Evidence map›Paper›PMID 39307899›Full record

ArticleAIDS and behavior2024

Stigma, Discrimination and Other Social-Structural Factors Associated with Barriers to Counselling or Therapy among Women Living with HIV Who have Experienced Violence in Metro Vancouver, Canada.

Colleen Dockerty, Kate Shannon, Wendee Wechsberg, Colleen Thompson, Mary Kestler, Melissa Braschel, Kathleen Deering

Abstract read
In one paragraph

Article in AIDS and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

7 authors.

Colleen DockertyDepartment of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Kate ShannonDepartment of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Wendee WechsbergRTI Global Gender Center, North Carolina, USA.
Colleen ThompsonDepartment of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Mary KestlerDepartment of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Melissa BraschelDepartment of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Kathleen DeeringDepartment of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. Kathleen.deering@cgshe.ubc.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
Canadian HIV Trials Network CTN-333CIHR CBR 384667NIMH NIH HHS R01 MH123349US National Institutes of Health R01MH123349
6 · The paper itself

Abstract

Women living with HIV face high social and structural inequities that place them at heightened risk for gender-based violence and mental health conditions, alongside health services access inequities, with almost no research done to better understand access to mental health services. This study therefore examined social and structural factors associated with barriers to counselling or therapy amongst women living with HIV who experienced lifetime physical and/or sexual violence in Metro Vancouver, Canada. Bivariate and multivariable logistic regression using generalized estimating equations (GEE) were used and adjusted odds ratios (AOR) and 95% Confidence Intervals ([95%CIs] are reported). From Sept/15-Aug/21, 1695 observations were collected among 279 participants. In multivariable analysis, with all variables measured in the last six months, experiencing any barriers to counselling or therapy was significantly associated with having thoughts or attempts of suicide (AOR:1.64 [1.02-2.66]), lacking coverage for health care (AOR:1.60 [1.17-2.18]), and everyday discrimination (AOR:1.02 [1.00-1.04]) and anticipated (AOR:1.57 [1.04-2.36]), enacted (AOR:1.48 [1.02-2.16]) or internalized (AOR:1.53 [1.07-2.20]) HIV stigma. Access to interdisciplinary mental health care services should be improved. Social and structural interventions to reduce HIV stigma and discrimination are urgently needed.

Indexed as

CounselingHealth Services AccessibilityHIV InfectionsSocial StigmaAdultBritish ColumbiaCanadaCross-Sectional StudiesFemaleGender-Based ViolenceHumansLogistic ModelsMiddle AgedSocioeconomic FactorsViolenceBarriers to Mental Health careCounsellingGender-based ViolenceHealth Services AccessInterpersonal ViolenceTraumaTrauma-informed Practice

Identifiers

PMID39307899
PMCPMC11588149

What OpenQuestion holds

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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.