Experiences of Abuse May Be Linked to Less HIV Testing Uptake Among HIV-Negative, High-Risk Women In The Southeastern United States Open Access

Etudo, Ogechukwu (2015)

Permanent URL: https://etd.library.emory.edu/concern/etds/c534fp49d?locale=en
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Abstract

Women who experience IPV are at a significantly higher risk of contracting HIV than those who do not. The results of the few studies that have examined the link between IPV and HIV testing uptake have been inconsistent. This would be the first study to examine the association between IPV and past-year HIV testing behavior in a sample restricted to women at high-risk for HIV. Seventy-nine, HIV-negative, high-risk women between the ages of 18-50 from the greater Atlanta area participated in a cross-sectional survey between March and November 2014. Past-year emotional, physical and sexual IPV were measured using validated scales (The Index of Psychological abuse (IPA) scale and Severity of Violence Against Women Scale (SVAWS)). The outcomes were HIV test in the past year' and Years since last HIV test'. In bivariate analyses, higher mean scores on both the IPA and SVAWS scales were significantly associated with a lower likelihood of reporting HIV testing in the past year (p= 0.022 for IPA; p= 0.022 for SVAWS) and a higher likelihood of reporting more years since last HIV test (r=0.35, p=0.02 and r=0.34, p<0.01 respectively). The multivariate analysis was hindered due to inadequate sample size. Our results show that women who experience IPV may be less likely to obtain an HIV test in the past year. This is significant as these women are at greater risk of contracting HIV. It is imperative that they be adequately screened for IPV and referred to appropriate HIV testing and counseling services.

Table of Contents


CHAPTER 1: INTRODUCTION

CHAPTER 2: COMPREHENSIVE REVIEW OF THE LITERATURE

Introduction to the literature review

Overview of the burden of HIV in the United States

HIV testing guidelines and recommendations

Overview of intimate Partner Violence (IPV) and its association with HIV

Studies that found a significant association between Intimate Partner Violence (IPV) and HIV testing behavior

Studies that found an indeterminate or no association between Intimate Partner Violence (IPV) and HIV testing behavior

Other potential factors that may influence HIV testing behavior

Summary and implications for this thesis CHAPTER 3: MATERIALS AND METHODS Participant recruitment and procedures Data collection and survey questionnaire Variables Statistical analysis CHAPTER 3: RESULTS CHAPTER 3: DISCUSSION CHAPTER 4: IMPLICATIONS/RECOMMENDATIONS REFERENCES APPENDIX

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