‘If the Partner Finds Out, then there’s Trouble’: Provider Perspectives on Safety Planning and Partner Interference When Offering HIV Pre-exposure Prophylaxis (PrEP) to Women Experiencing Intimate Partner Violence (IPV)

Authors

Noelene K. Jeffers, Johns Hopkins Bloomberg School of Public Health
Jessica L. Zemlak, Marquette UniversityFollow
Lourdes Celius, Johns Hopkins University
Tiara C. Willie, Johns Hopkins Bloomberg School of Public Health
Trace Kershaw, Yale University
Kamila A. Alexander, Johns Hopkins University School of Nursing

Document Type

Article

Publication Date

7-2022

Publisher

Springer

Source Publication

AIDS and Behavior

Source ISSN

1090-7165

Original Item ID

10.1007/s10461-021-03565-6

Abstract

Pre-exposure prophylaxis is an effective women-controlled HIV prevention strategy but women experiencing intimate partner violence fear partners’ interference and subsequent violence could limit its utility. This study explores provider perceptions of safety planning strategies to prevent escalating violence, mitigate partner interference, and promote daily oral PrEP adherence. We conducted interviews (N = 36) with healthcare providers (n = 18) and IPV service providers (n = 18) in Baltimore and New Haven. Using the Contextualized Assessment for Strategic Safety Planning model we organized data into two categories: the appraisal process and strategic safety planning. Themes revealed during the appraisal process, providers conduct routine IPV screening, facilitate HIV risk perception, and offer PrEP. Strategic safety planning utilizes concealment tactics, informal sources of support, role playing and cover stories. Future interventions to enhance PrEP services among women exposed to IPV should implement safety planning strategies, integrate PrEP care with IPV services, and employ novel PrEP modalities to maximize effectiveness.

Comments

Accepted version. AIDS and Behavior, Vol. 26, No. 7 (July 2022): 2266-2278. DOI. © 2022 Springer. Used with permission.

Recommended Citation

Jeffers, Noelene K.; Zemlak, Jessica L.; Celius, Lourdes; Willie, Tiara C.; Kershaw, Trace; and Alexander, Kamila A., "‘If the Partner Finds Out, then there’s Trouble’: Provider Perspectives on Safety Planning and Partner Interference When Offering HIV Pre-exposure Prophylaxis (PrEP) to Women Experiencing Intimate Partner Violence (IPV)" (2022). College of Nursing Faculty Research and Publications. 901.
https://epublications.marquette.edu/nursing_fac/901