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Past-Year Violence Victimization is Associated with Viral Load Failure Among HIV-Positive Adolescents and Young Adults

Bibliographic Data

ID15338679
AuthorsKatherine G Merrill (0000-0001-5308-4154, Johns Hopkins University, corresponding author), Jacquelyn C Campbell (0000-0003-3689-4547, Johns Hopkins University), Michele R Decker (0000-0002-7085-7080, Johns Hopkins University), John McGready (0000-0002-2251-9167, Johns Hopkins University), Virginia M Burke (0000-0002-3248-9213, Johns Hopkins University), Jonathan K Mwansa, Sam Miti (0000-0002-2217-6897), Christiana Frimpong, Caitlin E Kennedy (0000-0001-6820-063X, Johns Hopkins University), Julie A Denison (0000-0002-4670-093X, Johns Hopkins University)
Year2020
Volume25
Issue5
Pages1373-1383
Publication date2020-08-06
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAIDS and Behavior (JOURNAL)
Journal identifiersISSN: 1090-7165 • E-ISSN: 1573-3254
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10461-020-02958-3
PMID32761474
OpenAlexW3047125448
LanguageEN
Citations received10
References cited38

We examined the relationship between past-year violence victimization and viral load (VL) failure among consecutively-sampled male and female adolescents and young adults, aged 15-24, in four HIV clinics in Ndola, Zambia. Measures of past-year physical violence, psychological abuse, and forced sex were adapted from the ICAST-C and WHO Multi-Country Study. Using logistic regression, we derived associations between VL failure (≥ 1000 copies/mL) and: any victimization; cumulative victimization; and types and perpetrators of violence. Among 272 youth (59.2% female, 72.8% perinatally infected), 73.5% (n = 200) experienced past-year violence and 36.8% (n = 100) had VL failure. Higher odds of VL failure were observed for participants who reported high frequency of any violence versus no violence victimization (adjusted OR, aOR: 3.58; 95% CI 1.14-11.27), high frequency of psychological abuse versus no psychological abuse (aOR: 3.32; 95% CI 1.26-8.70), any versus no violence from a family member other than a parent/caregiver for physical violence (aOR: 2.18, 95% CI 1.05-4.54) and psychological abuse (aOR: 2.50; 95% CI 1.37-4.54), and any versus no physical violence from a friend/peer (aOR: 2.14, 95% CI 1.05-4.36). Past-year violence victimization was associated with VL failure when considering the frequency, type, and perpetrator of violence. Programs addressing violence among youth living with HIV may be critical to improving viral suppression and preventing onward transmission

Domestic violence · Health psychology · Human immunodeficiency virus (HIV · Logistic regression · Medical emergency · Odds · Odds ratio · Physical abuse · Poison control · Psychiatry · Public health · Suicide prevention · Viral load · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Research and Interventions · Intimate Partner and Family Violence · Medicine · Immunology · Internal Medicine

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Unique citing works10
Citations per year2
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 10
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