As a third-year doctoral student and NIMH fellow at the Center for Interdisciplinary Research on AIDS (CIRA) at Yale, Tiara is focusing her research on understanding the role of intimate partner violence (IPV) on women’s engagement in HIV prevention, specifically the novel biomedical HIV prevention method: pre-exposure prophylaxis or PrEP.
Women who experience IPV, explains Tiara, are at an increased risk for HIV acquisition due to several social, psychological, and structural factors. For example, some women have limited power in their relationships, which can make it difficult to negotiate safe sex strategies. This is key as some studies have also shown that their partners are more likely to be HIV-positive or have multiple sexual partners. What is not known is if women who experience IPV can successfully and safely take PrEP and maintain PrEP care. For example, a partner exhibiting controlling behaviors might prevent a woman from taking the medication. “I hope to find an effective HIV prevention strategy without creating further harm,” says Tiara.