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Cited by 64Homelessness and Social IssuesIntimate Partner and Family ViolenceHIV, Drug Use, Sexual Risk

Recent violence in a community-based sample of homeless and unstably housed women with high levels of psychiatric comorbidity

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Riley, Elise D., Cohen, Jennifer, Knight, Kelly R., Decker, Alyson, Marson, Kara, Shumway, Martha·2014·American Journal of Public Health
DOI 10.2105/ajph.2014.301958PMC PMC4151936
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Abstract

Objectives. We determined associations between co-occurring psychiatric conditions and violence against homeless and unstably housed women. Methods. Between 2008 and 2010, we interviewed homeless and unstably housed women recruited from community venues about violence, socioeconomic factors, and psychiatric conditions. We used multivariable logistic regression to determine independent correlates of violence. Results. Among 291 women, 97% screened positive for 1 or more psychiatric conditions. Types of violence perpetrated by primary partners and persons who were not primary partners (non–primary partners) included emotional violence (24% vs 50%; P < .01), physical violence (11% vs 19%; P < .01), and sexual violence (7% vs 22%; P < .01). The odds of primary partner and non–primary partner violence increased with each additional psychiatric diagnosis and decreasing levels of social isolation. Conclusions. All types of violence were more commonly perpetrated by non–primary partners, suggesting that an exclusive focus on domestic violence screening in health care or social service settings will miss most of the violence in this population. Contrary to some previous studies, the odds of violence decreased as social isolation increased, suggesting that social isolation may be protective in homeless and unstably housed communities with high levels of comorbidity and limited options.

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  • Depression and substance abuse disorders are common among people at risk for HIV and among people living with HIV, and dual diagnosis interventions are widely considered necessary.

    “Both depressive and substance abuse disorders are highly prevalent among persons at risk for HIV acquisition and among persons with HIV (Bing et al., 2001; Riley et al., 2014; Tsai et al., 2013a; Tsai, 2014; Tsai et al., 2015; Weiser et al., 2006; Weiser, Wolfe, & Bangsberg, 2004), and the need for effective dual diagnosis interventions for both primary and secondary HIV prevention is widely acknowledged (Batki, 1990; Fisher & Smith, 2009; Sikkema et al., 2010; Walkup et al., 2008).”

    From Syndemics of psychosocial problems and HIV risk: A systematic review of empirical tests of the disease interaction concept (2015) · cites this paper as Riley et al., 2014

    The Methods describe a cohort of HIV-infected and non–HIV-infected homeless and unstably housed women; the Results (Population Characteristics; page not provided) report major depressive episodes in 66% and substance-related disorders in 85%. This supports high prevalence in that specific group, but not the broader claim about all people at risk for or living with HIV. The dual-diagnosis intervention clause cites other works, not Riley et al. (LLM, conf=0.85)

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Research works printed but not linked: 1

  1. [24]Institute of Medicine Clinical Preventive Services for Women: Closing the Gap Washington, DC National Academies Press 2011

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Authors
Riley, E. D., Cohen, J., Knight, K. R., Decker, A., Marson, K., & Shumway, M.
Affiliations
University of California, San Francisco (US)
ORCID
Venue
American Journal of Public Health
Publisher
American Public Health Association
Published
2014-09
Volume
104
Issue
9
Pages
1657-1663
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
DOI
10.2105/ajph.2014.301958
PMC
PMC4151936
OpenAlex
W2165206272
Cited by
64
References
48
Citations by year
2026: 4 · 2025: 5 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 10 · 2020: 6 · 2019: 7 · 2018: 3 · 2017: 7 · 2016: 3 · 2015: 9
FWCI
11.47
Type
journal article
Language
en
Open access
Locations
  • American Journal of Public Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • National Institutes of Health (UL1TR000004)
  • National Institute on Drug Abuse (DA15605, R01DA015605)
  • National Center for Research Resources (UL1RR024131)
  • National Center for Advancing Translational Sciences
Topics
  • Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
  • Social Sciences › Health › Intimate Partner and Family Violence
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords
homelessness, psychiatric comorbidity, intimate partner violence, emotional abuse, physical violence, sexual violence, social isolation, domestic violence screening, community sample
MeSH terms
Adult, Mental Disorders, Female, Ill-Housed Persons, Housing, Humans, Male, Middle Aged, Risk Factors, Sex Offenses, Social Isolation, Socioeconomic Factors, Spouse Abuse, Violence, Health Behavior

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