Social and Structural Barriers to Primary Care Access Among Women Living With HIV in Metro Vancouver, Canada: A Longitudinal Cohort Study.
Journal
The Journal of the Association of Nurses in AIDS Care : JANAC
ISSN: 1552-6917
Titre abrégé: J Assoc Nurses AIDS Care
Pays: United States
ID NLM: 9111870
Informations de publication
Date de publication:
Historique:
pubmed:
15
5
2021
medline:
18
3
2022
entrez:
14
5
2021
Statut:
ppublish
Résumé
This study examines correlates of being unable to access primary care in the past 6 months among cisgender (cis) and trans women living with HIV (WLWH). Data were drawn from a longitudinal community-based cohort study of WLWH (ages 14+) in Metro Vancouver, Canada (2014-2017). Of 291 participants contributing 914 observations, 15.5% reported being unable to access primary care at baseline. In multivariable analysis, increased odds of being unable to access primary care was associated with (a) having im/migrated to Canada, and, in the past 6 months, (b) identifying as gender minority, (c) experiencing physical or sexual violence, (d) having suicidal ideation or attempts. Decreased odds were associated with recently accessing HIV-specific resources. Our findings suggest that primary health care for WLWH should address high levels of violence and mental health conditions as well as barriers to services for gender minority and im/migrant WLWH.
Identifiants
pubmed: 33989244
doi: 10.1097/JNC.0000000000000234
pii: 00001782-202110000-00004
pmc: PMC8589885
mid: NIHMS1746782
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
548-560Subventions
Organisme : NIMH NIH HHS
ID : R01 MH123349
Pays : United States
Organisme : CIHR
ID : FDN-143349
Pays : Canada
Organisme : CIHR
ID : MOP-133617
Pays : Canada
Informations de copyright
Copyright © 2021 Association of Nurses in AIDS Care.
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