Addressing the Intersections of Violence and HIV/AIDS: A Qualitative Study of Service Providers

This article examines what measures health care and social service providers take to address intersections between various forms of violence and HIV/AIDS in the delivery of services to their clients/patients. We operated within an organizational/interactional uncertainty theoretical framework and an...

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Bibliographic Details
Published in:Violence and victims 2011-01, Vol.26 (1), p.33-52
Main Authors: DiStefano, Anthony S., Hubach, Randolph D.
Format: Article
Language:English
Subjects:
Acquired Immune Deficiency Syndrome
Acquired Immunodeficiency Syndrome - epidemiology
Acquired Immunodeficiency Syndrome - therapy
Adult
AIDS
Anecdotes as Topic
Attitude of Health Personnel
Behavioral Sciences
California
Certainty
Clinics
Community Health Services - utilization
Community Networks - organization & administration
Condoms
Counseling
Delivery Systems
Educational materials
Female
Health Care Services
HIV
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Intervention
Juvenile justice
Male
Marriage and Family Counselling
Mens health
Middle Aged
Patient Acceptance of Health Care - statistics & numerical data
Patient education
Patients
Policy, Social Justice, and Human Rights
Professional-Patient Relations
Psychology
Qualitative Research
R&D
Research & development
Risk
Risk Factors
San Francisco, California
Social and Personality Psychology
Social Support
Social Work
Violence
Violence - psychology
Violence - statistics & numerical data
Young Adult
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Summary:This article examines what measures health care and social service providers take to address intersections between various forms of violence and HIV/AIDS in the delivery of services to their clients/patients. We operated within an organizational/interactional uncertainty theoretical framework and analyzed qualitative interview data from 30 providers offering services related to violence or HIV/AIDS in the San Francisco Bay Area. We found that providers used several strategies to mitigate crossover risk, but they enacted these measures on a case-by-case basis and tended not to follow a dedicated and complete protocol with every client/patient. We also identify nine factors that affected providers' capacity to discern and effectively address violence-HIV/AIDS intersections, present providers' descriptions of their needs in terms of addressing crossover risk, and discuss implications for interventions.
ISSN:0886-6708
1945-7073
DOI:10.1891/0886-6708.26.1.33