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Screening Persons Newly Diagnosed With HIV/AIDS for Risk of Intimate Partner Violence: Early Progress in Changing Practice

Klein, Susan J.; Tesoriero, James M. PhD; Leung, Shu-Yin John MA; Heavner, Karyn K. MSPH; Birkhead, Guthrie S. MD, MPH

Journal of Public Health Management & Practice: September/October 2008 - Volume 14 - Issue 5 - p 420–428
doi: 10.1097/01.PHH.0000333875.32701.ca
Article

Interventions to prevent intimate partner violence (IPV), including among those at risk for or living with HIV/AIDS, are needed. In 2001, screening persons who test positive for HIV for risk of IPV was required in New York State, launching the first large-scale program to screen for IPV risk in conjunction with HIV counseling and testing (HCT). Written surveys of counselors, physicians, and agency supervisors explored attitudes, practices, knowledge, and training needs surrounding screening for risk of IPV during HCT. Most HCT providers were aware of screening requirements, but practice varied. Counselors were more likely to screen than were physicians and asked more screening questions. Despite guidelines, screening was generally not standardized and sporadic. IPV screening in conjunction with HCT is possible. Building capacity and commitment of local HCT providers through provision of training and by fostering partnerships with public health partner services staff can help overcome identified barriers to preventing IPV in a high-risk population.

This study focuses on interventions to prevent intimate partner violence, including among those at risk for or living with HIV/AIDS.

James M. Tesoriero, PhD, is Director, Office of Program Evaluation and Research, NYSDOH AIDS Institute.

Shu-Yin John Leung, MA, is Evaluation Specialist, Office of Program Evaluation and Research, NYSDOH AIDS Institute.

Karyn K. Heavner, MSPH, is Evaluation Specialist, Office of Program Evaluation and Research, NYSDOH AIDS Institute.

Guthrie S. Birkhead, MD, MPH, is Deputy Commissioner, NYS Department of Health (NYSDOH) and Associate Professor of Epidemiology, School of Public Health, University at Albany.

Corresponding Author: Susan J. Klein, MS, Deputy Director, AIDS Institute, New York State Department of Health, Corning Tower, Room 412, Albany, NY 12237 (sjk06@health.state.ny.us).

This work was supported by the Centers for Disease Control and Prevention research on the impact of laws and policies on public health R06/CCR218723 and HIV Prevention Cooperative Agreement U62/CCU202061–17 (Guthrie S. Birkhead, principal investigator) Health Research, Inc, and the NYS Department of Health.

© 2008 Lippincott Williams & Wilkins, Inc.