Evidence map›Paper›PMID 34472049›Full record

ArticleCanadian journal of public health = Revue canadienne de sante publique2022

"They look at you like you're contaminated": how HIV-related stigma shapes access to care for incarcerated women living with HIV in a Canadian setting.

Margaret Erickson, Kate Shannon, Flo Ranville, Sherri Pooyak, Terry Howard, Bronwyn McBride, Neora Pick, Ruth Elwood Martin, Andrea Krüsi

Open access · greenAbstract read
In one paragraph

Article in Canadian journal of public health = Revue canadienne de sante publique, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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

9 authors at 2 institutions in 2 countries.

Margaret EricksonCentre for Gender and Sexual Health Equity, 1190 Hornby St, Vancouver, BC, V6Z 2K5, Canada.ORCID 0000-0003-4559-5813
Kate ShannonCentre for Gender and Sexual Health Equity, 1190 Hornby St, Vancouver, BC, V6Z 2K5, Canada.
Flo RanvilleCentre for Gender and Sexual Health Equity, 1190 Hornby St, Vancouver, BC, V6Z 2K5, Canada.
Sherri PooyakCanadian Aboriginal AIDS Network, SK, Fort Qu'Appelle, Canada.
Terry HowardGlassHouse Consultants, Vancouver, BC, Canada.
Bronwyn McBrideCentre for Gender and Sexual Health Equity, 1190 Hornby St, Vancouver, BC, V6Z 2K5, Canada.
Neora PickDepartment of Medicine, University of British Columbia, Vancouver, BC, Canada.
Ruth Elwood MartinDepartment of Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0001-7592-3692
Andrea KrüsiCentre for Gender and Sexual Health Equity, 1190 Hornby St, Vancouver, BC, V6Z 2K5, Canada. Dr.Krusi@cgshe.ubc.ca.ORCID 0000-0002-2531-8192
University of British Columbia · CACanadian Aboriginal AIDS Network · CA

Funding

Social and structural violence and HIV care continuum outcomes: Developing a trauma-informed HIV care intervention among WLWHR01MH123349 · NIMH · UNIVERSITY OF BRITISH COLUMBIA · PI DEERING, KATHLEEN, SHANNON, KATE · 2021 to 2025
$2.4M
CIHR CBR-151184CIHR FDN-143349CIHR PJM - 169708NIMH NIH HHS R01 MH123349
6 · The paper itself

Abstract

objectivesGiven the gender disparities in HIV outcomes for women living with HIV (WLWH) who experience incarceration, and the impact of HIV-related stigma on HIV care, this qualitative study investigated how HIV-related stigma within prison settings shapes HIV care for WLWH.

methodsDrawing from SHAWNA (Sexual Health and HIV/AIDS: Women's Longitudinal Needs Assessment), a community-based research project with cisgender and transgender WLWH in Metro Vancouver, peer and community interviewers conducted 19 qualitative interviews (May 2017-February 2018) with recently incarcerated WLWH focused on factors that shape incarceration trajectories. Drawing on socio-ecological frameworks and using participatory analysis, this analysis sought to characterize how HIV-related stigma shapes experiences and access to care for incarcerated WLWH.

resultsParticipants' responses focused predominately on experiences in provincial correctional facilities and the ways through which HIV-related stigma within correctional settings was linked to access to HIV care. Experiences of HIV-related stigma within prisons led to isolation and discrimination for WLWH which was reinforced through institutional processes, compromised privacy, and uncertainty about confidentiality. Experiences of HIV-related stigma informed decisions for some participants to withhold HIV status from healthcare staff, compromising access to HIV treatment during incarceration.

conclusionAmid ongoing efforts to improve healthcare delivery within Canadian correctional facilities, these findings have important implications for the provision of HIV care for incarcerated WLWH. Culturally safe, trauma-informed programming focused on reducing HIV-related stigma, improved communication regarding medical privacy, and interventions to change processes that compromise privacy is critical to improve healthcare access in correctional facilities.

Indexed as

HIV InfectionsPrisonersCanadaFemaleHealth Services AccessibilityHumansPrisonsSocial StigmaContinuum of careCorrectionsHIV carePrisonsStigmaWomen

Identifiers

PMID34472049
PMCPMC8975977
OpenAlexW3197167895

What OpenQuestion holds

Textmetadata
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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.