Abuse in the Close Relationships of People with HIV

Published in: AIDS and Behavior, v. 8, no. 4, Dec. 2004, p. 441-451

by Frank H. Galvan, Rebecca L. Collins, David E. Kanouse, M. Audrey Burnam, Susan M. Paddock, Robin L. Beckman, Steve R. Mitchell

Read More

Access further information on this document at springerlink.metapress.com

This article was published outside of RAND. The full text of the article can be found at the link above.

The authors estimated the proportion of adults receiving HIV care who are involved in abusive close relationships and identified factors associated with abuse perpetration and victimization. A nationally representative sample of 1,421 persons in care for HIV included 51% who reported having a close relationship (a spouse or a primary relationship partner) during a 6-month period. Of those in a close relationship, 26.8%reported the presence of abuse. Forty-eight percent of all abuse was mutual, and abuse perpetration and victimization occurred equally often. Age, substance abuse, and psychiatric disorder, as well as characteristics of relationships (e.g., both partners seropositive) predicted perpetration and/or victimization. After adjusting for these factors, females were not found to differ from gay men in their likelihood of being perpetrators of abuse or victims. However, African Americans were more likely than Whites to be involved in an abusive relationship. Interventions for people with HIV must address the presence of abuse in close relationships, regardless of gender or sexual orientation, but may benefit from targeting people of color.

This report is part of the RAND Corporation External publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit www.rand.org/about/research-integrity.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.