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

AIDS Care. 2017 Aug;29(8):953-956. doi: 10.1080/09540121.2016.1271936. Epub 2016 Dec 21.

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.

Keywords: HIV; HIV testing; Intimate partner violence; gender-based violence; violence against women.

MeSH terms

  • AIDS Serodiagnosis / statistics & numerical data
  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Female
  • Gender-Based Violence*
  • Georgia
  • HIV Infections / diagnosis*
  • HIV Infections / prevention & control
  • HIV Infections / psychology
  • Health Services Accessibility
  • Humans
  • Intimate Partner Violence / psychology*
  • Mass Screening / statistics & numerical data*
  • Middle Aged
  • Risk
  • Sexual Partners / psychology*
  • Shame*
  • Social Stigma*
  • Spouses / psychology*
  • Young Adult