Social and Structural Barriers to Primary Care Access Among Women Living With HIV in Metro Vancouver, Canada: A Longitudinal Cohort Study.

Autor:	Deering KN; Kathleen N. Deering, PhD, is an Assistant Professor, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia and Research Scientist at the Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Louise Chong, MD, is a Family Medicine Resident, University of Calgary, Calgary, Alberta, Canada.; Putu Duff, PhD, is a Research Associate, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Lulu Gurney is a Peer Research Advisor, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Patience Magagula is Executive Director, Afro-Canadian Positive Network of BC, Vancouver, British Columbia, Canada.; Mei-ling Wiedmeyer, MD, is a Family Physician and Director of Clinical Practice, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Jill Chettiar, MD, is a Family Physician Resident, Western University, and Associate Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Melissa Braschel, MSc, is a Statistician and Database Manager, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Karan D'Souza, MD, is a General Surgery Resident, University of British Columbia, Vancouver, British Columbia, Canada.; Kate Shannon, PhD, is Professor of Medicine, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia, and Executive Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada., Chong L; Kathleen N. Deering, PhD, is an Assistant Professor, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia and Research Scientist at the Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Louise Chong, MD, is a Family Medicine Resident, University of Calgary, Calgary, Alberta, Canada.; Putu Duff, PhD, is a Research Associate, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Lulu Gurney is a Peer Research Advisor, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Patience Magagula is Executive Director, Afro-Canadian Positive Network of BC, Vancouver, British Columbia, Canada.; Mei-ling Wiedmeyer, MD, is a Family Physician and Director of Clinical Practice, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Jill Chettiar, MD, is a Family Physician Resident, Western University, and Associate Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Melissa Braschel, MSc, is a Statistician and Database Manager, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Karan D'Souza, MD, is a General Surgery Resident, University of British Columbia, Vancouver, British Columbia, Canada.; Kate Shannon, PhD, is Professor of Medicine, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia, and Executive Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada., Duff P; Kathleen N. Deering, PhD, is an Assistant Professor, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia and Research Scientist at the Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Louise Chong, MD, is a Family Medicine Resident, University of Calgary, Calgary, Alberta, Canada.; Putu Duff, PhD, is a Research Associate, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Lulu Gurney is a Peer Research Advisor, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Patience Magagula is Executive Director, Afro-Canadian Positive Network of BC, Vancouver, British Columbia, Canada.; Mei-ling Wiedmeyer, MD, is a Family Physician and Director of Clinical Practice, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Jill Chettiar, MD, is a Family Physician Resident, Western University, and Associate Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Melissa Braschel, MSc, is a Statistician and Database Manager, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Karan D'Souza, MD, is a General Surgery Resident, University of British Columbia, Vancouver, British Columbia, Canada.; Kate Shannon, PhD, is Professor of Medicine, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia, and Executive Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada., Gurney L; Kathleen N. Deering, PhD, is an Assistant Professor, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia and Research Scientist at the Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Louise Chong, MD, is a Family Medicine Resident, University of Calgary, Calgary, Alberta, Canada.; Putu Duff, PhD, is a Research Associate, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Lulu Gurney is a Peer Research Advisor, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Patience Magagula is Executive Director, Afro-Canadian Positive Network of BC, Vancouver, British Columbia, Canada.; Mei-ling Wiedmeyer, MD, is a Family Physician and Director of Clinical Practice, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Jill Chettiar, MD, is a Family Physician Resident, Western University, and Associate Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Melissa Braschel, MSc, is a Statistician and Database Manager, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Karan D'Souza, MD, is a General Surgery Resident, University of British Columbia, Vancouver, British Columbia, Canada.; Kate Shannon, PhD, is Professor of Medicine, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia, and Executive Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada., Magagula P; Kathleen N. Deering, PhD, is an Assistant Professor, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia and Research Scientist at the Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Louise Chong, MD, is a Family Medicine Resident, University of Calgary, Calgary, Alberta, Canada.; Putu Duff, PhD, is a Research Associate, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Lulu Gurney is a Peer Research Advisor, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Patience Magagula is Executive Director, Afro-Canadian Positive Network of BC, Vancouver, British Columbia, Canada.; Mei-ling Wiedmeyer, MD, is a Family Physician and Director of Clinical Practice, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Jill Chettiar, MD, is a Family Physician Resident, Western University, and Associate Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Melissa Braschel, MSc, is a Statistician and Database Manager, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Karan D'Souza, MD, is a General Surgery Resident, University of British Columbia, Vancouver, British Columbia, Canada.; Kate Shannon, PhD, is Professor of Medicine, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia, and Executive Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada., Wiedmeyer ML; Kathleen N. Deering, PhD, is an Assistant Professor, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia and Research Scientist at the Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Louise Chong, MD, is a Family Medicine Resident, University of Calgary, Calgary, Alberta, Canada.; Putu Duff, PhD, is a Research Associate, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Lulu Gurney is a Peer Research Advisor, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Patience Magagula is Executive Director, Afro-Canadian Positive Network of BC, Vancouver, British Columbia, Canada.; Mei-ling Wiedmeyer, MD, is a Family Physician and Director of Clinical Practice, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Jill Chettiar, MD, is a Family Physician Resident, Western University, and Associate Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Melissa Braschel, MSc, is a Statistician and Database Manager, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Karan D'Souza, MD, is a General Surgery Resident, University of British Columbia, Vancouver, British Columbia, Canada.; Kate Shannon, PhD, is Professor of Medicine, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia, and Executive Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada., Chettiar J; Kathleen N. Deering, PhD, is an Assistant Professor, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia and Research Scientist at the Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Louise Chong, MD, is a Family Medicine Resident, University of Calgary, Calgary, Alberta, Canada.; Putu Duff, PhD, is a Research Associate, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Lulu Gurney is a Peer Research Advisor, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Patience Magagula is Executive Director, Afro-Canadian Positive Network of BC, Vancouver, British Columbia, Canada.; Mei-ling Wiedmeyer, MD, is a Family Physician and Director of Clinical Practice, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Jill Chettiar, MD, is a Family Physician Resident, Western University, and Associate Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Melissa Braschel, MSc, is a Statistician and Database Manager, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Karan D'Souza, MD, is a General Surgery Resident, University of British Columbia, Vancouver, British Columbia, Canada.; Kate Shannon, PhD, is Professor of Medicine, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia, and Executive Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada., Braschel M; Kathleen N. Deering, PhD, is an Assistant Professor, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia and Research Scientist at the Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Louise Chong, MD, is a Family Medicine Resident, University of Calgary, Calgary, Alberta, Canada.; Putu Duff, PhD, is a Research Associate, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Lulu Gurney is a Peer Research Advisor, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Patience Magagula is Executive Director, Afro-Canadian Positive Network of BC, Vancouver, British Columbia, Canada.; Mei-ling Wiedmeyer, MD, is a Family Physician and Director of Clinical Practice, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Jill Chettiar, MD, is a Family Physician Resident, Western University, and Associate Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Melissa Braschel, MSc, is a Statistician and Database Manager, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Karan D'Souza, MD, is a General Surgery Resident, University of British Columbia, Vancouver, British Columbia, Canada.; Kate Shannon, PhD, is Professor of Medicine, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia, and Executive Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada., D'Souza K; Kathleen N. Deering, PhD, is an Assistant Professor, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia and Research Scientist at the Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Louise Chong, MD, is a Family Medicine Resident, University of Calgary, Calgary, Alberta, Canada.; Putu Duff, PhD, is a Research Associate, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Lulu Gurney is a Peer Research Advisor, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Patience Magagula is Executive Director, Afro-Canadian Positive Network of BC, Vancouver, British Columbia, Canada.; Mei-ling Wiedmeyer, MD, is a Family Physician and Director of Clinical Practice, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Jill Chettiar, MD, is a Family Physician Resident, Western University, and Associate Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Melissa Braschel, MSc, is a Statistician and Database Manager, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Karan D'Souza, MD, is a General Surgery Resident, University of British Columbia, Vancouver, British Columbia, Canada.; Kate Shannon, PhD, is Professor of Medicine, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia, and Executive Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada., Shannon K; Kathleen N. Deering, PhD, is an Assistant Professor, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia and Research Scientist at the Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Louise Chong, MD, is a Family Medicine Resident, University of Calgary, Calgary, Alberta, Canada.; Putu Duff, PhD, is a Research Associate, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Lulu Gurney is a Peer Research Advisor, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Patience Magagula is Executive Director, Afro-Canadian Positive Network of BC, Vancouver, British Columbia, Canada.; Mei-ling Wiedmeyer, MD, is a Family Physician and Director of Clinical Practice, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Jill Chettiar, MD, is a Family Physician Resident, Western University, and Associate Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Melissa Braschel, MSc, is a Statistician and Database Manager, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.; Karan D'Souza, MD, is a General Surgery Resident, University of British Columbia, Vancouver, British Columbia, Canada.; Kate Shannon, PhD, is Professor of Medicine, Division of AIDS, Department of Medicine, Faculty of Medicine, University of British Columbia, and Executive Director, Centre for Gender and Sexual Health Equity, Vancouver, British Columbia, Canada.
Jazyk:	angličtina
Zdroj:	The Journal of the Association of Nurses in AIDS Care : JANAC [J Assoc Nurses AIDS Care] 2021 Sep-Oct 01; Vol. 32 (5), pp. 548-560.
DOI:	10.1097/JNC.0000000000000234
Abstrakt:	Abstract: This study examines correlates of being unable to access primary care in the past 6 months among cisgender (cis) and trans women living with HIV (WLWH). Data were drawn from a longitudinal community-based cohort study of WLWH (ages 14+) in Metro Vancouver, Canada (2014-2017). Of 291 participants contributing 914 observations, 15.5% reported being unable to access primary care at baseline. In multivariable analysis, increased odds of being unable to access primary care was associated with (a) having im/migrated to Canada, and, in the past 6 months, (b) identifying as gender minority, (c) experiencing physical or sexual violence, (d) having suicidal ideation or attempts. Decreased odds were associated with recently accessing HIV-specific resources. Our findings suggest that primary health care for WLWH should address high levels of violence and mental health conditions as well as barriers to services for gender minority and im/migrant WLWH. (Copyright © 2021 Association of Nurses in AIDS Care.)
Databáze:	MEDLINE
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