title: Addressing the intersections of violence and HIV/AIDS: a qualitative study of service providers.
abstract: This article examines what measures health care and social service providers take to address intersections between various forms of violence and HIV/AIDS in the delivery of services to their clients/patients. We operated within an organizationallinteractional uncertainty theoretical framework and analyzed qualitative interview data from 30 providers offering services related to violence or HIV/AIDS in the San Francisco Bay Area. We found that providers used several strategies to mitigate crossover risk, but they enacted these measures on a case-by-case basis and tended not to follow a dedicated and complete protocol with every client/patient. We also identify nine factors that affected providers' capacity to discern and effectively address violence-HIV/AIDS intersections, present providers' descriptions of their needs in terms of addressing crossover risk, and discuss implications for interventions.
authors.affiliation: California State University, Fullerton, Department of Health Science, Fullerton, CA 92834, USA. adistefano@fullerton.edu
authors.forename: Anthony S
authors.initials: AS
authors.lastname: DiStefano
authors.forename: Randolph D
authors.initials: RD
authors.lastname: Hubach
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology* / Q000628:therapy; D000328:Adult; D000739:Anecdotes as Topic; D001291:Attitude of Health Personnel; D002140:California; D003153:Community Health Services / Q000706:statistics & numerical data*; D019058:Community Networks / Q000458:organization & administration; D005260:Female; D015658:HIV Infections / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D011369:Professional-Patient Relations; D036301:Qualitative Research; D012307:Risk Factors; D012944:Social Support; D014754:Violence / Q000523:psychology / Q000706:statistics & numerical data*; D055815:Young Adult