Social and Structural Barriers to Primary Care Access Among Women Living With HIV in Metro Vancouver, Canada: A Longitudinal Cohort Study
| العنوان: | Social and Structural Barriers to Primary Care Access Among Women Living With HIV in Metro Vancouver, Canada: A Longitudinal Cohort Study |
|---|---|
| المؤلفون: | Mei-Ling Wiedmeyer, Lulu Gurney, Kathleen N. Deering, Jill Chettiar, Putu Duff, Louise Chong, Melissa Braschel, Patience Magagula, Karan D'Souza, Kate Shannon |
| المصدر: | J Assoc Nurses AIDS Care |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Advanced and Specialized Nursing, Gerontology, Canada, Sexual violence, Adolescent, Primary Health Care, business.industry, MEDLINE, Human immunodeficiency virus (HIV), HIV Infections, Primary care, medicine.disease_cause, Mental health, Article, Odds, Cohort Studies, medicine, Humans, Female, Longitudinal Studies, medicine.symptom, business, Suicidal ideation, Cohort study |
| الوصف: | 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. |
| تدمد: | 1552-6917 1055-3290 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f64ffb906a0a027b81d1787410e5af44 https://doi.org/10.1097/jnc.0000000000000234 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f64ffb906a0a027b81d1787410e5af44 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15526917 10553290 |
|---|