Correlates of psychological intimate partner violence with HIV care outcomes on patients in HIV care

Fredericksen, R. J.; Nance, R. M.; Whitney, B. M.; Harding, B. N.; Fitzsimmons, E.; Del Rio, C.; Eron, J.; Feaster, D. J.; Kalokhe, A. S.; Mathews, W. C.; Mayer, K. H.; Metsch, L. R.; Mugavero, M. J.; Potter, J.; O’Cleirigh, C.; Napravnik, S.; Rodriguez, B.; Ruderman, S.; JAC, Delaney; Crane, H. M.

Among people living with HIV (PLWH), physical intimate partner violence (IPV) is associated with poor virologic, psychiatric, and behavioral outcomes. We examined non-physical, psychological intimate partner violence (psy-IPV) and HIV care outcomes using data from two U.S. consortia.

We conducted multivariable analyses with robust standard errors to compare patients indicating/not indicating psy-IPV.

Among PLWH (n = 5950), 9.5% indicated psy-IPV; these individuals were younger (− 3; 95% CI [− 2,-4], p-value < 0.001), less likely to be on antiretroviral treatment (ART) (0.73 [0.55,0.97], p = 0.03), less adherent to ART (− 4.2 [− 5.9,-2.4], p < 0.001), had higher odds of detectable viral load (1.43 [1.15,1.78], p = 0.001) and depression (2.63 [2.18,3.18], p < 0.001), and greater use of methamphetamines/crystal [2.98 (2.30,3.87),p < 0.001], cocaine/crack [1.57 (1.24,1.99),p < 0.001], illicit opioids [1.56 (1.13,2.16),p = 0.007], and marijuana [1.40 (1.15,1.70), p < 0.001].

Psychological IPV, even in the absence of physical or sexual IPV, appears to be associated with HIV care outcomes and should be included in IPV measures integrated into routine HIV care.

Geographic Areas


  • thumnail for 12889_2021_Article_11854.pdf 12889_2021_Article_11854.pdf application/pdf 413 KB Download File

Also Published In

BMC Public Health

More About This Work

Published Here
September 22, 2023


Psychological violence, HIV care, Patient reported outcomes