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Women experiencing intimate partner violence (IPV) may face barriers discussing HIV pre-exposure prophylaxis (PrEP). Addressing medical mistrust is key to improving PrEP communication and acceptance for these women.

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Area of Science:

  • Public Health
  • Social Science
  • Women's Health

Background:

  • Intimate partner violence (IPV) affects many women, potentially impacting their engagement with HIV prevention methods.
  • HIV pre-exposure prophylaxis (PrEP) is a critical tool for HIV prevention, but its uptake among women experiencing IPV requires further investigation.
  • IPV-specific medical mistrust may hinder women's willingness to discuss or accept PrEP.

Purpose of the Study:

  • To examine the relationship between different types of IPV (physical, sexual, psychological) and women's communication about PrEP with healthcare providers and domestic violence advocates.
  • To investigate how IPV-specific medical mistrust modifies the association between IPV and PrEP communication.

Main Methods:

  • The study analyzed data from 272 adult women experiencing IPV in Connecticut and Baltimore, MD.
  • Logistic regression models were used to assess associations between IPV, PrEP communication, and IPV-specific medical mistrust.

Main Results:

  • Higher psychological IPV severity correlated with increased embarrassment in initiating PrEP discussions but also greater willingness to accept PrEP recommendations.
  • IPV-specific medical mistrust significantly reduced willingness to accept PrEP recommendations from domestic violence advocates among women with physical IPV.

Conclusions:

  • Addressing systemic factors that foster IPV-specific medical mistrust and stigma is crucial for enhancing PrEP initiation among women experiencing IPV.
  • Interventions should focus on building trust and reducing stigma to improve PrEP communication and acceptance for this vulnerable population.