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Associations between interpersonal and community-level violence experiences and HIV outcomes

Implications for violence screening in Ryan White Clinics

Bibliographic Data

ID19439744
AuthorsAmeeta S Kalokhe (0000-0002-3556-1786, Emory University School of Medicine, corresponding author), Katherine M Anderso (Emory University Rollins School of Public Health), Madelyn S Carlson (Emory University), Madelyn Carlson (Emory University Rollins School of Public Health), Selaem Hadera (Emory University Rollins School of Public Health), Eve Rose (Emory University Rollins School of Public Health), Melvin D Livingston (0000-0002-6327-8910, Emory University Rollins School of Public Health), Jessica M Sales (0000-0002-1571-8192, Emory University Rollins School of Public Health)
Year2025
Volume37
Issue5
Pages790-801
Publication date2025-05-04
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2025.2459303
PMID39881437
OpenAlexW4407003951
LanguageEN
Citations received1
References cited45

Violence experience, interpersonal and community-level, is commonly reported by people living with HIV (PLWH). Understanding the impact of the various forms of violence on HIV outcomes is critical for prioritizing violence screening and support resources in care settings. From February 2021 to December 2022, among 285 PLWH purposively sampled to attain diversity by gender, race/ethnicity, and HIV care retention status in Atlanta, Georgia, we examined interpersonal and community violence experiences and proxy measures of violence (post-traumatic stress disorder (PTSD), anxiety, depression) and their associations with HIV outcomes (engagement and retention in care and HIV viral suppression) using multivariable analysis. Participants commonly reported lifetime intimate partner violence (89%), non-partner violence (97%), hate crimes (93%), and moderate-to-severe adverse childhood events (59%). Lifetime violence experiences were not significantly linked to HIV care engagement, retention, nor durable viral suppression, but were each individually associated with PTSD, which in turn, was significantly associated lower odds of durable viral suppression (AOR 0.35, CI 0.14-0.86). Thus, the high prevalence and multiplicity of interpersonal and community-level violence experienced among PLWH in Atlanta underscores the need for universal trauma-informed approaches and supports implementation of PTSD screening to identify patients at greatest need for trauma support services

Criminology · Domestic violence · Family medicine · Interpersonal communication · Interpersonal violence · Medical emergency · Poison control · Suicide prevention · Adolescent Sexual and Reproductive Health · Clinical Psychology · HIV, Drug Use, Sexual Risk · Intimate Partner and Family Violence · Medicine · Psychology · Social Psychology

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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