Intimate Partner Violence and Adherence to HIV Pre-exposure Prophylaxis (PrEP) in African Women in HIV Serodiscordant Relationships: A Prospective Cohort Study Article Swipe
Sarah T. Roberts
,
Jessica E. Haberer
,
Connie Celum
,
Nelly Mugo
,
Norma C. Ware
,
Craig R. Cohen
,
Jordan W. Tappero
,
James Kiarie
,
Allan Ronald
,
Andrew Mujugira
,
Elioda Tumwesigye
,
Edwin Were
,
Elizabeth Irungu
,
Jared M. Baeten
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1097/qai.0000000000001093
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1097/qai.0000000000001093
Background: Intimate partner violence (IPV) is associated with higher HIV incidence, reduced condom use, and poor adherence to antiretroviral therapy and other medications. IPV may also affect adherence to pre-exposure prophylaxis (PrEP). Methods: We analyzed data from 1785 HIV-uninfected women enrolled in a clinical trial of PrEP among African HIV serodiscordant couples. Experience of verbal, physical, or economic IPV was assessed at monthly visits by face-to-face interviews. Low PrEP adherence was defined as clinic-based pill count coverage <80% or plasma tenofovir levels <40 ng/mL. The association between IPV and low adherence was analyzed using generalized estimating equations, adjusting for potential confounders. In-depth interview transcripts were examined to explain how IPV could impact adherence. Results: Sixteen percent of women reported IPV during a median of 34.8 months of follow-up (interquartile range 27.0–35.0). Overall, 7% of visits had pill count coverage <80%, and 32% had plasma tenofovir <40 ng/mL. Women reporting IPV in the past 3 months had increased risk of low adherence by pill count (adjusted risk ratio 1.49, 95% confidence interval: 1.17 to 1.89) and by plasma tenofovir (adjusted risk ratio 1.51, 95% confidence interval: 1.06 to 2.15). Verbal, economic, and physical IPV were all associated with low adherence. However, the impact of IPV diminished and was not statistically significant 3 months after the reported exposure. In qualitative interviews, women identified several ways in which IPV affected adherence, including stress and forgetting, leaving home without pills, and partners throwing pills away. Conclusions: Women who reported recent IPV in the Partners PrEP Study were at increased risk of low PrEP adherence. Strategies to mitigate PrEP nonadherence in the context of IPV should be evaluated.
Related Topics
Concepts
Medicine
Serodiscordant
Pill
Interquartile range
Pre-exposure prophylaxis
Confidence interval
Domestic violence
Obstetrics
Gynecology
Poison control
Internal medicine
Human immunodeficiency virus (HIV)
Viral load
Injury prevention
Men who have sex with men
Antiretroviral therapy
Family medicine
Environmental health
Syphilis
Pharmacology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/qai.0000000000001093
- OA Status
- green
- Cited By
- 116
- References
- 60
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2407471374
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2407471374Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1097/qai.0000000000001093Digital Object Identifier
- Title
-
Intimate Partner Violence and Adherence to HIV Pre-exposure Prophylaxis (PrEP) in African Women in HIV Serodiscordant Relationships: A Prospective Cohort StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2016Year of publication
- Publication date
-
2016-05-28Full publication date if available
- Authors
-
Sarah T. Roberts, Jessica E. Haberer, Connie Celum, Nelly Mugo, Norma C. Ware, Craig R. Cohen, Jordan W. Tappero, James Kiarie, Allan Ronald, Andrew Mujugira, Elioda Tumwesigye, Edwin Were, Elizabeth Irungu, Jared M. BaetenList of authors in order
- Landing page
-
https://doi.org/10.1097/qai.0000000000001093Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://nrs.harvard.edu/urn-3:HUL.InstRepos:30370973Direct OA link when available
- Concepts
-
Medicine, Serodiscordant, Pill, Interquartile range, Pre-exposure prophylaxis, Confidence interval, Domestic violence, Obstetrics, Gynecology, Poison control, Internal medicine, Human immunodeficiency virus (HIV), Viral load, Injury prevention, Men who have sex with men, Antiretroviral therapy, Family medicine, Environmental health, Syphilis, PharmacologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
116Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 9, 2024: 8, 2023: 14, 2022: 19, 2021: 16Per-year citation counts (last 5 years)
- References (count)
-
60Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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