Abuse in the Continua: HIV Prevention and Care Outcomes and Syndemic Conditions Associated with Intimate Partner Violence among Black Gay and Bisexual Men in the Southern United States

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Citation

Wirtz, Andrea L.; Burns, Paul A.; Poteat, Tonia; Malik, Mannat; White, Jordan; Brooks, Durryle; Kasaie, Parastu; & Beyrer, Chris (2022). Abuse in the Continua: HIV Prevention and Care Outcomes and Syndemic Conditions Associated with Intimate Partner Violence among Black Gay and Bisexual Men in the Southern United States. AIDS and Behavior, 26(11), 3761-3774. PMCID: PMC9561062

Abstract

Intimate partner violence (IPV) has been implicated in HIV acquisition and worse HIV outcomes. Limited research focuses on the experiences of Black gay and bisexual men. Using data from cross-sectional surveys in Baltimore, Maryland, and Jackson, Mississippi, we analyzed the association between IPV victimization and HIV-related outcomes among 629 adult Black gay and bisexual men, among whom 53% self-reported a negative result at last HIV test. 40% of participants reported lifetime physical, sexual, and/or psychological IPV victimization, and 24% past-year victimization. Recent and lifetime IPV were associated with recent clinical diagnosis of STI (adjPrR: 1.44; 95%CI: 1.08-1.92) and ART medication interruptions (adjPrR: 1.59; 95%CI: 1.25-2.01), respectively. Physical IPV was inversely associated with current PrEP use (adjPrR: 0.35; 95%CI: 0.13-0.90). Recent IPV was independently correlated with depression symptomatology (adjPrR: 2.36; 95%CI: 1.61-3.47) and hazardous alcohol use (adjPrR: 1.93; 95%CI: 1.42-2.61), with evidence of interactions. IPV-HIV relationships were intersected by internalized stigma, housing instability, poverty, and lack of insurance. Tailored IPV services are urgently needed for comprehensive HIV services for Black gay and bisexual men in the U.S.

URL

http://dx.doi.org/10.1007/s10461-022-03705-6

Reference Type

Journal Article

Year Published

2022

Journal Title

AIDS and Behavior

Author(s)

Wirtz, Andrea L.
Burns, Paul A.
Poteat, Tonia
Malik, Mannat
White, Jordan
Brooks, Durryle
Kasaie, Parastu
Beyrer, Chris

Article Type

Regular

PMCID

PMC9561062

Data Set/Study

ACCELERATE!

Continent/Country

United States of America

State

Mississippi
Maryland

Race/Ethnicity

Black

Sex/Gender

Men

ORCiD

Poteat - 0000-0001-6541-3787