Data Based Conceptual Model of GBV and Women's Risk for HIV Contraction and Progression

2.50
Hdl Handle:
http://hdl.handle.net/10755/616508
Title:
Data Based Conceptual Model of GBV and Women's Risk for HIV Contraction and Progression
Other Titles:
Symposium: HIV and Intimate Partner Violence: Risks and Relationships Among Women
Author(s):
Campbell, Jacquelyn
Lead Author STTI Affiliation:
Nu Beta
Author Details:
Jacquelyn Campbell, RN, jcampbe1@jhu.edu
Abstract:
Session presented on Monday, July 25, 2016: Purpose: Construct a biobehavioral model of the linkages of Gender Based Violence and HIV acquisition and progression through biological and behavioral risk factors including'the physiological stress and immune system'dysfunction linkages, STI and'vaginal wall physiology,'forced anal sex, mental health (depression, PTSD, suicidality), and behavioral risks resulting from violence such as substance abuse, inconsistent condom use, and multiple partners. Methods: Deductive processes from systematic reviews along with data from a large Case (N = 543'abused) Control (N = 358)'study of women in the US Virgin Islands and the US'mainland (Baltimore, MD) and a different study of' women'living with'AIDS (N = 200) in San Francisco was'used to construct'the conceptual model.'Results: Women are at risk for HIV/AIDS through the'contextual factors of attitudes toward women and the use of violence,'direct risk through actual forced vaginal and anal sex'by violent HIV+ partners, and indirect'pathways of stress and immune system dysfunction from cumulative trauma (multiple forms of GBV, repeated acts of Intimate Partner Violence - IPV), increased risk'of STI's increasing the'penetrability of the vaginal wall both physically and physiologically, and behavioral risk such as inability to negotiate safe sex through fear of being beaten, having multiple partners, inconsistent condom use and mental health problems such as PTSD, depression, and substance abuse.' Once they have contracted HIV, they are at increased risk for progression of AIDS through decrease delay to testing related to IPV, decrease delay linkage to care related to'IPV (IPV increases risk X3), decrease loss to follow up related to IPV (IPV X2), decrease ARV use (IPV < ' as likely) and consistent use and increased viral suppression (IPV >2X failure; recent trauma > 4X failure).' They are also at increased risk for mortality from homicide by the violent partner and suicide. Conclusion: 'Gender based violence, especially intimate partner violence'complicates prevention of HIV increases transmission and enhances progression of the disease through multiple complicated direct and indirect biobehavioral pathways all of which provide opportunities for interventions.
Keywords:
HIV/AIDS; Gender Based Violence; Biobehavioral
Repository Posting Date:
13-Jul-2016
Date of Publication:
13-Jul-2016 ; 13-Jul-2016
Other Identifiers:
INRC16P10
Conference Date:
2016
Conference Name:
27th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Cape Town, South Africa
Description:
Theme: Leading Global Research: Advancing Practice, Advocacy, and Policy

Full metadata record

DC FieldValue Language
dc.language.isoenen
dc.titleData Based Conceptual Model of GBV and Women's Risk for HIV Contraction and Progressionen
dc.title.alternativeSymposium: HIV and Intimate Partner Violence: Risks and Relationships Among Womenen
dc.contributor.authorCampbell, Jacquelynen
dc.contributor.departmentNu Betaen
dc.author.detailsJacquelyn Campbell, RN, jcampbe1@jhu.eduen
dc.identifier.urihttp://hdl.handle.net/10755/616508-
dc.description.abstractSession presented on Monday, July 25, 2016: Purpose: Construct a biobehavioral model of the linkages of Gender Based Violence and HIV acquisition and progression through biological and behavioral risk factors including'the physiological stress and immune system'dysfunction linkages, STI and'vaginal wall physiology,'forced anal sex, mental health (depression, PTSD, suicidality), and behavioral risks resulting from violence such as substance abuse, inconsistent condom use, and multiple partners. Methods: Deductive processes from systematic reviews along with data from a large Case (N = 543'abused) Control (N = 358)'study of women in the US Virgin Islands and the US'mainland (Baltimore, MD) and a different study of' women'living with'AIDS (N = 200) in San Francisco was'used to construct'the conceptual model.'Results: Women are at risk for HIV/AIDS through the'contextual factors of attitudes toward women and the use of violence,'direct risk through actual forced vaginal and anal sex'by violent HIV+ partners, and indirect'pathways of stress and immune system dysfunction from cumulative trauma (multiple forms of GBV, repeated acts of Intimate Partner Violence - IPV), increased risk'of STI's increasing the'penetrability of the vaginal wall both physically and physiologically, and behavioral risk such as inability to negotiate safe sex through fear of being beaten, having multiple partners, inconsistent condom use and mental health problems such as PTSD, depression, and substance abuse.' Once they have contracted HIV, they are at increased risk for progression of AIDS through decrease delay to testing related to IPV, decrease delay linkage to care related to'IPV (IPV increases risk X3), decrease loss to follow up related to IPV (IPV X2), decrease ARV use (IPV < ' as likely) and consistent use and increased viral suppression (IPV >2X failure; recent trauma > 4X failure).' They are also at increased risk for mortality from homicide by the violent partner and suicide. Conclusion: 'Gender based violence, especially intimate partner violence'complicates prevention of HIV increases transmission and enhances progression of the disease through multiple complicated direct and indirect biobehavioral pathways all of which provide opportunities for interventions.en
dc.subjectHIV/AIDSen
dc.subjectGender Based Violenceen
dc.subjectBiobehavioralen
dc.date.available2016-07-13T11:14:13Z-
dc.date.issued2016-07-13-
dc.date.issued2016-07-13en
dc.date.accessioned2016-07-13T11:14:13Z-
dc.conference.date2016en
dc.conference.name27th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationCape Town, South Africaen
dc.descriptionTheme: Leading Global Research: Advancing Practice, Advocacy, and Policyen
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