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Expanding HIV prevention options for women in abusive intimate relationships: exploring the potential of pre-exposure prophylaxis (PrEP)

O'Malley, Teagen (2019) Expanding HIV prevention options for women in abusive intimate relationships: exploring the potential of pre-exposure prophylaxis (PrEP). Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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Abstract

Intimate partner violence (IPV) and HIV are issues of public health importance that significantly impact the health and well-being of women. Extensive research highlights the co-occurrence of IPV and HIV among women, underscoring the importance of interpersonal context when addressing HIV prevention. Existing HIV prevention options for women remain underused and inadequate. Pre-exposure prophylaxis (PrEP), a valued component of HIV prevention, has the potential to expand options for women at risk of HIV, specifically those in abusive and controlling relationships. However, significant gaps remain in our understanding and increased research examining the intersection of PrEP acceptability and use and IPV is critical to improve HIV prevention within contexts of IPV. This dissertation research used the results from a systematic rapid literature review and cross-sectional survey data among a sample of women attending a family planning clinic in Southwestern Pennsylvania to provide important insights and suggestions for future research, intervention development, and practice that appropriately incorporates the risk context and needs of women with IPV experience. Findings from this dissertation highlight public health and healthcare efforts necessary to develop and implement a woman-centered PrEP intervention that recognizes the impact of violence in women’s lives; values women’s decision-making and control; and supports women’s health, well-being, and safety.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
O'Malley, Teagentlo8@pitt.eduTLO8
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairBurke, Jessicajgburke@pitt.edu
Committee MemberEgan, Jamesjee48@pitt.edu
Committee MemberHawk, Marymeh96@pitt.edu
Committee MemberKrier, Sarahsek29@pitt.edu
Date: 27 June 2019
Date Type: Publication
Defense Date: 12 April 2019
Approval Date: 27 June 2019
Submission Date: 1 April 2019
Access Restriction: 2 year -- Restrict access to University of Pittsburgh for a period of 2 years.
Number of Pages: 168
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Behavioral and Community Health Sciences
Degree: PhD - Doctor of Philosophy
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: Pre-exposure prophylaxis (PrEP), HIV prevention, intimate partner violence, women
Date Deposited: 27 Jun 2019 15:25
Last Modified: 13 Apr 2020 14:02
URI: http://d-scholarship.pitt.edu/id/eprint/36183

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