Violence Prevention among HIV-Positive Women with Histories of Violence: Healing Women in Their Communities

Wyatt, Gail E.; Hamilton, Alison B.; Myers, Héctor F.; Ullman, Jodie B.; Chin, Dorothy; Sumner, Lekeisha A.; Loeb, Tamra Burns; Carmona, Jennifer Vargas; Zhang, Muyu; Liu, Honghu

doi:10.1016/j.whi.2011.07.007

Cited by 23 publications

(22 citation statements)

References 39 publications

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“…Yet, despite calls for violence screening and intervention within HIV care and treatment programs, few HIV clinics have IPV-specific protocols in place [98]. HIV care and treatment programmes can draw upon existing guidelines for screening and responding to IPV in the health sector [91,99], or can look to a growing number of specialist programmes that address IPV alongside HIV [100][101][102][103]. To ensure that women benefit from medical advances, future studies should develop and test interventions to address IPV within HIV clinical care.…”

Section: Resultsmentioning

confidence: 99%

Intimate partner violence and engagement in HIV care and treatment among women

Hatcher

Smout

Turan

et al. 2015

Aids

222

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IPV is associated with lower ART use, half the odds of self-reported ART adherence and significantly worsened viral suppression among women. To ensure the health of HIV-positive women, it is essential for clinical programmes to address conditions that impact engagement in care and treatment. IPV is one such condition, and its association with declines in ART use and adherence requires urgent attention.

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Section: Resultsmentioning

confidence: 99%

Intimate partner violence and engagement in HIV care and treatment among women

Hatcher

Smout

Turan

et al. 2015

Aids

222

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“…Meta-analytic reviews and recent studies suggest that trauma-focused interventions that address SUDs, GBV (including CSA), PTSD associated with GBV-related trauma, and HIV/AIDS in an integrated, concurrent approach are more likely to succeed, to be more cost-effective, to increase medication adherence and to reduce symptoms of PTSD 57,58 and are more sensitive to client needs than parallel or sequential interventions. 57,59,60 Seeking Safety is the most widely tested trauma-focused integrated treatment to-date (20 RCTs and pilot studies) and has been found to significantly reduce substance use and PTSD symptoms across different populations.…”

Section: Resultsmentioning

confidence: 99%

“…57,59,60 Seeking Safety is the most widely tested trauma-focused integrated treatment to-date (20 RCTs and pilot studies) and has been found to significantly reduce substance use and PTSD symptoms across different populations. 60,61 One study of Seeking Safety also demonstrated significant reduction in unprotected sex.…”

Section: Resultsmentioning

confidence: 99%

Targeting the SAVA (Substance Abuse, Violence, and AIDS) Syndemic Among Women and Girls

Gilbert

Raj

Hien

et al. 2015

JAIDS Journal of Acquired Immune Deficiency Syndromes

147

155

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Objectives Multiple pathways link gender-based violence (GBV) to HIV and other sexually transmitted infections (STIs) among women and girls who use or inject drugs. The aim of this paper is to synthesize global literature that examines associations among the synergistic epidemics of substance abuse, violence and HIV/AIDS, known as the SAVA syndemic. It also aims to identify a continuum of multi-level integrated interventions that target key SAVA syndemic mechanisms. Methods We conducted a selective search strategy, prioritizing use of meta-analytic epidemiological and intervention studies that address different aspects of the SAVA syndemic among women and girls who use drugs worldwide from 2000–2015 using PubMed, MEDLINE, and Google Scholar. Results Robust evidence from different countries suggests that GBV significantly increases the risk of HIV and other STIs among women and girls who use drugs. Multiple structural, biological and behavioral mechanisms link GBV and HIV among women and girls. Emerging research has identified a continuum of brief and extended multi-level GBV prevention and treatment interventions that may be integrated into a continuum of HIV prevention, testing, and treatment interventions to target key SAVA syndemic mechanisms among women and girls who use drugs. Conclusion There remain significant methodological and geographical gaps in epidemiological and intervention research on the SAVA syndemic, particularly in low and middle-income countries. This global review underscores the need to advance a continuum of multi-level integrated interventions that target salient mechanisms of the SAVA syndemic, especially for adolescent girls, young women and transgender women who use drugs.

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“…Participants in a 2010 forum sponsored by the U.S. Office on Women's Health and the Joint United Nations Programme on HIV/AIDS identified practical opportunities to integrate services for HIV and gender-based violence and described this integration as fundamental to achieving and building on the goals of the National HIV/AIDS Strategy (Forbes, Bowers, Langhorne, Yakovchenko, & Taylor, 2011;Wyatt et al, 2011). In 2013, a presidential working group that was convened to address the intersection of violence and HIV among women found that childhood and adult trauma are key drivers of HIV infection and poor health outcomes among women living with HIV, and called for organizations to "develop, implement, and evaluate models that integrate trauma-informed care into services for women living with HIV" (White House Interagency Federal Working Group, 2013).…”

Section: The Link Between Trauma and Poor Healthmentioning

confidence: 99%

From Treatment to Healing: The Promise of Trauma-Informed Primary Care

Machtinger

Cuca

Khanna³

et al. 2015

Women's Health Issues

189

160

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In August 2013, a national strategy group convened in Washington, DC to clarify a framework for trauma-informed primary care (TIPC) for women. The group was motivated by an increasing body of research and experience revealing that people from all races, ethnicities, and socioeconomic backgrounds come to primary care with common conditions (e.g., heart, lung, and liver diseases, obesity, diabetes, depression, substance use, and sexually transmitted infections) that can be traced to recent and past trauma. These conditions are often stubbornly refractory to treatment, in part because we are not addressing the trauma and posttraumatic stress disorder (PTSD) that underlie and perpetuate them. The purpose of the strategy group was to review the evidence linking trauma to health and provide practical guidance to clinicians, researchers, and policymakers about the core components of an effective response to recent and past trauma in the setting of primary care. We describe the results of this work and advocate for the adoption of TIPC as a practical and ethical imperative for women's health and well-being. An Unrecognized OpportunityJanice 1 is a 45-year-old woman with poorly controlled diabetes, obesity, and alcoholism. She feels ashamed about her alcohol use and about her body. She fears that her clinician will be angry with her for not checking her blood sugar, not losing weight, and for missing multiple gynecology appointments. Janice's clinician has worked with her for over a year and is frustrated by their inability to make progress together on her health issues. Janice has never revealed to any of her clinicians that she was sexually abused during childhood nor that she is currently experiencing severe emotional abuse by her husband.For many people like Janice and her provider, understanding the connection between traumatic experiences and health can be transformative and healing. When patients understand that childhood and adult trauma underlie many illnesses and unhealthy behaviors, they often stop blaming themselves, feel more self-acceptance, and make progress toward health and well-being. Providers who understand this connection are able to create clinical environments that are less triggering for both patients and staff, identify referrals to appropriate trauma-specific services, and develop more effective therapeutic alliances and treatment plans with their patients.Our strategy group worked to clarify a practical framework for TIPC, a patient-centered approach that acknowledges and addresses the broad impact of both recent and lifetime trauma on health behaviors and outcomes. The goal of TIPC is to improve the efficacy and experience of primary care for both patients and providers by integrating an evidence-based response to this key social determinant of health. The Link between Trauma and Poor HealthThe Substance Abuse and Mental Health Services Administration defines trauma as "an event, series of events, or set of circumstances [e.g., childhood and adult physical, sexual, and emotional abuse; neglect;...

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Violence Prevention among HIV-Positive Women with Histories of Violence: Healing Women in Their Communities

Cited by 23 publications

References 39 publications

Intimate partner violence and engagement in HIV care and treatment among women

Intimate partner violence and engagement in HIV care and treatment among women

Targeting the SAVA (Substance Abuse, Violence, and AIDS) Syndemic Among Women and Girls

From Treatment to Healing: The Promise of Trauma-Informed Primary Care

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