Domestic Violence in Barriers to Health Care for HIV-Positive Women
- 1 February 2006
- journal article
- Published by Mary Ann Liebert Inc in AIDS Patient Care and STDs
- Vol. 20 (2), 122-132
- https://doi.org/10.1089/apc.2006.20.122
Abstract
Few studies have addressed the issue of domestic violence and health care for HIV-positive women. However, such women are at increased risk of clinical progression when domestic violence prevents access to health care or their ability to take HIV medicines on a consistent basis. To address this issue, 3 focus groups and 50 in-depth interviews were conducted at a public health clinic with HIV-positive women clients who had experienced domestic violence. The results are illustrated in 4 case studies of how domestic violence diminishes women's ability to obtain regular health care. Abused women were reluctant to keep appointments if they were afraid of their partners, if they were depressed, feeling ill or "too worn down," or if they were ashamed of being abused. Abusive partners were sometimes reported to sabotage women's efforts to seek care, keep appointments or take medications. The study concluded that domestic violence is an underrecognized barrier to women's ability to obtain regular medical care for HIV/AIDS. Effective HIV treatment is dependent on consistent HIV care, and domestic violence is a crucial barrier for some women. More research is needed to determine the most effective interventions for domestic violence in relation to HIV-positive women.Keywords
This publication has 22 references indexed in Scilit:
- Violence, mental health, and physical symptoms in an academic internal medicine practiceJournal of General Internal Medicine, 2004
- Bladder Dysfunction in Sexual Abuse SurvivorsJournal of Urology, 2003
- Interventions for Intimate Partner Violence Against WomenJAMA, 2003
- Quality of life among women living with HIV: the importance violence, social support, and self care behaviorsSocial Science & Medicine, 2000
- Physical Health Consequences of Physical and Psychological Intimate Partner ViolenceArchives of Family Medicine, 2000
- Inside “Pandora’s box”Journal of General Internal Medicine, 1998
- THE CONTEXT OF SEXUALLY TRANSMITTED DISEASE: LIFE HISTORIES OF WOMAN ABUSEIssues in Mental Health Nursing, 1998
- Domestic violence and mental health: Correlates and conundrums within and across culturesSocial Science & Medicine, 1997
- Breaking the silence. Battered women's perspectives on medical careArchives of Family Medicine, 1996
- Psychiatric diagnoses, sexual and physical victimization, and disability in patients with irritable bowel syndrome or inflammatory bowel diseasePsychological Medicine, 1995