Brief Report: HIV Assisted Partner Services Among Those With and Without a History of Intimate Partner Violence in Kenya. (1st May 2018)
- Record Type:
- Journal Article
- Title:
- Brief Report: HIV Assisted Partner Services Among Those With and Without a History of Intimate Partner Violence in Kenya. (1st May 2018)
- Main Title:
- Brief Report
- Authors:
- Goyette, Marielle S.
Mutiti, Peter M.
Bukusi, David
Wamuti, Beatrice M.
Otieno, Felix A.
Cherutich, Peter
Golden, Matthew R.
Spiegel, Hans
Richardson, Barbra A.
Ng'ang'a, Anne
Farquhar, Carey - Abstract:
- Abstract : Background: HIV assisted partner services (APS) are a notification and testing strategy for sex partners of HIV-infected index patients. This cluster-randomized controlled trial secondary data analysis investigated whether history of intimate partner violence (IPV) modified APS effectiveness and risk of relationship dissolution. Setting: Eighteen HIV testing and counseling sites in Kenya randomized to provide immediate APS (intervention) or APS delayed for 6 weeks (control). Methods: History of IPV was ascertained at study enrollment and defined as reporting ever experiencing physical or sexual IPV. Those reporting IPV in the month before enrollment were excluded. We tested whether history of IPV modified intervention effectiveness and risk of relationship dissolution using population-averaged Poisson and log-binomial generalized estimating equation models. Exploratory analyses investigated associations between history of IPV and events that occurred after HIV diagnosis using log-binomial generalized estimating equation models. Results: The study enrolled 1119 index participants and 1286 partners. Among index participants, 81 (7%) had history of IPV. History of IPV did not modify APS effectiveness in testing, newly diagnosing, or linking partners to care. History of IPV did not modify the association between receiving immediate APS and relationship dissolution during the study. Conclusions: Among participants who had not experienced IPV in the last month but hadAbstract : Background: HIV assisted partner services (APS) are a notification and testing strategy for sex partners of HIV-infected index patients. This cluster-randomized controlled trial secondary data analysis investigated whether history of intimate partner violence (IPV) modified APS effectiveness and risk of relationship dissolution. Setting: Eighteen HIV testing and counseling sites in Kenya randomized to provide immediate APS (intervention) or APS delayed for 6 weeks (control). Methods: History of IPV was ascertained at study enrollment and defined as reporting ever experiencing physical or sexual IPV. Those reporting IPV in the month before enrollment were excluded. We tested whether history of IPV modified intervention effectiveness and risk of relationship dissolution using population-averaged Poisson and log-binomial generalized estimating equation models. Exploratory analyses investigated associations between history of IPV and events that occurred after HIV diagnosis using log-binomial generalized estimating equation models. Results: The study enrolled 1119 index participants and 1286 partners. Among index participants, 81 (7%) had history of IPV. History of IPV did not modify APS effectiveness in testing, newly diagnosing, or linking partners to care. History of IPV did not modify the association between receiving immediate APS and relationship dissolution during the study. Conclusions: Among participants who had not experienced IPV in the last month but had experienced IPV in their lifetimes, our results suggest that APS is an effective and safe partner notification strategy in Kenya. As APS is scaled up in different contexts, these data support including those reporting past IPV and closely monitoring adverse events. … (more)
- Is Part Of:
- Journal of acquired immune deficiency syndromes. Volume 78:Number 1(2018)
- Journal:
- Journal of acquired immune deficiency syndromes
- Issue:
- Volume 78:Number 1(2018)
- Issue Display:
- Volume 78, Issue 1 (2018)
- Year:
- 2018
- Volume:
- 78
- Issue:
- 1
- Issue Sort Value:
- 2018-0078-0001-0000
- Page Start:
- Page End:
- Publication Date:
- 2018-05-01
- Subjects:
- HIV -- assisted partner services -- partner notification -- Africa -- intimate partner violence
AIDS (Disease) -- Periodicals
Acquired Immunodeficiency Syndrome -- Periodicals
AIDS (Disease)
Periodicals
616.9792005 - Journal URLs:
- http://journals.lww.com/jaids/pages/default.aspx ↗
http://www.jaids.com ↗
http://journals.lww.com ↗ - DOI:
- 10.1097/QAI.0000000000001638 ↗
- Languages:
- English
- ISSNs:
- 1525-4135
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4644.422000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 7032.xml