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Journal cover: International Journal of Prisoner Health

International Journal of Prisoner Health

ISSN: 1744-9200

Online from: 2005

Subject Area: Health and Social Care

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Partner violence and health among HIV-infected jail detainees


Document Information:
Title:Partner violence and health among HIV-infected jail detainees
Author(s):Jaimie P. Meyer, (Clinical Instructor, based at Yale University School of Medicine, New Haven, Connecticut, USA and Department of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, Connecticut, USA), Jeffrey A. Wickersham, (Associate Research Scientist, based at Yale University School of Medicine, New Haven, Connecticut, USA), Jeannia J. Fu, (Yale University School of Medicine, New Haven, Connecticut, USA and Department of Chronic Disease Epidemiology, Yale University School of Public Health, New Haven, Connecticut, USA), Shan-Estelle Brown, (Yale University School of Medicine, New Haven, Connecticut, USA), Tami P. Sullivan, (Director, based at Family Violence Research at Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA), Sandra A. Springer, (Yale University School of Medicine, New Haven, Connecticut, USA), Frederick L. Altice, (Professor, based at Yale University School of Medicine, New Haven, Connecticut, USA and Department of Epidemiology of Microbial Diseases, Yale University School of Public Health, New Haven, Connecticut, USA and Centre of Excellence on Research in AIDS, University of Malay, Kuala Lumpur, Malaysia)
Citation:Jaimie P. Meyer, Jeffrey A. Wickersham, Jeannia J. Fu, Shan-Estelle Brown, Tami P. Sullivan, Sandra A. Springer, Frederick L. Altice, (2013) "Partner violence and health among HIV-infected jail detainees", International Journal of Prisoner Health, Vol. 9 Iss: 3, pp.124 - 141
Keywords:Criminal justice system, HIV, Intimate partner violence, Pre-trial detention, Substance abuse, Women's health
Article type:Research paper
DOI:10.1108/IJPH-03-2013-0011 (Permanent URL)
Publisher:Emerald Group Publishing Limited
Abstract:

Purpose – Little is known about the association of intimate partner violence (IPV) with specific HIV-treatment outcomes, especially among criminal justice (CJ) populations who are disproportionately affected by IPV, HIV, mental, and substance use disorders (SUDs) and are at high risk of poor post-release continuity of care.

Design/methodology/approach – Mixed methods were used to describe the prevalence, severity, and correlates of lifetime IPV exposure among HIV-infected jail detainees enrolled in a novel jail-release demonstration project in Connecticut. Additionally, the effect of IPV on HIV treatment outcomes and longitudinal healthcare utilization was examined.

Findings – Structured baseline surveys defined 49 percent of 84 participants as having significant IPV exposure, which was associated with female gender, longer duration since HIV diagnosis, suicidal ideation, having higher alcohol use severity, having experienced other forms of childhood and adulthood abuse, and homo/bisexual orientation. IPV was not directly correlated with HIV healthcare utilization or treatment outcomes. In-depth qualitative interviews with 20 surveyed participants, however, confirmed that IPV was associated with disengagement from HIV care especially in the context of overlapping vulnerabilities, including transitioning from CJ to community settings, having untreated mental disorders, and actively using drugs or alcohol at the time of incarceration.

Originality/value – Post-release interventions for HIV-infected CJ populations should minimally integrate HIV secondary prevention with violence reduction and treatment for SUDs.



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