title: Partner violence and health among HIV-infected jail detainees.
abstract: OBJECTIVE
  Little is known about the association of intimate partner violence (IPV) with specific HIV-treatment outcomes, especially among criminal justice (CJ) populations who are disproportionately affected by IPV, HIV, mental, and substance use disorders (SUDs) and are at high risk of poor post-release continuity of care.
  
  
  METHODS
  Mixed methods were used to describe the prevalence, severity, and correlates of lifetime IPV exposure among HIV-infected jail detainees enrolled in a novel jail-release demonstration project in Connecticut. Additionally, the effect of IPV on HIV treatment outcomes and longitudinal healthcare utilization was examined.
  
  
  RESULTS
  Structured baseline surveys defined 49 percent of 84 participants as having significant IPV exposure, which was associated with female gender, longer duration since HIV diagnosis, suicidal ideation, having higher alcohol use severity, having experienced other forms of childhood and adulthood abuse, and homo/bisexual orientation. IPV was not directly correlated with HIV healthcare utilization or treatment outcomes. In-depth qualitative interviews with 20 surveyed participants, however, confirmed that IPV was associated with disengagement from HIV care especially in the context of overlapping vulnerabilities, including transitioning from CJ to community settings, having untreated mental disorders, and actively using drugs or alcohol at the time of incarceration.
  
  
  CONCLUSIONS
  Post-release interventions for HIV-infected CJ populations should minimally integrate HIV secondary prevention with violence reduction and treatment for SUDs.
authors.forename: Jaimie P
authors.initials: JP
authors.lastname: Meyer
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Wickersham
authors.forename: Jeannia J
authors.initials: JJ
authors.lastname: Fu
authors.forename: Shan-Estelle
authors.initials: SE
authors.lastname: Brown
authors.forename: Tami P
authors.initials: TP
authors.lastname: Sullivan
authors.forename: Sandra A
authors.initials: SA
authors.lastname: Springer
authors.forename: Frederick L
authors.initials: FL
authors.lastname: Altice
mesh_terms: D000328:Adult; D000437:Alcoholism; D003237:Connecticut / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000523:psychology; D006296:Health Services / Q000706:statistics & numerical data*; D006304:Health Status; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D011329:Prisoners / Q000706:statistics & numerical data*; D011330:Prisons; D012720:Severity of Illness Index; D012737:Sex Factors; D019529:Sexuality; D013179:Spouse Abuse / Q000523:psychology / Q000706:statistics & numerical data*; D013997:Time Factors