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- W3201227052 abstract "Background: In 2019, 2.4 million adults reported domestic abuse (DA) in the UK. During the COVID-19 pandemic, DA organisations saw an increase by 25% in calls, and 150% in access to information online (Source: ONS). There is increasing evidence of DA in PLWH, with correlation to poor health outcomes including death. Studies have specifically reported on DA screening in PLWH, showing female heterosexuals as predominantly affected. BHIVA recommends asking about previous or current intimate partner violence at initial assessment, and six monthly. We aimed to improve routine DA routine inquiry of PLWH at a London HIV service and determine the DA prevalence in PLWH. Method: All clinicians conducting consultations were asked to routinely ask PLWH about DA. All staff were trained on how to screen and manage DA cases, including national guidance from BASHH. Weekly reminders with DA screening rates were circulated, with continued support and encouragement to continue asking. Disclosures were referred to health advisors, and reviewed by the safeguarding team. Results: Routine DA screening improved from an average of 8% (range 0-19%) pre-lockdown (3148 asked from 10/2019-02/ 2020), to 33% (range 0-56%) post-lockdown (2530 asked from 03/2020-09/ 20202) (figure 1). 17 patients (0.3%) reported DA. 59% were male, of whom 70% homosexual, 53% Caucasian and 47% Black African-Caribbean. Non-British Caucasians accounted for 60% of all those that reported DA. Pre-lockdown 35% (6/17) disclosed DA, rising to 65% (11/17) post-lockdown. 89% were asked twice before disclosure, one was asked four times. Conclusion: Routine DA screening for PLWH by clinicians within the HIV service improved from 8% to 33%, peaking at 56%. The increase in screening, almost doubled DA disclosure. The majority did not disclose on first DA inquiry. Education and training, with weekly continued support and encouragement were the main interventions used to drive improvement. The majority of DA survivors in PLWH were homosexual Caucasian males, different to previous studies. Screening needs to be a continuous process, with everyone being asked, if we are to truly impact preventing the consequences of DA. (Table Presented)." @default.
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- W3201227052 date "2021-01-01" @default.
- W3201227052 modified "2023-09-26" @default.
- W3201227052 title "Domestic abuse screening in people living with HIV" @default.
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