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Transcript of HIV Basics for IPV Workers - Chiptschipts.ucla.edu/wp-content/uploads/2015/08/HIV-101-for... ·...
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HIV Basics for IPV Workers
Grissel Granados, MSW | John Thompson, MSW
Intimate Partner Violence, Trauma, and HIV July 20, 2015
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Risk Reduction Program HIV prevention services
specifically developed for young gay and bisexual men, as well as transgender youth
HIV care services include case
management, medical care, and mental health
Behavioral, treatment, and
community research focused on HIV prevention and care
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Learning Objectives
• Increase knowledge of local and national HIV data
• Identify at least one way IPV impacts an individual’s risk for HIV
• Identify at least one way IPV impacts an individual’s ability to access and adhere to HIV care
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4 Courtesy of aids.gov
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HIV Care Continuum
5 Courtesy of aids.gov
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HIV Care Continuum, LAC 2013
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0%10%20%30%40%50%60%70%80%90%
100%
Estimated Diagnosed Linked Engaged inCare
Retained inCare
VirallySupressed
Courtesy of LA County Deptartment of Public Health DHSP
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HIV/AIDS in Los Angeles County
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Current HIV Prevention Strategies
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HIV/AIDS in Los Angeles County
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Estimated HIV Prevalence among Transgender Women in Los Angeles County (2012)
12 Courtesy of LA County Deptartment of Public Health DHSP
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Social Determinants of Health
The conditions and circumstances into which people are born, grow, live, work, socialize, and form
relationships and the systems that are in place to deal with health and wellness.
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Social Determinants of Health
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Socio-Economics and Environment
Living and Working
Conditions
Community Networks
Relationships with family, friends, peers, partners, neighbors, and other people in an individual’s social and sexual networks
Housing, employment, health care, transportation, and other resources
Power, wealth, discrimination, stigma, oppression, -phobias, -isms
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Discussion
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Impact of IPV on HIV Risk
• Negotiating safer sex practices • Ability to access health
screening services • Control of information access • Coping mechanisms
– Substance use – Sex with other partners
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Impact of IPV on HIV Care
Coercion and Threats • Non-consensual disclosure • “No one else will love you…”
Isolation • Preventing from accessing care • Control over communication with
health team • Limiting social support
Blaming • Blame for HIV status
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Impact of IPV on HIV Care
Reactions to Abusive Behavior • Survival = Primary concern,
Health = secondary • Fear of partner finding out HIV
status • Inconsistent engagement and
adherence to care • Conditioned to withhold
information from providers for safety/survival
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Discussion: Best Practices
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“If we aren’t intersectional, some of us, the most vulnerable, are going to fall through the cracks.” ~ Kimberle Williams Crenshaw
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World AIDS Day 2014: Intersectionality, HIV Justice, and the Future of Our Movement
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Thank you!
Grissel Granados, MSW 323-361-7514 [email protected]
John Thompson, MSW 323-361-4757 [email protected] Visit us online: http://www.chla.org/adolhealth
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�HIV Basics for IPV WorkersRisk Reduction ProgramLearning ObjectivesSlide Number 4HIV Care ContinuumHIV Care Continuum, LAC 2013HIV/AIDS in Los Angeles CountyCurrent HIV Prevention StrategiesHIV/AIDS in Los Angeles CountySlide Number 10Slide Number 11Estimated HIV Prevalence among Transgender Women in Los Angeles County (2012)Slide Number 13Social Determinants of HealthDiscussionImpact of IPV on HIV RiskImpact of IPV on HIV CareImpact of IPV on HIV CareDiscussion:�Best Practices�Slide Number 20Thank you!