@article{ref1,
title="Intimate partner violence and the HIV care and treatment cascade among adolescent girls and young women in DREAMS, South Africa",
journal="Journal of Acquired Immune Deficiency Syndromes",
year="2021",
author="Gibbs, Andrew and Reddy, Tarylee and Closson, Kalysha and Cawood, Cherie and Khanyile, David and Hatcher, Abigail",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Intimate partner violence (IPV) may impact on the HIV-treatment cascade. SETTING: Four high HIV-prevalence DREAMS health districts in South Africa. <br><br>METHODS: Secondary analysis of cross-sectional data collected March 2017-June 2018, using random household sample of young (12-24 years) girls and women. Face-to-face interviews assessed IPV and HIV-status knowledge, and finger-prick blood draws assessed ART uptake and viral suppression. We used logistic regression to estimate crude and adjusted effects of IPV on HIV knowledge, ART uptake, and viral suppression. <br><br>RESULTS: Of 18,230 adolescent girls and young women, 8,413 (46%) reported ever having had sex of whom 1118 (13%) were HIV-positive. The 90:90:90 benchmarks were: 61% knew their status, 86% had ART present in their blood sample, 91% were virally suppressed. Among the entire sample of young women living with HIV, 65.6% were virally suppressed. Past year IPV was reported by 15%. In adjusted models, IPV trended towards increasing the odds that a young woman was aware she was living with HIV (aOR=1.40, 2.00-9.98, p=0.067). There was no association between IPV and reduced treatment use (aOR=0.73, 0.41-1.29). IPV was independently associated with reduced viral suppression (aOR=0.30, 0.13-0.66). <br><br>CONCLUSIONS: Addressing the role of IPV in undermining the treatment cascade for adolescent and young women is a critical issue for HIV-programming.<p /> <p>Language: en</p>",
language="en",
issn="1525-4135",
doi="10.1097/QAI.0000000000002843",
url="http://dx.doi.org/10.1097/QAI.0000000000002843"
}