Rutgers University, Camden, NJ, USA.
Johns Hopkins University, Baltimore, MD, USA.
J Interpers Violence. 2021 Apr;36(7-8):NP3964-NP3981. doi: 10.1177/0886260518781802. Epub 2018 Jun 21.
There is a need for studies to assess domestic violence (DV) shelter workers views about brief HIV prevention interventions for shelter residents to improve these workers' provision of HIV prevention interventions to shelter residents. This mixed methods study assessed DV shelter workers' views about the following: (a) the need for and appropriateness of HIV prevention services within DV shelters, (b) the utility (i.e., acceptability, systems support, understanding, and feasibility) of an HIV Risk Assessment and Safety Plan (HIV RASP) for women in DV shelters, and (c) suggested changes to or concerns about using the HIV RASP. Workers from DV shelters located in the 10 states in the United States with the highest rates of HIV reviewed the HIV RASP and answered survey questions about it including the Usage Rating Profile-Intervention (URP-I) Questionnaire and two open-ended questions. Although workers felt it was appropriate to provide HIV prevention interventions within DV shelters, only 23% reported that HIV prevention interventions had ever been implemented at their shelter and only 42% had provided residents with educational brochures about HIV prevention. Workers generally agreed that the HIV RASP was acceptable, understandable, and feasible. They somewhat disagreed about their ability to implement the tool independently. Findings suggest that little progress has been made in engaging DV shelter workers in HIV prevention efforts for residents during the past decade and reveal ways to improve the HIV RASP and overcome barriers to implementing it. The study findings may be used to help reduce gaps between the science and practice of HIV prevention for abused women.
需要研究评估家庭暴力（DV）庇护所工作人员对庇护所居民进行简短艾滋病毒预防干预的看法，以提高这些工作人员向庇护所居民提供艾滋病毒预防干预的能力。这项混合方法研究评估了 DV 庇护所工作人员对以下方面的看法：(a) 在 DV 庇护所内提供艾滋病毒预防服务的必要性和适当性，(b) 艾滋病毒风险评估和安全计划（HIV RASP）对 DV 庇护所中的妇女的实用性（即可接受性、系统支持、理解和可行性），以及 (c) 对使用 HIV RASP 的建议改变或关注。来自美国 HIV 发病率最高的 10 个州的 DV 庇护所的工作人员审查了 HIV RASP 并回答了有关它的调查问题，包括使用等级评定问卷-干预 (URP-I) 问卷和两个开放式问题。尽管工作人员认为在 DV 庇护所内提供艾滋病毒预防干预是适当的，但只有 23%的人报告说他们的庇护所曾经实施过艾滋病毒预防干预，只有 42%的人向居民提供了有关艾滋病毒预防的教育手册。工作人员普遍认为 HIV RASP 是可以接受的、可以理解的、也是可行的。他们对自己独立实施该工具的能力存在一些分歧。研究结果表明，在过去十年中，在让 DV 庇护所工作人员参与为居民提供艾滋病毒预防工作方面几乎没有取得进展，并揭示了改善 HIV RASP 和克服实施障碍的方法。研究结果可用于帮助缩小受虐待妇女艾滋病毒预防科学与实践之间的差距。
