Systematic screening of gender violence and domestic violence among HIV-positive patients : the VIHOLETA study
We conducted a multicentre observational study in people living with HIV (PLHIV) on antiretroviral therapy in Alicante (Spain) from 2019 to 2020 aiming to analyse the prevalence of abuse and assess treatment adherence according to this variable. We used the Abuse Assessment Screen tool, the simplified medication adherence questionnaire and the medication possession ratio to assess outcomes.. Of the 161 included PLHIV, 53 (32.9%) had suffered abuse (27 emotional abuse, 6 physical abuse, 3 sexual abuse, 13 emotional and physical abuse, 4 unknown type). Seven (4.3%) had suffered abuse in the last year (5 emotional, 2 physical). Abuse had lasted a median of 48 months (interquartile range 12-81). HIV status was considered as a cause of violence by 9.4% of victims. In the multivariable analysis, only abuse was independently associated with non-adherence [adjusted odds ratio (aOR) 3.92; 95% confidence interval (CI) 1.80-8.84; p = 0.0007]. Abuse (aOR 6.14; 95% CI 1.63-27.70; p = 0.001) and previous incarceration (aOR 15.08 95% CI 2.71-104.71; p = 0.003) were associated with detectable viral load. In conclusion, the prevalence of abuse is high in PLHIV, hampering adherence and virological success. Abuse screening tools should be incorporated into routine HIV care.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:35 |
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| Enthalten in: |
AIDS care - 35(2023), 10 vom: 28. Okt., Seite 1443-1451 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Llenas-García, Jara [VerfasserIn] |
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| Links: |
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| Themen: |
Gender violence |
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| Anmerkungen: |
Date Completed 07.08.2023 Date Revised 11.08.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1080/09540121.2022.2125929 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM346850088 |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a We conducted a multicentre observational study in people living with HIV (PLHIV) on antiretroviral therapy in Alicante (Spain) from 2019 to 2020 aiming to analyse the prevalence of abuse and assess treatment adherence according to this variable. We used the Abuse Assessment Screen tool, the simplified medication adherence questionnaire and the medication possession ratio to assess outcomes.. Of the 161 included PLHIV, 53 (32.9%) had suffered abuse (27 emotional abuse, 6 physical abuse, 3 sexual abuse, 13 emotional and physical abuse, 4 unknown type). Seven (4.3%) had suffered abuse in the last year (5 emotional, 2 physical). Abuse had lasted a median of 48 months (interquartile range 12-81). HIV status was considered as a cause of violence by 9.4% of victims. In the multivariable analysis, only abuse was independently associated with non-adherence [adjusted odds ratio (aOR) 3.92; 95% confidence interval (CI) 1.80-8.84; p = 0.0007]. Abuse (aOR 6.14; 95% CI 1.63-27.70; p = 0.001) and previous incarceration (aOR 15.08 95% CI 2.71-104.71; p = 0.003) were associated with detectable viral load. In conclusion, the prevalence of abuse is high in PLHIV, hampering adherence and virological success. Abuse screening tools should be incorporated into routine HIV care | ||
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a HIV infection | |
| 650 | 4 | |a Violence | |
| 650 | 4 | |a gender violence | |
| 650 | 4 | |a intimate partner violence | |
| 650 | 4 | |a medication adherence | |
| 650 | 4 | |a physical abuse | |
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| 700 | 1 | |a Pascual Perez, Reyes |e verfasserin |4 aut | |
| 700 | 1 | |a González-Cuello, Inmaculada |e verfasserin |4 aut | |
| 700 | 1 | |a Agulló Re, Vanesa |e verfasserin |4 aut | |
| 700 | 1 | |a Romero Nieto, Mónica |e verfasserin |4 aut | |
| 700 | 1 | |a Amat Díaz, María |e verfasserin |4 aut | |
| 700 | 1 | |a Padilla Urrea, Sergio |e verfasserin |4 aut | |
| 700 | 1 | |a Rodríguez Lucena, Francisco José |e verfasserin |4 aut | |
| 700 | 1 | |a Wikman-Jorgensen, Philip |e verfasserin |4 aut | |
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