States, 2011 2013The Intimate Partner Violence Stigmatization Model and Barriers to Help Seeking 2009Medical and Psychosocial Diagnoses in Women With a History of Intimate Partner Violence 2006Intimate partner violence against women in eastern Uganda: implications for HIV prevention 2002Intimate Partner Violence and High-Risk Sexual Behaviors Among Female Patients with Sexually Transmitted Diseases 2006Measuring Intimate Partner Violence Victimization and Perpetration: A Compendium of Assessment Tools 2007Intimate partner violence prevalence and HIV risks among women receiving care in emergency departments: implications for IPV and HIV screening 2006Measuring intimate partner violence victimization and perpetration; a compendium of assessment tools

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2018HIV Testing Among Women of Reproductive Age Exposed to Intimate Partner Violence in Uganda 2019Determinants of HIV and Sexually Transmitted Infection Testing and Acquisition Among Female Victims of Intimate Partner Violence

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