scholarly journals Enhancing domestic violence advocates’ ability to discuss HIV pre-exposure prophylaxis (PrEP): Feasibility and acceptability of an educational intervention

2022 ◽  
Vol 18 ◽  
pp. 174550652110705
Author(s):  
Tiara C Willie ◽  
Laurel Sharpless ◽  
Mauda Monger ◽  
Trace S Kershaw ◽  
Wendy B Mahoney ◽  
...  

Background: Survivors of intimate partner violence are at elevated risk for HIV acquisition, yet there is limited research on the best strategies to optimize biomedical HIV prevention, such as pre-exposure prophylaxis among this population. Domestic violence agencies are critical collaborating partners and function as potential entry points into HIV prevention services for survivors; however, limited knowledge regarding HIV prevention has been an important barrier to advocate-led discussions. This study aimed to develop, implement, and evaluate an HIV prevention intervention for domestic violence advocates. Setting: A nonrandomized, group-based intervention with pre-intervention, immediate post-intervention, and 3-month post-intervention periods were conducted with multiple domestic violence agencies in Mississippi. Methods: Overall, 25 domestic violence advocates participated in the two-session intervention. Surveys were administered to assess pre-exposure prophylaxis knowledge, self-efficacy, subjective norms, and willingness to provide HIV prevention services to intimate partner violence survivors. Generalized estimating equations were conducted to assess change in behavioral outcomes over time. Results: Compared to pre-intervention, there were significant increases at immediate and 3-month post-intervention in advocates’ intervention acceptability, pre-exposure prophylaxis knowledge, and self-efficacy to provide HIV prevention information, discuss pre-exposure prophylaxis eligibility criteria, assist pre-exposure prophylaxis-engaged clients, and initiate pre-exposure prophylaxis counseling. Conclusion: This group-based intervention enhanced domestic violence advocates’ acceptability, pre-exposure prophylaxis knowledge, and self-efficacy to offer HIV care information, discuss pre-exposure prophylaxis eligibility, assist pre-exposure prophylaxis-engaged survivors, and initiate pre-exposure prophylaxis counseling with intimate partner violence survivors. Efforts should focus on training domestic violence advocates in HIV prevention care for survivors and also include these agencies in collaborative strategies to reduce HIV incidence.

2019 ◽  
Vol 24 (5) ◽  
pp. 1342-1357 ◽  
Author(s):  
Teagen L. O’Malley ◽  
Mary E. Hawk ◽  
James E. Egan ◽  
Sarah E. Krier ◽  
Jessica G. Burke

2011 ◽  
Vol 24 (1) ◽  
pp. 57-61 ◽  
Author(s):  
Mike Bobbitt ◽  
Robin Campbell ◽  
Gloria L. Tate

This article is excerpted from Mike Bobbitt, Robin Campbell, and Gloria L. Tate's longer report of the same name published by the Vera Institute of Justice in 2006. Only a very few state and federal institutions offer services that address domestic violence among inmates during incarceration, and a smaller number provide prevention services to those reentering or their families that could reduce the risk of intimate partner violence upon release. Furthermore, only a small portion of domestic violence perpetrators may be identified as needing related in-prison programming. In 2005, the Safe Return Initiative designed a series of roundtable discussions to highlight these important issues and develop appropriate responses. The resulting report stressed that attention must be paid to conducting interventions in a culturally competent manner both before and after release and building on existing family strengths while also offering support to protect families from safety risks.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Caicedo Roa ◽  
L Gabrielle Dalaqua ◽  
P Filizola ◽  
R Cordeiro

Abstract Introduction Violence against women is a public health problem with severe consequences. Most women in situations of domestic violence are emotionally involved and/or economically dependent of their intimate partners contributing to the perpetuation and acceptance of violence. Objectives 1) To characterize the women who join the Reference and Support Center for Women (Ceamo) in Campinas, Southeast Brazil. 2) To measure the quality of life in women victims of intimate partner violence 3) To determine the risk of feminicide. Methods The Ceamo is a public specialized service from the mayor of Campinas, it provides psychological, social and legal guidance to women in situations of gender violence. Inclusion criteria: Women attending Ceamo services, speaking Portuguese, age ≥18 years old and having experienced intimate partner violence. Measure instruments: Danger assessment Scale and WHOQOL-BREF. Results During the 11 months of the study, 78 new users were recruited. Average age 38.3 years old, mostly married/stable union, most of them with children (88%). 64% of women do not work and 36% live with the abusive partner. Prevalent types of violence suffered during by the victims in the last year were psychological n = 76, physical n = 62, moral n = 54 and sexual n = 23. The domain most affected in the assessment of quality of life was the environment (average 42% /100%) and psychological domain (42%/100%). 49% of women were classified with increased risk, 22% with severe risk and 1% with extreme risk of femicide. The questions with the most positive answers were those related to believing that the partner can kill her (77%), jealous of the partner (76%) and controlling behavior (73%), being followed/spied by the partner (67%) and threat death (65%). Conclusions The service in general receive very vulnerable women with low perception of their own quality of life, precarious material conditions and high risk of femicide. Key messages The women in domestic violence situation attended by the Ceamo service are at high risk of femicide. Service users have very low perception of their quality of life and poor social conditions.


2017 ◽  
Vol 22 (4) ◽  
pp. 1190-1200 ◽  
Author(s):  
Tiara C. Willie ◽  
Jamila K. Stockman ◽  
Nicole M. Overstreet ◽  
Trace S. Kershaw

2019 ◽  
Vol 9 (4) ◽  
pp. 410-418 ◽  
Author(s):  
Meagan J. Brem ◽  
Autumn Rae Florimbio ◽  
Hannah Grigorian ◽  
Caitlin Wolford-Clevenger ◽  
JoAnna Elmquist ◽  
...  

Author(s):  
Natalie Nanasi

This chapter examines the tensions inherent in the U visa, a form of immigration relief that provides survivors of intimate partner violence a path to lawful status. Receipt of the U visa is contingent upon compulsory and continuing cooperation with law enforcement, which does not reflect the reality of the lives of many survivors of domestic violence, especially immigrant victims, who are uniquely unable, fearful or disinclined to engage with the state. As such, the vulnerabilities the U visa was intended to address are exacerbated and benefits to police and prosecutors are achieved at the expense of the victims Congress sought to protect.


Sign in / Sign up

Export Citation Format

Share Document