The Moderating Effects of HIV Relevant Factors on the Relationship Between Intimate Partner Violence and Intention to Start HIV Pre-exposure Prophylaxis (PrEP) Among Cisgender Women

Authors

• Shimrit Keddem
• Victoria Frye
• Annet Davis
• Beryl A Koblin
• Hong-Van Tieu
• Rachele K Lipsky
• Vijay Nandi
• Anne M Teitelman

Language

English

Publication Date

4-1-2024

Journal

Archives of Sexual Behavior

DOI

10.1007/s10508-024-02812-w

PMID

38366311

PMCID

PMC13371725

PubMedCentral® Posted Date

7-16-2026

PubMedCentral® Full Text Version

Author MSS

Abstract

Background:

Intimate partner violence (IPV) and HIV are serious and related public health problems that detrimentally impact women’s health. Because women who experience IPV are more likely to acquire HIV, it is critical to promote HIV prevention strategies, such as HIV pre-exposure prophylaxis (PrEP), that increase autonomy.

Setting:

This study of cis-gender women eligible for HIV PrEP took place between 2017 and 2019 in Philadelphia and New York City.

Methods:

This study aimed to examine the relationship between four types of IPV (control, psychological, psychological, physical, sexual) and intention to start PrEP among PrEP-eligible cisgender women; and assess the extent to which HIV relevant factors moderate the association between IPV experience and intention to start PrEP.

Results:

In this sample (n=214) of PrEP-eligible women, 68.7% indicated intention to start PrEP in the next 3 months. Ethnicity was strongly associated with intention to start PrEP, with Hispanic women having the highest odds of intending to start PrEP in the next 3 months. Having a controlling partner significantly predicted intention to start PrEP. Women with more than one sex partner and a controlling partner had higher odds of intending to start PrEP as compared with those who had one or no partners and had no IPV control.

Conclusion:

These findings point to a need for patient-centered interventions that address the need for safety and autonomy among cisgender, PrEP-eligible women.

Keywords

Humans, Female, Pre-Exposure Prophylaxis, Intention, HIV Infections, Intimate Partner Violence, Sexual Behavior, Sexual Partners, Women, HIV, Pre-exposure prophylaxis, Intimate partner violence, prevention

Published Open-Access

yes

Recommended Citation

Keddem, Shimrit; Frye, Victoria; Davis, Annet; et al., "The Moderating Effects of HIV Relevant Factors on the Relationship Between Intimate Partner Violence and Intention to Start HIV Pre-exposure Prophylaxis (PrEP) Among Cisgender Women" (2024). Faculty, Staff and Students Publications. 7800.
https://digitalcommons.library.tmc.edu/baylor_docs/7800