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

• Published in: BMC public health Vol. 21; no. 1; p. 1824
• Main Authors: 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
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 09.10.2021; BioMed Central; BMC
• Subjects: Acquired immune deficiency syndrome; Addictive behaviors; Aggression; AIDS; Anti-Retroviral Agents - therapeutic use; Antiretroviral agents; Antiretroviral therapy; Cannabis; Care and treatment; Clinical trials; Cocaine; Consortia; Cross-Sectional Studies; Domestic violence; Drug abuse; Drug use; Emotional abuse; Family violence; Health aspects; Health behavior; HIV; HIV care; HIV infection; HIV Infections - drug therapy; HIV Infections - epidemiology; Human immunodeficiency virus; Humans; Intimate Partner Violence; Longitudinal studies; Marijuana; Medical treatment; Mental depression; Mental health; Methamphetamine; Narcotics; Onsite; Opiates; Opioids; Patient reported outcomes; Patients; Post traumatic stress disorder; Prevalence; Psychological violence; Sexual Partners; Sexually transmitted diseases; STD; Violence; Viral Load; United States; United States > US; Puerto Rico; HIV care; Patient reported outcomes; Psychological violence
• ISSN: 1471-2458; 1471-2458
• DOI: 10.1186/s12889-021-11854-x

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. We conducted multivariable analyses with robust standard errors to compare patients indicating/not indicating psy-IPV. 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]. 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.