Skip to main content

Advertisement

Log in

Investigating Partner Abuse Among HIV-Positive Men Who have Sex with Men

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

High rates of partner abuse (PA) of all types—physical, sexual, and psychological—have been identified in studies of HIV-positive individuals. We examined both the prevalence and correlates of same-sex PA in HIV-positive men who have sex with men (MSM). Participants recruited from public outpatient HIV clinics (N = 168) completed CASI surveys about PA and current physical and mental health. Electronic medical record data were obtained for HIV biomarkers. Results indicate high rates of past year PA (physical, 19%; sexual, 17%; psychological, 51%; any, 54%), with rates comparable to, or higher than, those reported in recent studies of HIV-positive women and older studies of HIV-positive MSM. Overall, participants endorsing past year PA reported poorer mental but not physical health. Participants who endorsed past year physical PA, specifically, reported the largest number of mental health problems. HIV care providers should routinely assess PA, especially physical PA, in all MSM patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Chrisler JC, Ferguson S. Violence against women as public health issue. Ann N Y Acad Sci. 2006;1087:235–349.

    Article  PubMed  Google Scholar 

  2. National Center for Injury Prevention, Control. Costs of intimate partner violence against women in the United States. Atlanta, GA: Centers for Disease Control and Prevention; 2003.

    Google Scholar 

  3. Burke LK, Follingstad DR. Violence in lesbian and gay relationships: theory, prevalence, and correlational factors. Clin Psychol Rev. 1999;19(5):487–513.

    Article  PubMed  CAS  Google Scholar 

  4. Campbell JC. Violence against women II: health consequences of intimate partner violence. Lancet. 2002;359:1331–6.

    Article  PubMed  Google Scholar 

  5. Tjaden P, Thoennes N. Full report of the prevalence, incidence, and consequences of violence against women. Washington, DC: U.S. Department of Justice; 2000.

    Google Scholar 

  6. Greenwood GL, Relf MV, Huang B, Pollack LM, Canchola JA, Catania JA. Battering victimization among a probability-based sample of men who have sex with men. Am J Public Health. 2002;92(12):1964–9.

    Article  PubMed  Google Scholar 

  7. Cruz JM, Firestone JM. Exploring violence and abuse in gay male relationships. Violence Vict. 1998;13:159–73.

    PubMed  CAS  Google Scholar 

  8. Gielen AC, Ghandour RM, Burke JG, Mahoney P, McDonnell KA, O’Campo P. HIV/AIDS and intimate partner violence: intersecting women’s health issues in the United States. Trauma Violence Abuse. 2007;8:178–98.

    Article  PubMed  Google Scholar 

  9. National Center for HIV/AIDS, Viral Hepatitis, STD, TB Prevention. HIV in the United States: an overview. Atlanta, GA: Centers for Disease Control and Prevention; 2010.

    Google Scholar 

  10. Gielen AC, McDonnell KA, O’Campo PJ. Intimate partner violence, HIV status, and sexual risk reduction. AIDS Behav. 2002;6(2):107–16.

    Article  Google Scholar 

  11. McDonnell KA, Gielen AC, O’Campo P, Burke JG. Abuse, HIV status and health-related quality of life among a sample of HIV positive and HIV negative low income women. Qual Life Res. 2005;14(4):945–57.

    Article  PubMed  Google Scholar 

  12. Burke JG, Thieman LK, Gielen AC, O’Campo P, McDonnell KA. Intimate partner violence, substance use, and HIV among low-income women: taking a closer look. Violence Against Women. 2005;11(9):1140–61.

    Article  PubMed  Google Scholar 

  13. Colling RL, Parks GA, Marlatt GA. Social determinants of alcohol consumption: the effects of social interaction and model status on the self-administration of alcohol. J Consul Clin Psychol. 1985;53:189–200.

    Article  Google Scholar 

  14. Danielson KK, Moffit TE, Caspi A, Silva PA. Comorbidity between of an adult and DSM-III-R mental disorders: evidence from an epidemiological study. Am J Psychiatry. 1998;155(1):131–3.

    PubMed  CAS  Google Scholar 

  15. Maman S, Campbell J, Sweat MD, Gielen AC. The intersections of HIV and violence: directions for future research and interventions. Soc Sci Med. 2000;50(4):459–78.

    Article  PubMed  CAS  Google Scholar 

  16. Resnick HS, Acierno R, Kilpatrick DG. Health impact of interpersonal violence 2: medical and mental health outcomes. Behav Med. 1997;23:65–78.

    Article  PubMed  CAS  Google Scholar 

  17. Schnurr PP, Green BL. Trauma and health: physical health consequences of exposure to extreme stress. Washington, DC: American Psychological Association; 2004.

    Book  Google Scholar 

  18. Rothenberg KH, Paskey SJ. The risk of domestic violence and women with HIV infection: implications for partner notification, public policy, and the law. Am J Public Health. 1995;85(11):1569–76.

    Article  PubMed  CAS  Google Scholar 

  19. Manfrin-Ledet L, Porche DJ. The state of science. Violence and HIV infection in women. J Assoc Nurses AIDS Care. 2003;14(6):56–68.

    Article  PubMed  Google Scholar 

  20. Lichtenstein B. Domestic violence, sexual ownership, and HIV risk in women in the American deep south. Soc Sci Med. 2005;60(4):701–11.

    Article  PubMed  Google Scholar 

  21. Zierler S, Cunningham WE, Anderson R, et al. Violence victimization after HIV infection in a U.S. probability sample of adult patients in primary care. Am J Public Health. 2000;90(2):208–15.

    Article  PubMed  CAS  Google Scholar 

  22. Relf MV. Battering and HIV in men who have sex with men: a critique and synthesis of the literature. J Assoc Nurses AIDS Care. 2001;12(3):41–8.

    Article  PubMed  CAS  Google Scholar 

  23. Bogart LM, Collins RL, Cunningham W, et al. The association of partner abuse with risky sexual behaviors among women and men with HIV/AIDS. AIDS Behav. 2005;9(3):325–33.

    Article  PubMed  Google Scholar 

  24. Galvan FH, Collins R, Kanouse DE, et al. Abuse in the close relationships of people with HIV. AIDS Behav. 2004;8(4):441–51.

    Article  PubMed  Google Scholar 

  25. Stewart SH, Israeli AL. Substance abuse and co-occurring psychiatric disorders in victims of intimate violence. In: Wekerle C, Wall AM, editors. The violence and addiction equation: theoretical and clinical issues in substance abuse and relationship violence. New York, NY: Brunner-Routledge; 2002. p. 98–122.

    Google Scholar 

  26. Testa M. The role of substance use in male-to-female physical and sexual violence: a brief review and recommendations for future research. J Interpers Violence. 2004;19(12):1494–505.

    Article  PubMed  Google Scholar 

  27. Plichta SB. Intimate partner violence and physical health consequences: policy and practice implications. J Interpers Violence. 2004;19(11):1296–323.

    Article  PubMed  Google Scholar 

  28. Lipsey MW, Wilson DB, Cohen MA, Derzon JH. Is there a causal relationship between alcohol use and violence? A synthesis of evidence. In: Galanter M, editor. Recent developments in alcoholism (vol. 13): alcohol and violence. New York: Plenum Press; 1997. p. 245–82.

    Google Scholar 

  29. Cunradi CB, Caetano R, Clark CL, Schafer J. Alcohol-related problems and intimate partner violence among white, black and Hispanic couples in the U.S. Alcohol Clin Exp Res. 1999;23:1492–501.

    Article  PubMed  CAS  Google Scholar 

  30. Kaufman Kantor G, Straus MA. The “drunken bum” theory of wife beating. Soc Probl. 1987;34:213–30.

    Article  Google Scholar 

  31. Field CA, Caetano R, Nelson S. Alcohol and violence related cognitive risk factors associated with perpetration of intimate partner violence. J Fam Violence. 2004;19:249–53.

    Article  Google Scholar 

  32. Quigley BM, Leonard KE. Alcohol expectancies and intoxicated aggression. Aggress Violent Behav. 2006;11:484–96.

    Article  Google Scholar 

  33. Kaysen D, Dillworth TM, Simpson T, Waldrop A, Larimer ME, Resick PA. Domestic violence and alcohol use: trauma-related symptoms and motives for drinking. Addict Behav. 2007;32:1272–83.

    Article  PubMed  Google Scholar 

  34. Friedman SH, Loue S. Incidence and prevalence of intimate partner violence by and against women with severe mental illness. J Womens Health. 2007;19(4):471–80.

    Article  Google Scholar 

  35. Coker AL, Davis KE, Arias I, Desai S, Sanderson M, Brandt HM, Smith PH. Physical and mental health effects of intimate partner violence for men and women. Am J Prev Med. 2002;23:260–8.

    Article  PubMed  Google Scholar 

  36. Dejonghe ES, Bogat GA, Levendosky AA, von Eye A. Women survivors of intimate partner violence and post-traumatic stress disorder: prediction and prevention. J Postgrad Med. 2008;54(4):294–300.

    Article  PubMed  CAS  Google Scholar 

  37. Dutton MA. Pathways linking intimate partner violence and posttraumatic disorder. Trauma Violence Abuse. 2009;10:211–24.

    Article  PubMed  Google Scholar 

  38. Ehrensaft MK, Moffitt TE, Caspi A. Is domestic violence followed by an increased risk of psychiatric disorders among women but not among men? A longitudinal cohort study. Am J Psychiatry. 2006;163:885–92.

    Article  PubMed  Google Scholar 

  39. Mechanic MB, Weaver TL, Resick PA. Mental health consequences of intimate partner abuse: a multidimensional assessment of four different forms of abuse. Violence Against Women. 2008;14:634–54.

    Article  PubMed  Google Scholar 

  40. Leiner AS, Compton MT, Kaslow NJ. Intimate partner violence, psychological distress, and suicidality: a path model using data from African American women seeking care in an urban emergency department. J Fam Violence. 2008;23:473–81.

    Article  Google Scholar 

  41. McCaw B, Golding Jm, Farley M, Minkoff JR. Domestic violence and abuse, health status, and social functioning. Women Health. 2007;45:1–23.

    PubMed  Google Scholar 

  42. Renner LM, Markward MJ. Factors associated with suicidal ideation among women abused in intimate partner relationships. Smith Coll Stud Soc Work. 2009;79:139–54.

    Article  Google Scholar 

  43. Testa M, Livingston JA, Leonard KE. Women’s substance use and experiences of intimate partner violence: a longitudinal investigation among a community sample. Addict Behav. 2003;28:1649–64.

    Article  PubMed  Google Scholar 

  44. Clotnick C, Johnson DM, Kohn R. Intimate partner violence and long-term psychosocial functioning in a national sample of American Women. J Interpers Violence. 2006;21:262–75.

    Article  Google Scholar 

  45. Straus MA, Hamby SL, Boney-McCOy S, Sugarman DB. The revised conflict tactics scales (CTS2). J Fam Issues. 1996;17(3):283–316.

    Article  Google Scholar 

  46. Kilpatrick DG. What is violence against women? Defining and measuring the problem. J Interpers Violence. 2004;19(11):1209–34.

    Article  PubMed  Google Scholar 

  47. Follingstad DR. Rethinking current approaches to psychological abuse: Conceptual and methodological issues. Aggress Violent Behav. 2007;12:439–58.

    Article  Google Scholar 

  48. Metzger DS, Koblin B, Turner C, et al. Randomized controlled trial of audio computer-assisted self-interviewing: utility and acceptability in longitudinal studies. Am J Epidemiol. 2000;152(2):99–106.

    Article  PubMed  CAS  Google Scholar 

  49. Rhodes KV, Lauderdale DS, He T, Howes DS, Levinson W. “Between me and the computer:” increased detection of intimate partner violence using a computer questionnaire. Ann Emerg Med. 2002;40(5):476–84.

    Article  PubMed  Google Scholar 

  50. Silvern L, Waelde LC, Baughan BM, Karyl J, Kaersvang LL. Two formats for eliciting retrospective reports of child sexual and physical abuse: effects on apparent prevalence and relationships to adjustment. Child Maltreat. 2000;5(3):236–50.

    Article  PubMed  CAS  Google Scholar 

  51. Spielberger CD. State-Trait Personality Inventory (STPI), Preliminary Manual. University of South Florida: Unpublished manuscript; 1979

  52. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1977;1:385–401.

    Article  Google Scholar 

  53. Sherbourne CD, Stewart AL. The MOS social support survey. Soc Sci Med. 1991;32(6):705–14.

    Article  PubMed  CAS  Google Scholar 

  54. Harkavy-Friedman JM, Asnis G. Assessment of suicidal behavior: a new instrument. Psychiatr Ann. 1989;19(7):382–7.

    Google Scholar 

  55. Vanable PA, Carey MP, Blair DC, Littlewood RA. Impact of HIV-related stigma on health behaviors and psychological adjustment among HIV-positive men and women. AIDS Behav. 2006;10(5):473–82.

    Article  PubMed  Google Scholar 

  56. Carver CS. You want to measure coping but your protocol’s too long: consider the Brief COPE. Int J Behav Med. 1997;4(1):92–100.

    Article  PubMed  CAS  Google Scholar 

  57. Collins RL, Parks GA, Marlatt GA. Social determinants of alcohol consumption: the effects of social interaction and model status on self-administration of alcohol. J Consult Clin Psychol. 1985;53:189–200.

    Article  PubMed  CAS  Google Scholar 

  58. Buchacz K, McFarland W, Kellogg TA, et al. Amphetamine use is associated with increased HIV incidence among men who have sex with men in San Francisco. AIDS. 2005;19:1423–4.

    Article  PubMed  Google Scholar 

  59. Wu AW, Revicki DA, Jacobson DL, Malitz FE. Evidence for reliability, validity, and usefulness of the Medical Outcomes Study HIV Health Survey (MOS-HIV). Qual Life Res. 1997;6:481–93.

    Article  PubMed  CAS  Google Scholar 

  60. Wilson I, Kaplan S. Physician-patient communication in HIV disease: the importance of patient, physician, and visit characteristics. J Acquir Immune Defic Syndr. 2000;25(5):417–25.

    Article  PubMed  CAS  Google Scholar 

  61. Lu M, Safren SA, Skolnik PR, et al. Optimal recall period and response task for self-reported HIV medication adherence. AIDS Behav. 2008;12(1):86–94.

    Article  PubMed  Google Scholar 

  62. Westfall P, Tobias R, Rom D, Wolfinger R, Hochberg T. Multiple comparisons and multiple tests using SAS. Cary, NC: SAS Institute, Inc.; 1999.

    Google Scholar 

  63. Rodriguez MA, Bauer HM, McLoughlin E, Grumbach K. Screening and intervention for intimate partner abuse: practices and attitudes of primary care physicians. J Am Med Assoc. 1999;282(5):468–74.

    Article  CAS  Google Scholar 

  64. Zink T, Elder N, Jacobson J, Klostermann B. Medical management of intimate partner violence considering the stages of change: precontemplation and contemplation. Ann Fam Med. 2004;2(3):231–9.

    Article  PubMed  Google Scholar 

  65. Whetten K, Reif S, Whetten R, Murphy-McMillan LK. Trauma, mental health distrust, and stigma among HIV positive persons: implications for effective care. Psychosom Med. 2008;70(5):531–8.

    Article  PubMed  Google Scholar 

  66. Craft SM, Serovich JM. Family-of-origin factors and partner violence in the intimate relationships of gay men who are HIV positive. J Interpers Violence. 2005;20(7):777–91.

    Article  PubMed  Google Scholar 

  67. McCauley J, Kern DE, Kolodner K, et al. The “battering syndrome”: prevalence and clinical characteristics of domestic violence in primary care internal medicine practices. Ann Intern Med. 1995;123:737–46.

    PubMed  CAS  Google Scholar 

  68. Flitcraft A. From public health to personal health: violence against women across the lifespan. Ann Intern Med. 1995;123:800–1.

    PubMed  CAS  Google Scholar 

  69. Benson M, Wooldredge J, Thistlethwaite A, Fox G. The correlation between race and domestic violence is confounded with community context. Soc Probl. 2004;51(3):326–42.

    Article  Google Scholar 

  70. Hampton RL, Gelle RJ. Violence toward African American women in a nationally representative sample of African American families. J Comp Fam Stud. 1994;25:105–19.

    Google Scholar 

  71. Greenfeld LA, Rand MR, Craven D, et al. Violence by intimates: analysis of data on crimes by current or former spouses, boyfriends, and girlfriends. Washington, DC: United States Department of Justice; 1998.

    Google Scholar 

  72. Tjaden P, Thoennes N. Prevalence, incidence, and consequences of violence against women: findings from the national violence against women survey. Washington, DC: U.S. Department of Justice; 1998.

    Google Scholar 

  73. Benson ML, Fox GL, DeMaris A, Van Wyk J. Violence in families: the intersection of race, poverty, and community context. In: Fox GL, Benson ML, editors. Families, crime, and criminal justice. New York, NY: Elsevier Science; 2000. p. 91–109.

    Chapter  Google Scholar 

  74. Sorenson SB, Upchurch DM, Haikang S. Violence and injury in marital arguments: risk patterns and gender differences. Am J Public Health. 1996;86:35–40.

    Article  PubMed  CAS  Google Scholar 

  75. Stets JE. Cohabiting and marital aggression: the role of social isolation. J Marriage Fam. 1991;53:669–80.

    Article  Google Scholar 

  76. Umberson D, Anderson K, Glick J, Shapiro A. Domestic violence, personal control, and gender. J Marriage Fam. 1998;60:442–52.

    Article  Google Scholar 

  77. Robertiello G. Common mental health correlates of domestic violence. Brief Treat Crisis Interv. 2006;6(2):111–21.

    Article  Google Scholar 

  78. Meyer I. Prejudice, social stress, and mental health in lesbian, gay and bisexual populations. Psychol Bull. 2003;129(5):674–97.

    Article  PubMed  Google Scholar 

  79. Pantalone DW, Hessler DM, Simoni JM. Mental health pathways from interpersonal violence to health-related outcomes in HIV-positive sexual minority men. J Consult Clin Psychol. 2010;78(3):387–97.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

This research was supported by a National Institute of Mental Health award (F31 MH71179) and a small grant from the Robert C. Bolles Research Fund of the University of Washington, both awarded to the first author. The authors wish to express sincere gratitude to Jessica Colon, the project’s research assistants at the University of Washington, and the staff and patients of the cooperating clinics. An earlier version of this paper was presented at the 117th Annual Convention of the American Psychological Association, Toronto, Ontario, Canada, 2009.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to David W. Pantalone.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pantalone, D.W., Schneider, K.L., Valentine, S.E. et al. Investigating Partner Abuse Among HIV-Positive Men Who have Sex with Men. AIDS Behav 16, 1031–1043 (2012). https://doi.org/10.1007/s10461-011-0011-2

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-011-0011-2

Keywords

Navigation