Evidence map›Paper›PMID 34165395›Full record

ArticleSexual and reproductive health matters2021

Discussing reproductive goals with healthcare providers among women living with HIV in Canada: the role of provider gender and patient comfort.

Lashanda Skerritt, Alexandra de Pokomandy, Nadia O'Brien, Nadia Sourial, Ann N Burchell, Gillian Bartlett, Tibor Schuster, Danielle Rouleau, Karène Proulx-Boucher, Neora Pick and 7 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Sexual and reproductive health matters, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Transition from Pediatric to Adult HIV Care for Young Women Living with HIV.Journal of the International Association of Providers of AIDS Care
    Article
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  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 7 institutions in 2 countries.

Lashanda SkerrittPhD Candidate, Department of Family Medicine, McGill University, Montreal, QC, Canada.
Alexandra de PokomandyAssociate Professor, Department of Family Medicine, McGill University, Montreal QC, Canada; Clinician-Scientist, Chronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.
Nadia O'BrienPhD Candidate, Department of Family Medicine, McGill University, Montreal, QC, Canada; Chronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.
Nadia SourialAssistant Research Professor, Department of Family and Emergency Medicine, University of Montreal, Montreal, QC, Canada.
Ann N BurchellAssociate Professor, Department of Family and Community Medicine and Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada; Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Gillian BartlettProfessor, Department of Family Medicine, McGill University, Montreal, QC, Canada.
Tibor SchusterAssistant Professor, Department of Family Medicine, McGill University, Montreal, QC, Canada.
Danielle RouleauAssociate Professor, Department of Microbiology, Infection and Immunology, University of Montreal, Montreal, QC, Canada.
Karène Proulx-BoucherResearch Coordinator, Chronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.
Neora PickMedical Director, Oak Tree Clinic, BC Women's Hospital, Vancouver, BC, Canada; Clinical Professor, Division of Infectious Diseases, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Deborah MoneyProfessor, Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada; Clinician-Scientist, Women's Health Research Institute, Vancouver, BC, Canada.
Rebecca GormleyResearch Coordinator, Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada; British Columbia Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada.
Allison CarterResearch Fellow, Faculty of Medicine, Kirby Institute, University of New South Wales, Sydney, NSW, Australia.
Mark H YudinAssociate Professor, Department of Obstetrics and Gynecology, University of Toronto, Toronto, ON, Canada.
Mona LoutfyProfessor, Faculty of Medicine, University of Toronto, Toronto, Canada; Clinician-Scientist, Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada.
Angela KaidaAssociate Professor and Canada Research Chair in Global Perspectives in HIV and Sexual and Reproductive Health, Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada. Correspondence: kangela@sfu.ca.
CHIWOS Research Team
McGill University · CAMcGill University Health Centre · CAUniversity of Toronto · CASimon Fraser University · CAUniversité de Montréal · CAUniversity of British Columbia · CAUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antiretroviral therapy effectively prevents sexual and vertical transmission of HIV. Yet, some women living with HIV report having unmet needs for reproductive health care. This study measured the prevalence of women discussing reproductive goals with any current healthcare provider and assessed the effect of the current HIV care provider's gender on such discussions and whether comfort was a mediator. We analysed baseline and 18-month survey data from 533 women living with HIV enrolled in the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS) (2013-2017), a community-based participatory study, restricting the analysis to participants aged 16-45 years. We used causal mediation analysis to estimate direct and indirect effects of the gender of one's HIV care provider on reproductive discussions, incorporating mediating and interaction effects of women having any provider with whom they felt comfortable discussing reproductive goals. Between the baseline and 18-month follow-up surveys, 34.3% (183/533) of women discussed their reproductive goals with a healthcare provider. Having a woman HIV care provider was associated with a 1.18 excess relative risk (ERR) of discussion (95%CI: 0.15, 2.20). The mediating effect of comfort was primarily explained by the fact that those participants with women providers felt more comfortable discussing their reproductive goals compared to participants with men providers, accounting for 66% (95%CI: 32%, 99%) of the total effect. Findings support that HIV provider gender affects women's comfort and whether they discuss reproductive goals, which must be acknowledged and addressed in care delivery.

Indexed as

HIV InfectionsPatient ComfortCanadaCohort StudiesFemaleGoalsHealth PersonnelHumansMaleCHIWOSfamily planning servicesHIVpatient comfortpre-conception carereproductive healthwomen

Identifiers

PMID34165395
PMCPMC8231384
OpenAlexW3176009474

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.