TY - JOUR PY - 2011// TI - Health Care and Social Service Providers' Observations on the Intersection of HIV/AIDS and Violence Among Their Clients and Patients JO - Qualitative health research A1 - Distefano, Anthony S. A1 - Cayetano, Reggie T. SP - 884 EP - 899 VL - 21 IS - 7 N2 - Associations between HIV/AIDS and several forms of violence have been demonstrated in recent research. We conducted qualitative interviews with 30 providers who offered services related to HIV/AIDS or violence to identify specific manifestations of HIV/AIDS-violence intersections, factors that explain why HIV/AIDS and violence intersect in client/patient populations, and the theoretical salience of providers' narratives. Providers confirmed links between HIV/AIDS and violent victimization, and yielded new insights into crossover risk between HIV/AIDS and suicidality, nonsuicidal self-harm, and witnessing and perpetrating violence. We also isolated 20 explanatory factors, including substance use, poor mental health, sex work/trading sex, and sexual orientation/gender identity. Narratives were consistent with syndemics theory, indicating that HIV/AIDS and violence fueled each other's occurrence and magnified the health-related burden on affected client/patient populations, often under conditions of health and social disparity. Providers contribute a novel perspective on our understanding of HIV/AIDS-violence syndemics that shows promise in informing future interventions and practice.

Language: en

LA - en SN - 1049-7323 UR - http://dx.doi.org/10.1177/1049732311403501 ID - ref1 ER -