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Erschienen in: AIDS and Behavior 4/2020

04.09.2019 | Original Paper

Social Determinants of Health and Retention in HIV Care Among Recently Incarcerated Women Living with HIV in Canada

verfasst von: Rebecca Gormley, Sally Y. Lin, Allison Carter, Valerie Nicholson, Kath Webster, Ruth Elwood Martin, M-J Milloy, Neora Pick, Terry Howard, Lu Wang, Alexandra de Pokomandy, Mona Loutfy, Angela Kaida, on behalf of the CHIWOS Research Team

Erschienen in: AIDS and Behavior | Ausgabe 4/2020

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Abstract

Women living with HIV (WLWH) are over-represented in corrections in Canada, yet little is known about women’s experiences post-release. We used CHIWOS cross-sectional data from WLWH to estimate associations between social determinants of health and HIV-related care outcomes among WLWH with recent (within past year) or ever (before past year) incarceration experience. Lifetime incarceration prevalence was 36.9% (6.5% recent; 30.4% ever), with significant differences by province of residence (British Columbia: 10% recent; 52% ever; Ontario: 5%; 24%; Quebec: 6%; 22%; p < 0.001). In adjusted multinomial logistic regression analyses, compared with never incarcerated, recent incarceration was associated with Indigenous ancestry, lower annual income (< $20,000 CAD), unstable housing, current sex work, injection drug use (IDU), and sub-optimal antiretroviral therapy (ART) adherence, while ever incarceration was associated with current sex work, IDU, and experiencing adulthood violence. Our findings have implications regarding supports needed by WLWH in the post-release period, including ART adherence and achieving health and social goals.
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Metadaten
Titel
Social Determinants of Health and Retention in HIV Care Among Recently Incarcerated Women Living with HIV in Canada
verfasst von
Rebecca Gormley
Sally Y. Lin
Allison Carter
Valerie Nicholson
Kath Webster
Ruth Elwood Martin
M-J Milloy
Neora Pick
Terry Howard
Lu Wang
Alexandra de Pokomandy
Mona Loutfy
Angela Kaida
on behalf of the CHIWOS Research Team
Publikationsdatum
04.09.2019
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 4/2020
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02666-7

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