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Trigger warning: this video includes stories of trauma, rape, intimate partner violence, death, and institutional violence, which may trigger intense emotional responses. Please take care of yourself if you decide to watch.

In this approximately 20-minute video, Dr. Edward Machtinger, Director of the Women?s HIV Program at UCSF, describes the impact of trauma on women living with HIV. He says, ?The entire HIV epidemic is fueled by violence and neglect?Far more women living with HIV are dying from the consequences of unaddressed trauma than are dying from HIV itself.?

Dr. Machtinger shares background on the Women?s HIV Program (WHP) at UCSF, he then describes causes of death among 10 former WHP patients. While each of these patients was unique, they are united in having lifelong histories of trauma, which led to HIV exposure, and directly to death.

After the case review, Dr. Machtinger lays out trauma definitions, and goes into rates and impact of trauma and post-traumatic stress disorder on women living with HIV, describes the Adverse Childhood Experiences (ACE) Study, and shares a modified take on the HIV Care Continuum.

Silvi Alcivar, owner and poet of the Poetry Store, shares a poem that she wrote in-the-moment to synthesize the presentation. To watch Silvi?s poetry recital, skip to 20:54.

This video is part of a series of recordings from HIVE?s trauma symposium, ?Beyond Compassion: Caring for Women with a History of Trauma.?



Additional Resources:

Recent Trauma is Associated with Antiretroviral Failure and HIV Transmission Risk Behavior Among HIV-Positive Women and Female-Identified Transgenders

From Treatment to Healing: The Promise of Trauma-Informed Primary Care