TY - JOUR PY - 2022// TI - Systematic screening of gender violence and domestic violence among HIV-positive patients: the VIHOLETA study JO - AIDS care A1 - Llenas-García, Jara A1 - Masiá, Mar A1 - Pascual Perez, Reyes A1 - González-Cuello, Inmaculada A1 - Agulló Re, Vanesa A1 - Romero Nieto, Mónica A1 - Amat Díaz, María A1 - Padilla Urrea, Sergio A1 - Rodríguez Lucena, Francisco José A1 - Wikman-Jorgensen, Philip SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.
Language: en
LA - en SN - 0954-0121 UR - http://dx.doi.org/10.1080/09540121.2022.2125929 ID - ref1 ER -