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Randomized Controlled Trial
. 2023 Jun;27(6):2030-2040.
doi: 10.1007/s10461-022-03936-7. Epub 2022 Dec 2.

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

Noah S Triplett  1   2 , Sarah T Roberts  3 , Miriam Hartmann  3 , Danielle Wagner  3 , Krishnaveni R Reddy  4 , Florence Mathebula  4 , Elizabeth E Tolley  5 , Jared M Baeten  6 , Thesla Palanee-Phillips  4 , Elizabeth T Montgomery  3
Affiliations
Randomized Controlled Trial

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

Noah S Triplett et al. AIDS Behav. 2023 Jun.

Abstract

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.

Keywords: Adherence; Intimate partner violence (IPV); Mental Health; Pre-Exposure Prophylaxis (PrEP); South Africa.

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References

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