Skip to main content
American Journal of Public Health logoLink to American Journal of Public Health
. 2000 Feb;90(2):208–215. doi: 10.2105/ajph.90.2.208

Violence victimization after HIV infection in a US probability sample of adult patients in primary care.

S Zierler 1, W E Cunningham 1, R Andersen 1, M F Shapiro 1, T Nakazono 1, S Morton 1, S Crystal 1, M Stein 1, B Turner 1, P St Clair 1, S A Bozzette 1
PMCID: PMC1446146  PMID: 10667181

Abstract

OBJECTIVES: This study estimated the proportion of HIV-infected adults who have been assaulted by a partner or someone important to them since their HIV diagnosis and the extent to which they reported HIV-seropositive status as a cause of the violence. METHODS: Study participants were from a nationally representative probability sample of 2864 HIV-infected adults who were receiving medical care and were enrolled in the HIV Costs and Service Utilization Study. All interviews (91% in person, 9% by telephone) were conducted with computer-assisted personal interviewing instruments. Interviews began in January 1996 and ended 15 months later. RESULTS: Overall, 20.5% of the women, 11.5% of the men who reported having sex with men, and 7.5% of the heterosexual men reported physical harm since diagnosis, of whom nearly half reported HIV-seropositive status as a cause of violent episodes. CONCLUSIONS: HIV-related care is an appropriate setting for routine assessment of violence. Programs to cross-train staff in antiviolence agencies and HIV care facilities need to be developed for men and women with HIV infection.

Full Text

The Full Text of this article is available as a PDF (119.8 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Farmer P., Lindenbaum S., Good M. J. Women, poverty and AIDS: an introduction. Cult Med Psychiatry. 1993 Dec;17(4):387–397. doi: 10.1007/BF01379306. [DOI] [PubMed] [Google Scholar]
  2. Fisher B., Hovell M., Hofstetter C. R., Hough R. Risks associated with long-term homelessness among women: battery, rape, and HIV infection. Int J Health Serv. 1995;25(2):351–369. doi: 10.2190/FYAR-WEYE-M1T8-7MF3. [DOI] [PubMed] [Google Scholar]
  3. Frankel M. R., Shapiro M. F., Duan N., Morton S. C., Berry S. H., Brown J. A., Burnam M. A., Cohn S. E., Goldman D. P., McCaffrey D. F. National probability samples in studies of low-prevalence diseases. Part II: Designing and implementing the HIV cost and services utilization study sample. Health Serv Res. 1999 Dec;34(5 Pt 1):969–992. [PMC free article] [PubMed] [Google Scholar]
  4. Gielen A. C., O'Campo P., Faden R. R., Eke A. Women's disclosure of HIV status: experiences of mistreatment and violence in an urban setting. Women Health. 1997;25(3):19–31. doi: 10.1300/J013v25n03_02. [DOI] [PubMed] [Google Scholar]
  5. Kiecolt-Glaser J. K., Glaser R. Psychoneuroimmunology and health consequences: data and shared mechanisms. Psychosom Med. 1995 May-Jun;57(3):269–274. doi: 10.1097/00006842-199505000-00008. [DOI] [PubMed] [Google Scholar]
  6. Kilpatrick D. G., Acierno R., Resnick H. S., Saunders B. E., Best C. L. A 2-year longitudinal analysis of the relationships between violent assault and substance use in women. J Consult Clin Psychol. 1997 Oct;65(5):834–847. doi: 10.1037//0022-006x.65.5.834. [DOI] [PubMed] [Google Scholar]
  7. Ladwig G. B., Andersen M. D. Substance abuse in women: relationship between chemical dependency of women and past reports of physical and/or sexual abuse. Int J Addict. 1989 Aug;24(8):739–754. doi: 10.3109/10826088909047310. [DOI] [PubMed] [Google Scholar]
  8. Marks G., Bundek N. I., Richardson J. L., Ruiz M. S., Maldonado N., Mason H. R. Self-disclosure of HIV infection: preliminary results from a sample of Hispanic men. Health Psychol. 1992;11(5):300–306. doi: 10.1037//0278-6133.11.5.300. [DOI] [PubMed] [Google Scholar]
  9. Mason H. R., Marks G., Simoni J. M., Ruiz M. S., Richardson J. L. Culturally sanctioned secrets? Latino men's nondisclosure of HIV infection to family, friends, and lovers. Health Psychol. 1995 Jan;14(1):6–12. doi: 10.1037//0278-6133.14.1.6. [DOI] [PubMed] [Google Scholar]
  10. McCauley J., Kern D. E., Kolodner K., Dill L., Schroeder A. F., DeChant H. K., Ryden J., Bass E. B., Derogatis L. R. The "battering syndrome": prevalence and clinical characteristics of domestic violence in primary care internal medicine practices. Ann Intern Med. 1995 Nov 15;123(10):737–746. doi: 10.7326/0003-4819-123-10-199511150-00001. [DOI] [PubMed] [Google Scholar]
  11. Miles S., Parker K. Men, women, and health insurance. N Engl J Med. 1997 Jan 16;336(3):218–221. doi: 10.1056/NEJM199701163360312. [DOI] [PubMed] [Google Scholar]
  12. North R. L., Rothenberg K. H. Partner notification and the threat of domestic violence against women with HIV infection. N Engl J Med. 1993 Oct 14;329(16):1194–1196. doi: 10.1056/NEJM199310143291612. [DOI] [PubMed] [Google Scholar]
  13. O'Campo P., Gielen A. C., Faden R. R., Xue X., Kass N., Wang M. C. Violence by male partners against women during the childbearing year: a contextual analysis. Am J Public Health. 1995 Aug;85(8 Pt 1):1092–1097. doi: 10.2105/ajph.85.8_pt_1.1092. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Plichta S. B., Duncan M. M., Plichta L. Spouse abuse, patient-physician communication, and patient satisfaction. Am J Prev Med. 1996 Sep-Oct;12(5):297–303. [PubMed] [Google Scholar]
  15. Resnick H. S., Acierno R., Kilpatrick D. G. Health impact of interpersonal violence. 2: Medical and mental health outcomes. Behav Med. 1997 Summer;23(2):65–78. doi: 10.1080/08964289709596730. [DOI] [PubMed] [Google Scholar]
  16. Rodriguez M. A., Brindis C. D. Violence and Latino youth: prevention and methodological issues. Public Health Rep. 1995 May-Jun;110(3):260–267. [PMC free article] [PubMed] [Google Scholar]
  17. Rothenberg K. H., Paskey S. J. The risk of domestic violence and women with HIV infection: implications for partner notification, public policy, and the law. Am J Public Health. 1995 Nov;85(11):1569–1576. doi: 10.2105/ajph.85.11.1569. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Shapiro M. F., Berk M. L., Berry S. H., Emmons C. A., Athey L. A., Hsia D. C., Leibowitz A. A., Maida C. A., Marcus M., Perlman J. F. National probability samples in studies of low-prevalence diseases. Part I: Perspectives and lessons from the HIV cost and services utilization study. Health Serv Res. 1999 Dec;34(5 Pt 1):951–968. [PMC free article] [PubMed] [Google Scholar]
  19. Waldner-Haugrud L. K., Gratch L. V., Magruder B. Victimization and perpetration rates of violence in gay and lesbian relationships: gender issues explored. Violence Vict. 1997 Summer;12(2):173–184. [PubMed] [Google Scholar]
  20. Zierler S., Krieger N. Reframing women's risk: social inequalities and HIV infection. Annu Rev Public Health. 1997;18:401–436. doi: 10.1146/annurev.publhealth.18.1.401. [DOI] [PubMed] [Google Scholar]
  21. Zierler S., Witbeck B., Mayer K. Sexual violence against women living with or at risk for HIV infection. Am J Prev Med. 1996 Sep-Oct;12(5):304–310. [PubMed] [Google Scholar]

Articles from American Journal of Public Health are provided here courtesy of American Public Health Association

RESOURCES