Social Determinants of Health and Retention in HIV Care Among Recently Incarcerated Women Living with HIV in Canada
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 (w...
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| Veröffentlicht in: | AIDS and behavior 2020-04, Vol.24 (4), p.1212-1225 |
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| creator | Gormley, Rebecca Lin, Sally Y. Carter, Allison Nicholson, Valerie Webster, Kath Martin, Ruth Elwood Milloy, M-J Pick, Neora Howard, Terry Wang, Lu de Pokomandy, Alexandra Loutfy, Mona Kaida, Angela |
| description | 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 |
| doi_str_mv | 10.1007/s10461-019-02666-7 |
| format | Article |
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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.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-019-02666-7</identifier><identifier>PMID: 31486006</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Aggression ; Antiretroviral agents ; Antiretroviral drugs ; Antiretroviral therapy ; Drug abuse ; Female offenders ; Health ; Health problems ; Health Psychology ; Health services ; HIV ; Housing ; Human immunodeficiency virus ; Imprisonment ; Infectious Diseases ; Low income groups ; Medicine ; Medicine & Public Health ; Original Paper ; Prisoners ; Public Health ; Regression analysis ; Residence ; Sex ; Sex industry ; Sexually transmitted diseases ; Social goals ; STD ; Violence ; Women ; Womens health</subject><ispartof>AIDS and behavior, 2020-04, Vol.24 (4), p.1212-1225</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2019</rights><rights>AIDS and Behavior is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-928eee57730da48847b851f6bb011482fa2da3acaae01a797171250cfacc967a3</citedby><cites>FETCH-LOGICAL-c375t-928eee57730da48847b851f6bb011482fa2da3acaae01a797171250cfacc967a3</cites><orcidid>0000-0003-0329-1926</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-019-02666-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-019-02666-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27321,27901,27902,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31486006$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gormley, Rebecca</creatorcontrib><creatorcontrib>Lin, Sally Y.</creatorcontrib><creatorcontrib>Carter, Allison</creatorcontrib><creatorcontrib>Nicholson, Valerie</creatorcontrib><creatorcontrib>Webster, Kath</creatorcontrib><creatorcontrib>Martin, Ruth Elwood</creatorcontrib><creatorcontrib>Milloy, M-J</creatorcontrib><creatorcontrib>Pick, Neora</creatorcontrib><creatorcontrib>Howard, Terry</creatorcontrib><creatorcontrib>Wang, Lu</creatorcontrib><creatorcontrib>de Pokomandy, Alexandra</creatorcontrib><creatorcontrib>Loutfy, Mona</creatorcontrib><creatorcontrib>Kaida, Angela</creatorcontrib><creatorcontrib>CHIWOS Research Team</creatorcontrib><creatorcontrib>on behalf of the CHIWOS Research Team</creatorcontrib><title>Social Determinants of Health and Retention in HIV Care Among Recently Incarcerated Women Living with HIV in Canada</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>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.</description><subject>Aggression</subject><subject>Antiretroviral agents</subject><subject>Antiretroviral drugs</subject><subject>Antiretroviral therapy</subject><subject>Drug abuse</subject><subject>Female offenders</subject><subject>Health</subject><subject>Health problems</subject><subject>Health Psychology</subject><subject>Health services</subject><subject>HIV</subject><subject>Housing</subject><subject>Human immunodeficiency virus</subject><subject>Imprisonment</subject><subject>Infectious Diseases</subject><subject>Low income groups</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Paper</subject><subject>Prisoners</subject><subject>Public Health</subject><subject>Regression analysis</subject><subject>Residence</subject><subject>Sex</subject><subject>Sex 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Canada</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>24</volume><issue>4</issue><spage>1212</spage><epage>1225</epage><pages>1212-1225</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><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. 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| subjects | Aggression Antiretroviral agents Antiretroviral drugs Antiretroviral therapy Drug abuse Female offenders Health Health problems Health Psychology Health services HIV Housing Human immunodeficiency virus Imprisonment Infectious Diseases Low income groups Medicine Medicine & Public Health Original Paper Prisoners Public Health Regression analysis Residence Sex Sex industry Sexually transmitted diseases Social goals STD Violence Women Womens health |
| title | Social Determinants of Health and Retention in HIV Care Among Recently Incarcerated Women Living with HIV in Canada |
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