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THE INTIMATE PARTNER VIOLENCE AND HIV SYNDEMIC AMONG MSM: GAINING A BETTER UNDERSTANDING OF DISEASE OVERLAP

Ramachandran, Shruti (2008) THE INTIMATE PARTNER VIOLENCE AND HIV SYNDEMIC AMONG MSM: GAINING A BETTER UNDERSTANDING OF DISEASE OVERLAP. Master's Thesis, University of Pittsburgh. (Unpublished)

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Abstract

BACKGROUND: Social marginalization and homophobia often foster the production of syndemics and health disparities among MSM populations. Despite findings of the overlap between intimate partner violence (IPV) and HIV in various other populations, research among gay and bisexual men(GBM) and MSM continues to be limited. The small set of literature that does exist suggests excess burden of disease in MSM populations, thereby revealing the public health importance of this problem. A systematic literature review was conducted with the primary objectives of synthesizing relevant literature addressing the intersection of HIV and IPV among MSM, summarizing and critiquing this existing set of published literature, and discussing the implications for future research and practice. METHODS: A comprehensive literature search of HIV and IPV among MSM and/or GBM resulted in the synthesis of 19 studies in the U.S.. Articles were considered for full review if they met with previously established inclusion criteria. The final set of literature was analyzed for general content and for matters related to research design and methodology. RESULTS: Overall, rates of MSM-specific IPV ranged from 12% to 56%. Findings indicated that partner abuse is associated with risky sexual behavior, thereby placing MSM and GBM at greater risk for HIV. Also, prevalence of various forms of IPV among HIV positive persons was revealed. Age, race, and childhood abuse were identified as correlates in the intersection of these two epidemics. In addition, several studies also noted the co-occurrence of substance abuse, partner violence, and HIV as a trend among MSM. CONCLUSION: Several recommendations are made to strengthen the newly emerging arena of HIV and IPV syndemic research. Suggestions for policy and practice are also discussed in light of these dual epidemics found among MSM. Sound research design, measurement, and community-based participatory approaches are ultimately required for the development of MSM-specific interventions and prevention programs that tackle and stunt these mutually reinforcing epidemics.


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Details

Item Type: University of Pittsburgh ETD
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Ramachandran, Shrutishruti.ramachandran@gmail.com
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairBurke, Jessica Gjgburke@pitt.eduJGBURKE
Committee MemberSilvestre, Anthony Jtonys@pitt.eduTONYS
Committee MemberTerry, Martha Annmaterry@pitt.eduMATERRY
Date: 28 September 2008
Date Type: Completion
Defense Date: 21 July 2008
Approval Date: 28 September 2008
Submission Date: 31 July 2008
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Behavioral and Community Health Sciences
Degree: MPH - Master of Public Health
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: and gay men; battering; HIV/AIDS; MSM; partner violence
Other ID: http://etd.library.pitt.edu/ETD/available/etd-07312008-112241/, etd-07312008-112241
Date Deposited: 10 Nov 2011 19:55
Last Modified: 15 Nov 2016 13:47
URI: http://d-scholarship.pitt.edu/id/eprint/8771

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