Intimate Partner Violence and the HIV Care and Treatment Cascade Among Adolescent Girls and Young Women in DREAMS, South Africa

Gibbs, Andrew; Reddy, Tarylee; Closson, Kalysha; Cawood, Cherie; Khanyile, David; Hatcher, Abigail M.

doi:10.1097/qai.0000000000002843

Cited by 15 publications

(12 citation statements)

References 45 publications

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“…Of the 409 participants, almost half (49%) reported IPV exposure in the past year. This is consistent with findings from elsewhere in South Africa [5,6] and underscores how prevalent the experience of IPV has become, particularly among younger groups. It is also consistent with the high rates of violence against women reported by the World Health Organization [7].…”

supporting

confidence: 90%

Partner violence as conversation opener for preexposure prophylaxis use among younger women

Hatcher

Eakle

Peltz

2022

Aids

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Giovenci et al.[1] present a well conceived and executed study on the longitudinal association between young women's exposure to intimate partner violence (IPV) and their use of preexposure prophylaxis (PrEP).Women's exposure to IPV has been shown to be associated with incident HIV infection [2,3] and decreased viral suppression over time [4]. However, there are fewer publications on IPVand PrEP use. The dynamics of IPVas a possible constraint or predictor of PrEP use deserves further attention, and this manuscript starts to fill that gap. Giovenci et al.[1] assess oral PrEP persistence over time in a robust sample of young women from South Africa and Zimbabwe. Using dried blood spots, the team considered persistence (or adherence) to be the presence of a level of tenofovir-diphosphate when taking four or more doses weekly. Dried blood spots provided a snapshot of the young women's past-month PrEP use.

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supporting

confidence: 90%

Partner violence as conversation opener for preexposure prophylaxis use among younger women

Hatcher

Eakle

Peltz

2022

Aids

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“…Compared with adult women, adolescent women have been shown to have lower relationship power and be at increased risk for postpartum HIV acquisition in South Africa [31]. Among adolescent women in South Africa, intimate partner violence has been shown to be associated with reduced viral suppression [32]. Tailored strategies for addressing gender inequality and ensuring access to HIV services among this age group is critical for improving adolescent women's health [33].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of unsuppressed viral load among pregnant and breastfeeding women in sub-Saharan Africa: analysis from population-based surveys

Schrubbe

Stöckl

Hatcher

et al. 2022

Aids

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Objective:To examine the prevalence of viral suppression and risk factors for unsuppressed viral load among pregnant and breastfeeding women living with HIV (WLH).Design:Pooled analysis among pregnant and breastfeeding WLH from Population-Based HIV Impact Assessment (PHIA) cross-sectional surveys from 10 sub-Saharan African countries.Methods:Questionnaires included sociodemographic, relationship-related, and HIV-related items, while blood tests examined HIV serostatus and viral load (data collected 2015–2018). The weighted prevalence of viral suppression was calculated. Logistic regression was used to examine risk factors for unsuppressed viral load (≥1000 copies/ml).Results:Of 1685 pregnant or breastfeeding WLH with viral load results, 63.8% (95% confidence interval (CI): 60.8–66.7%) were virally suppressed at the study visit. Among all included women, adolescence (adjusted odds ratio (aOR): 4.85, 95% CI: 2.58–9.14, P < 0.001) and nondisclosure of HIV status to partner (aOR: 1.48, 95% CI: 1.02–2.14, P = 0.04) were associated with unsuppressed viral load. Among only partnered women, adolescence (aOR: 7.95, 95% CI: 3.32–19.06, P < 0.001), and lack of paid employment (aOR: 0.67, 95% CI: 0.47–0.94, P = 0.02) were associated with unsuppressed viral load. Examining only women on ART, nondisclosure of HIV status to partner (aOR: 1.85, 95% CI: 1.19–2.88, P = 0.006) was associated with unsuppressed viral load.Conclusion:Viral suppression among pregnant and breastfeeding WLH in sub-Saharan Africa remains suboptimal. Relationship dynamics around nondisclosure of HIV-positive status to partners was an important risk factor for unsuppressed viral load. Improving HIV care via sensitive discussions around partner dynamics in pregnant and breastfeeding women could improve maternal HIV outcomes and prevention of mother-to-child transmission of HIV (PMTCT).

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“…[19][20][21][22] The few studies that have examined IPV victimization among AYA-PHIV and AYAPHEU were conducted in sub-Saharan Africa. 23,24 As such, there is limited information available about the magnitude and consequences of IPV on AYAPHIV and AYAPHEU living in the United States. To fill this gap in knowledge, we examined survey data and medical records from the third wave of the Child and Adolescent Self-Awareness and Health Study (CASAH3), 13,25 an ongoing longitudinal study examining the mental health and risk behaviors of AYAPHIV and AYAPHEU living in New York City (NYC).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Correlates of Intimate Partner Violence Victimization Among Urban Adolescents and Young Adults Living With Perinatally-Acquired HIV Infection or Perinatal HIV Exposure

Attoh-Okine,

Corbeil,

Poku

et al. 2024

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Introduction: Because of privacy and ethical concerns, the data cannot be made available because of the sensitivity of the HIV data and the relatively small sample and ease of identifying people if a few demographics are known. Few studies have examined intimate partner violence (IPV) victimization among adolescents and young adults (AYAs) with perinatally acquired HIV-infection (PHIV) or perinatal HIV exposure without infection (PHEU) in the United States. The purpose of this study was to (1) estimate lifetime and past-year prevalence of IPV victimization and (2) examine correlates of IPV victimization by subtype (physical, psychological, and sexual) and severity (low, moderate, and severe). Methods: Data came from the sixth interview of an ongoing New York City–based longitudinal study of primarily Black and Latinx AYAPHIV and AYAPHEU. We examined 232 participants (142 PHIV; 90 PHEU) who had reported having been in at least 1 romantic relationship. We used logistic regression models to explore the association between IPV victimization outcomes and select sociodemographic, psychiatric, and environmental factors. Models were adjusted for age, gender, race, ethnicity, and HIV status. Results: IPV victimization prevalence was 84% for lifetime and 65% for the past year. There were no differences in IPV victimization prevalence by PHIV status. Having a recent substance use disorder, reporting higher levels of neighborhood stress, and being male were all positively associated with at least 1 IPV outcome; stronger familial relationships exhibited a protective effect. Conclusions: The present study suggests that the prevalence of IPV victimization among AYAPHIV and AYAPHEU is exceedingly high that warrants targeted IPV screening and programming for this population.

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Intimate Partner Violence and the HIV Care and Treatment Cascade Among Adolescent Girls and Young Women in DREAMS, South Africa

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 15 publications

References 45 publications

Partner violence as conversation opener for preexposure prophylaxis use among younger women

Partner violence as conversation opener for preexposure prophylaxis use among younger women

Prevalence and risk factors of unsuppressed viral load among pregnant and breastfeeding women in sub-Saharan Africa: analysis from population-based surveys

Prevalence and Correlates of Intimate Partner Violence Victimization Among Urban Adolescents and Young Adults Living With Perinatally-Acquired HIV Infection or Perinatal HIV Exposure

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