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Partner Violence and Substance-Related Service Use: Differences by HIV Status Among Women.

Shannon N Ogden1, Paul R Shafer2, Melissa E Dichter3

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Intimate partner violence (IPV) is linked to substance use service use in women. Recent IPV increased alcohol service use, but recent sexual IPV decreased service use for women with HIV, highlighting complex interactions.

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Area of Science:

  • Public Health
  • Epidemiology
  • Behavioral Science

Background:

  • Substance use disorders (SUDs) are common in women with HIV and those experiencing intimate partner violence (IPV).
  • Understanding the intersection of IPV, HIV status, and SUD service utilization is crucial for effective healthcare.
  • This study investigates the association between IPV and substance-related service use among women with and without HIV.

Purpose of the Study:

  • To examine how intimate partner violence (IPV) influences the utilization of drug and alcohol services.
  • To explore differences in this association based on HIV status among women.

Main Methods:

  • Analysis of data from the Women's Interagency HIV Study (2013-2019).
  • Linear regression models were used to estimate associations between recent/lifetime IPV and SUD service utilization.
  • Models were adjusted for covariates and included an interaction term for IPV and HIV status.

Main Results:

  • Recent IPV, particularly psychological and sexual IPV, was associated with increased alcohol service utilization.
  • Recent sexual IPV also increased drug and alcohol service use.
  • However, women living with HIV who experienced recent sexual IPV showed decreased utilization of both drug and alcohol services.
  • Lifetime IPV was linked to decreased alcohol service use.

Conclusions:

  • IPV has a complex relationship with SUD service utilization, with varying effects based on the type of violence, duration, and HIV status.
  • A trauma-informed approach is recommended to improve SUD service access and outcomes for women experiencing IPV and/or living with HIV.
  • Integrating care for IPV, HIV, and SUDs is essential for enhancing overall well-being.