Online Program

Violence screening and viral load suppression among HIV-positive African American women

Tuesday, November 3, 2015 : 8:55 a.m. - 9:20 a.m.

Susan Ryerson Espino, PhD, Prevention and Education, The Ruth M. Rothstein CORE Center, Chicago, IL
Allison Precht, MA, LPC, Department of Prevention & Education, The Ruth M. Rothstein CORE Center, Chicago, IL
Jason Fletcher, PhD, College of Nursing, NYU Nursing, New York, NY
Jessica Xavier, MPH, Health Resources and Services Administration, HIV/AIDS Bureau, Rockville, MD
Sabrina Matoff-Stepp, PhD, Office of Women's Health, HRSA Office of Women's Health, Rockville, MD
Marisol Gonzalez, RN, MPH, Department of Prevention & Education, The Ruth M. Rothstein CORE Center, Chicago, IL
Recent research suggests intimate partner violence (IPV) is commonly experienced by many people living with HIV/AIDS, which can complicate their care. Recently, we introduced a novel approach to screening for history of violence among women of color living with HIV that entails a composite measure composed of data from a variety of screening tools. We used this approach to assess the relationship between history of violence and viral suppression among a sample of African American women (n=78) living with HIV and receiving care at an outpatient public health clinic. We were able to determine that 67.9% of the women had a history of violence using the composite measure, and that 38.5% screened positive using multiple screening tools. Although overall viral load suppression rate was high at 79.5%, women with a history of violence were less likely to be virally suppressed when compared to those without such a history (71.7% versus 96.0%, p < 0.05). Our findings suggest using a variety of screening questions at entry and at follow-up care appointments may be key to identifying and supporting African American women survivors who may not disclose violence when first asked. Future research should foster further development, analysis, and use of a variety of screening tools such as those used in this study.

Learning Areas:

Advocacy for health and health education
Chronic disease management and prevention
Program planning
Public health or related organizational policy, standards, or other guidelines
Public health or related research
Social and behavioral sciences

Learning Objectives:
Identify a variety of violence screening questions useful within HIV primary care settings. Assess the relationship between history of violence and viral load suppression.

Keyword(s): Women and HIV/AIDS, African American

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a co-principal investigator and local evaluator on multiple federally funded grants focusing on HIV linkage and retention. Among my scientific interests has been the development of strategies to evaluate and refine public health and educational services for communities experiencing health disparities and income inequality.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.