Examining Associations Between Mental Health, IPV Exposure, HIV Risk Behaviors, and PrEP Use in South African Women: An Analysis of Data from the Charisma Study.

Journal: AIDS and behavior

Volume: 27

Issue: 6

Year of Publication: 2023

Affiliated Institutions:  Women's Global Health Imperative, RTI International, Berkeley, CA, USA. nst@uw.edu. Women's Global Health Imperative, RTI International, Berkeley, CA, USA. Wits Reproductive Health and HIV Institute, University of the Witwatersrand, Johannesburg, South Africa. Behavioral, Epidemiological & Clinical Sciences Unit, FHI , Durham, NC, USA. Department of Global Health, University of Washington, Seattle, WA, USA.

Abstract summary 

Intimate partner violence (IPV) has been associated with poorer mental health outcomes and increased human immunodeficiency virus (HIV) risk behaviors. We examine the relations between IPV, mental health symptomology (defined as psychological distress and alcohol misuse), and engagement in HIV risk behaviors among a sample of South African women who participated in a randomized controlled trial of CHARISMA, an intervention to increase women's agency to use oral pre-exposure prophylaxis (PrEP) safely and consistently as well as mitigate relationship challenges. We also examined the impact of trial participation on women's mental health, as well as the impact of psychological distress on the effectiveness of the CHARISMA intervention. Mental health symptomology and IPV exposure were prevalent and associated with some HIV risk and protective behaviors. Trial participation reduced psychological distress. There was no evidence for mental health symptomology impacting the effectiveness of the CHARISMA intervention.

Authors & Co-authors:  Triplett Noah S NS Roberts Sarah T ST Hartmann Miriam M Wagner Danielle D Reddy Krishnaveni R KR Mathebula Florence F Tolley Elizabeth E EE Baeten Jared M JM Palanee-Phillips Thesla T Montgomery Elizabeth T ET

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Simbayi L, Zuma K, Moyo S, Marinda E, Mabaso M, Ramlagan S, et al. South African National HIV Prevalence, Incidence, Behaviour and Communication Survey, 2017. 2018 [cited 2021 Oct 1]; Available from: https://repository.hsrc.ac.za/handle/20.500.11910/13760 .
Authors :  10
Identifiers
Doi : 10.1007/s10461-022-03936-7
SSN : 1573-3254
Study Population
Women
Mesh Terms
Humans
Other Terms
Adherence;Intimate partner violence (IPV);Mental Health;Pre-Exposure Prophylaxis (PrEP);South Africa
Study Design
Randomized Control Trial,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
United States