Quality of Life Research

, Volume 14, Issue 4, pp 945–957 | Cite as

Abuse, HIV status and health-related quality of life among a sample of HIV positive and HIV negative low income women

  • Karen A. McDonnellEmail author
  • Andrea C. Gielen
  • Patricia O’Campo
  • Jessica G. Burke


The assessment of a person’s quality of life as it relates to health, HIV status and intimate partner violence (IPV) among women has been limited in its scope of investigation. Consequently, little is known about the adjusted and combined effects of IPV and HIV on women’s health status and QOL. 445 women (188 HIV + 257 HIV −) residing in an urban low income area were interviewed regarding current IPV experiences (no IPV, IPV more than 1 year ago, IPV in last year), HIV status (positive and negative), use of illicit drugs, and presence of instrumental social support. Health-related QOL (HRQOL) was measured using the MOS-HIV. Stratified bivariate analyses demonstrate that living with HIV or having experienced IPV in the past year was significantly associated with poorer levels of HRQOL. Multiple logistic regression models indicate a robust negative relationship between the experience of IPV in the past year, living with HIV, use of illicit drugs and a protective effect of social support on women’s reported HRQOL. The results of the bivariate and multivariate analyses provide evidence that there are independent and adjusted detrimental associations of the experience of IPV and living with HIV with women’s HRQOL. As HRQOL is a good indicator of physical and mental health, these findings should alert health care and other service providers to their responsibility to screen and treat women experiencing intimate partner violence and living with HIV.


Health-related quality of life HIV Violence 


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  1. 1.
    Farquhar, M. 1995Definitions of quality of life: A taxonomyJ Adv Nurs22502508PubMedGoogle Scholar
  2. 2.
    Campbell, JC, Jones, AS, Dienemann, J, Kub, J,  et al. 2002Intimate partner violence and physical health consequencesArch Intern Med16211571163PubMedGoogle Scholar
  3. 3.
    Campbell, JC. 2002Health consequences of intimate partner violenceLancet359133136PubMedGoogle Scholar
  4. 4.
    Dickinson, LM, deGruy, FV, Dickinson, WP, Candib, LM. 1998Health-related quality of life and symptoms profiles of female survivors of sexual abuseArch Fam Med83543Google Scholar
  5. 5.
    Tjaden P, Thonennes N. Entent, Nature and Consequences of Intimate Partner Violence. Washington, DC: US Department of Justice. Publication NCJ 181867.Google Scholar
  6. 6.
    Rapkin, AJ, Kames, LD, Darke, LL, Stampller, FM, Naliboff, BD. 1990History of physical and sexual abuse in women with chronic pelvic painObstet Gynecol769296PubMedGoogle Scholar
  7. 7.
    McDonnell KA. Psychosocial Adjustment among Women with Chronic Pelvic Pain. Dissertation Abstracts International.Google Scholar
  8. 8.
    Eisenstat SA, Bancroft L. Domestic violence. NEJM; 341: 886 –892.Google Scholar
  9. 9.
    Plichta, SB, Falik, M. 2001Prevalence of violence and its implications for women’s healthWomens Health Iss11244258Google Scholar
  10. 10.
    Bassuk, EL, Melnick, S, Browne, A. 1998Responding to the needs of low-income and homeless women who are survivors of family violenceJAMWA535763PubMedGoogle Scholar
  11. 11.
    Moore, M. 1999Reproductive health and intimate partner violenceFam Plann Perspect31302312PubMedGoogle Scholar
  12. 12.
    Weinbaum, Z, Stratton, TL, Chavez, G, Motylewski-Link, C, Barrera, N, Courtney, JG. 2001Female victims of intimate partner physical domestic violence (IPP-DV) California 1998Am J Prev Med21313319PubMedGoogle Scholar
  13. 13.
    Roberts, GL, Williams, GM, Lawrence, JM, Raphael, B. 1998How does domestic violence affect women’s mental health?Women Health28117129PubMedGoogle Scholar
  14. 14.
    Coker, AL, Smith, PH, Bethea, L, King, MR, McKeown, RE. 2000Physical health consequences of physical and psychological intimate partner violenceArch Fam Med9451457PubMedGoogle Scholar
  15. 15.
    Hathaway, JE, Mucci, LA, Silverman, JG, Brooks, DR, Mathews, R, Pavlos, CA. 2000Health status and health care use of Massachusetts women reporting partner abuseAm J Prev Med19302307PubMedGoogle Scholar
  16. 16.
    Douaihy, A, Singh, N. 2001Factors affecting quality of life in patients with HIV infectionAIDS Read11460461Google Scholar
  17. 17.
    McDonnell, KA, Gielen, AC, Wu, AW, O’Campo, P, Faden, R. 2000Measuring health related quality of life among women living with HIVQual Life Res9931940PubMedGoogle Scholar
  18. 18.
    Morrison, MF, Petitto, JM, Ten Have, T,  et al. 2002Depressive and anxiety disorders in women with HIV infectionAm J Psychiat159789796PubMedGoogle Scholar
  19. 19.
    Moneyham, L, Sowell, R, Seals, B, Demi, A. 2000Depressive symptoms among African-American women with HIV diseaseSch Inq Nurs Pract14939PubMedGoogle Scholar
  20. 20.
    Brook, DW, Brook, JS, Whiteman, M,  et al. 1999Coping among HIV negative and HIV positive female injection drug usersAIDS Edu Prev11262273Google Scholar
  21. 21.
    Moore, J, Schuman, P, Schoenbaum, E, Boland, B, Soloman, L, Smith, D. 1999Severe adverse life events and depressive symptoms among women with, or at risk for, HIV infection in four cities in the United States of AmericaAIDS1324592468PubMedGoogle Scholar
  22. 22.
    Maman, S, Campbell, J, Sweat, MD, Gielen, AC. 2000The intersections of HIV and violence: Directions for future research and interventionsSoc Sci Med50459478PubMedGoogle Scholar
  23. 23.
    Beadnell, B, Baker, SA, Morrison, DM, Knox, K. 2000HIV/STD risk factors for women with violence male partnersSex Roles42661689Google Scholar
  24. 24.
    Wingood, GM, DiClemente, RJ. 1997The effects of an abusive primary partner on the condom use and sexual negotiation practices of African-American womenAm J Public Health8710161018PubMedGoogle Scholar
  25. 25.
    Gielen, AC, McDonnell, KA, Wu, A, Faden, R, O’Campo, P. 2001Psychosocial correlates of quality of life among women living with HIV: Implications for interventionSoc Sci Med52315322PubMedGoogle Scholar
  26. 26.
    Vlahov, D., Wientge, D, Moore, J,  et al. 1998Violence against women with or at risk for HIV infectionAIDS Behav25360Google Scholar
  27. 27.
    Rothenberg, KH, Paskey, SJ, Reuland, MM, Zimmerman, SI, North, RL. 1995Domestic Violence and partner notification: Implications for treatment and counseling of women with HIVJAMWA508793PubMedGoogle Scholar
  28. 28.
    McDonnell, KA, Gielen, AC, O’Campo, P. 2003Does HIV status make a difference in the experience of lifetime abuse? Descriptions of lifetime abuse and its context among low-income urban womenJ Urban Health80494509PubMedGoogle Scholar
  29. 29.
    Zieler, S, Witbeck, B, Mayer, K. 1996Sexual violence against women living with or at risk for HIV infectionAm J Prev Med12304310PubMedGoogle Scholar
  30. 30.
    Lodico M, DiClemente R. The association between childhood sexual abuse and prevalence of HIV-risk related behaviors. Clin Pediatr 1994; August: 498 –502Google Scholar
  31. 31.
    Molina, L, Basinait-Smith, C. 1998Letters to the editor: Revisiting the intersection between domestic abuse and HIV riskAm J Public Health8812671268Google Scholar
  32. 32.
    Wingood, GM, DiClemente, RJ. 1998Rape among African American women: Sexual psychological, and social correlated predisposing survivors to risk of STD/HIVJ Womens Health77784PubMedGoogle Scholar
  33. 33.
    Kalichman, SC, Williams, EA, Cherry, C, Belcher, L, Nachimson, D. 1998Sexual coercion, domestic violence, and negotiating condom use among low-income African American womenJ Womens Health7371378PubMedGoogle Scholar
  34. 34.
    Quinn, SC. 1993AIDS and the African American woman: The triple burden of race, class and genderHealth Educ Quart20305320Google Scholar
  35. 35.
    Te Vaarwerk, MJE, Gaal, EA. 2001Psychological distress and quality of life in drug using and non-drug using HIV infected womenEur J Public Health11109115PubMedGoogle Scholar
  36. 36.
    Straus, MA, Hamby, SL, Boney-McCoy, S, Sugarman, DB. 1996The revised conflict tactics scales (CTS2)J Fam Issues17283316Google Scholar
  37. 37.
    Gielen AC, McDonnell K, O’Campo P. Current abuse among low income women: The relationship between intimate partner characteristics, HIV status, and sexual risk reduction. AIDS Behav 2002.Google Scholar
  38. 38.
    McHorney, CA, Ware, JE, Lu, JF, Sherbourne, CD. 1994The MOS 36-item Short Form Health Survey (SF-36), III: Tests of data quality, scaling assumptions, and reliability across diverse patient groupsMed Care324066PubMedGoogle Scholar
  39. 39.
    Wu, AW, Rubin, HR, Mathews, WC,  et al. 1991A health status questionnaire using 30 items from the Medical Outcomes Study: Preliminary validation in persons with early HIV infectionMed Care29786798PubMedGoogle Scholar
  40. 40.
    Vaux, A, Phillips, J, Holly, L,  et al. 1986Social support appraisal scale: Studies of reliability and validityAm J Commun Psychol14195219Google Scholar
  41. 41.
    Liebschutz, JM, Feinman, G, Sullivan, L, Stein, M, Samet, J. 2000Physical and sexual abuse in women with the human immunodeficiency virusArch Intern Med16016591664PubMedGoogle Scholar
  42. 42.
    Hader, SL, Smith, DK, Moore, JS,  et al. 2001HIV infection in women in the United States: Status at the MillenniumJAMA28511861192PubMedGoogle Scholar

Copyright information

© Springer 2005

Authors and Affiliations

  • Karen A. McDonnell
    • 1
    Email author
  • Andrea C. Gielen
    • 2
  • Patricia O’Campo
    • 3
  • Jessica G. Burke
    • 2
  1. 1.Maternal and Child Health ProgramGeorge Washington University, School of Public Health and Health ServicesWashingtonUSA
  2. 2.Faculty of Social and Behavioral Sciences, Department of Health Policy and ManagementJohns Hopkins Bloomberg School of Public HealthUSA
  3. 3.Department of Population and Family SciencesJohns Hopkins Bloomberg School of Public HealthWashingtonUSA

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