Intimate Partner Violence and Engagement in the HIV Care Continuum among Women in Sub-Saharan Africa: A Prospective Cohort Study

Sarah T. Roberts; Ariane van der Straten; Christine Tagliaferri Rael; Pamina M. Gorbach; Thesla Palanee-Phillips; Krishnaveni Reddy; Kalendri Naidoo; Sufia Dadabhai; Lameck Chinula; Zakir Gaffoor; Lisa Levy; Jennifer E. Balkus; Sharon A. Riddler

doi:10.1007/s10461-022-03835-x

Intimate Partner Violence and Engagement in the HIV Care Continuum among Women in Sub-Saharan Africa: A Prospective Cohort Study

Sarah T. Roberts, Ariane van der Straten, Christine Tagliaferri Rael, Pamina M. Gorbach, Thesla Palanee-Phillips, Krishnaveni Reddy, Kalendri Naidoo, Sufia Dadabhai, Lameck Chinula, Zakir Gaffoor, Lisa Levy, Jennifer E. Balkus, Sharon A. Riddler

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

Abstract

Research suggests that women’s experience of intimate partner violence (IPV) is associated with poor engagement in HIV care and treatment. However, most studies have been cross-sectional and conducted in North America. We examined the association between physical IPV and HIV care outcomes in a prospective cohort study of women living with HIV (WLHIV) in Malawi, South Africa, Uganda, and Zimbabwe. At enrollment, 15% of the 351 participants self-reported physical IPV. IPV experience was not associated with time to first engagement in HIV care or the proportion virally suppressed after 6 months on ART. Women reporting physical IPV were less likely to initiate ART within 6 months of becoming eligible (adjusted RR 0.74, 95% CI 0.53–1.03). IPV screening is critical to identify survivors and link them to appropriate services. However, addressing IPV may not increase engagement in HIV care or viral load suppression among WLHIV in sub-Saharan Africa.

Original language	English (US)
Pages (from-to)	984-989
Number of pages	6
Journal	AIDS and behavior
Volume	27
Issue number	3
DOIs	https://doi.org/10.1007/s10461-022-03835-x
State	Published - Mar 2023

Keywords

ART initiation
HIV care continuum
Intimate partner violence
Sub-Saharan Africa
Viral suppression
Women living with HIV

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-022-03835-x

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Roberts, S. T., van der Straten, A., Rael, C. T., Gorbach, P. M., Palanee-Phillips, T., Reddy, K., Naidoo, K., Dadabhai, S., Chinula, L., Gaffoor, Z., Levy, L., Balkus, J. E., & Riddler, S. A. (2023). Intimate Partner Violence and Engagement in the HIV Care Continuum among Women in Sub-Saharan Africa: A Prospective Cohort Study. AIDS and behavior, 27(3), 984-989. https://doi.org/10.1007/s10461-022-03835-x

Roberts, ST, van der Straten, A, Rael, CT, Gorbach, PM, Palanee-Phillips, T, Reddy, K, Naidoo, K, Dadabhai, S, Chinula, L, Gaffoor, Z, Levy, L, Balkus, JE & Riddler, SA 2023, 'Intimate Partner Violence and Engagement in the HIV Care Continuum among Women in Sub-Saharan Africa: A Prospective Cohort Study', AIDS and behavior, vol. 27, no. 3, pp. 984-989. https://doi.org/10.1007/s10461-022-03835-x

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Intimate Partner Violence and Engagement in the HIV Care Continuum among Women in Sub-Saharan Africa: A Prospective Cohort Study

Abstract

Keywords

ASJC Scopus subject areas

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