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Tobacco, Alcohol, Drug Use, and Intimate Partner Violence Among MSM Living With HIV

Chen, Wei-Ti RN, CNM, PhD, FAAN*; Shiu, Chengshi MSW, PhD, GStat; Yang, Joyce P. PhD; Chuang, Peing RN, MSN*; Berg, Kristin MSW, PhD; Chen, Li-Chen; Chi, Pei-Chun BS

Journal of the Association of Nurses in AIDS Care: November-December 2019 - Volume 30 - Issue 6 - p 610–618
doi: 10.1097/JNC.0000000000000090
Research Article
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Men who have sex with men (MSM) and are living with HIV have reported high rates of intimate partner violence (IPV) and substance use. We examined relationships between accumulative IPV, incidents of IPV, and numbers of substances used. One hundred twenty Taiwanese MSM living with HIV completed a cross-sectional survey. Accumulative IPV was assessed by summing the number of 15 types of IPV experienced in the previous year; substance use was measured by any use of alcohol, tobacco, or other drugs during the previous week. In multivariate analysis, IPV was not associated with tobacco use but was positively associated with alcohol and other drug use and significantly associated with the probability of using multiple substances. MSM living with HIV who experienced greater IPV were more likely to use alcohol and other drugs and were more likely to use more than one substance. Health care providers screening for IPV should also screen for substance use.

Wei-Ti Chen, RN, CNM, PhD, FAAN, is an Associate Professor, University of California Los Angeles, School of Nursing, Los Angeles, California, USA. Chengshi Shiu, MSW, PhD, GStat, is a Postdoctoral Fellow, University of California Los Angeles, School of Nursing, Los Angeles, California, USA. Joyce P. Yang, PhD, is a Postdoctoral Fellow, Department of Psychiatry and Behavioral Sciences, Stanford University, Los Altos, California, USA. Peing Chuang, RN, MSN, is the Nursing Director, Taipei Union Hospital, Kunming Branch, Center of Disease Prevention and Control, Taipei, Taiwan. Kristin Berg, MSW, PhD, is an Assistant Professor, Center for Disabilities and Associate Professor of Pediatrics, Sanford School of Medicine, University of South Dakota, Vermillion, South Dakota, USA. Li-Chen Chen, is a Nursing Student, School of Nursing, National Cheng Kung University, Tainan, Taiwan. Pei-Chun Chi, BS, is a Project Manager, Taipei Union Hospital, Kunming Branch, Center of Disease Prevention and Control, Taipei, Taiwan.

Corresponding author: Wei-Ti Chen, e-mail: wchen@sonnet.ucla.edu. Peing Chuang, e-mail: B2393@tpech.gov.tw

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
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