TY - JOUR
T1 - Social Determinants of Health and Retention in HIV Care Among Recently Incarcerated Women Living with HIV in Canada
AU - Gormley, Rebecca
AU - Lin, Sally Y.
AU - Carter, Allison
AU - Nicholson, Valerie
AU - Webster, Kath
AU - Martin, Ruth Elwood
AU - Milloy, M. J.
AU - Pick, Neora
AU - Howard, Terry
AU - Wang, Lu
AU - de Pokomandy, Alexandra
AU - Loutfy, Mona
AU - Kaida, Angela
AU - Abdul-Noor, Rahma
AU - on behalf of the CHIWOS Research Team
AU - Anema, Aranka
AU - Angel, Jonathan
AU - Bakombo, Dada Mamvula
AU - Barry, Fatimatou
AU - Bauer, Greta
AU - Beaver, Kerrigan
AU - Boucher, Marc
AU - Boucoiran, Isabelle
AU - Brophy, Jason
AU - Brotto, Lori
AU - Burchell, Ann
AU - Cardinal, Claudette
AU - Carter, Allison
AU - Cioppa, Lynne
AU - Conway, Tracey
AU - Côté, José
AU - Cotnam, Jasmine
AU - d’Ambrumenil, Cori
AU - Dayle, Janice
AU - Ding, Erin
AU - Dubuc, Danièle
AU - Duddy, Janice
AU - Fernet, Mylène
AU - Fraleigh, Annette
AU - Frank, Peggy
AU - Gagnier, Brenda
AU - Gagnon, Marilou
AU - Gahagan, Jacqueline
AU - Gasingirwa, Claudine
AU - Gataric, Nada
AU - Gormley, Rebecca
AU - Greene, Saara
AU - Groleau, Danielle
AU - Guerlotté, Charlotte
AU - Hart, Trevor
AU - Hankins, Catherine
N1 - Funding Information:
The CHIWOS Research Team thanks women living with HIV for their contributions to this study, and the national team of co-investigators, collaborators and peer research associates. We acknowledge the national steering committee; our three provincial community advisory boards; the national CHIWOS Aboriginal Board; the national CHIWOS African, Caribbean and Black Advisory Board; the British Columbia Centre for Excellence in HIV/AIDS; and all of our partnering organizations. CHIWOS is funded by the Canadian Institutes of Health Research (CIHR), the CIHR Canadian HIV Trials Network (CTN 262), the Ontario HIV Treatment Network (OHTN), and the Academic Health Science Centres (AHSC) Alternative Funding Plans (AFP) Innovation Fund.
Funding Information:
The CHIWOS Research Team thanks women living with HIV for their contributions to this study, and the national team of co-investigators, collaborators and peer research associates. We acknowledge the national steering committee; our three provincial community advisory boards; the national CHIWOS Aboriginal Board; the national CHIWOS African, Caribbean and Black Advisory Board; the British Columbia Centre for Excellence in HIV/AIDS; and all of our partnering organizations. CHIWOS is funded by the Canadian Institutes of Health Research (CIHR), the CIHR Canadian HIV Trials Network (CTN 262), the Ontario HIV Treatment Network (OHTN), and the Academic Health Science Centres (AHSC) Alternative Funding Plans (AFP) Innovation Fund. CHIWOS Research Team Rahma Abdul-Noor (Women?s College Research Institute), Aranka Anema (Harvard Medical School), Jonathan Angel (Ottawa Hospital Research Institute), Dada Mamvula Bakombo (McGill University Health Centre), Fatimatou Barry (Women?s College Research Institute), Greta Bauer (University of Western Ontario), Kerrigan Beaver (Women?s College Research Institute), Marc Boucher (CHU Ste-Justine), Isabelle Boucoiran (CHU Ste-Justine), Jason Brophy (Children's Hospital of Eastern Ontario), Lori Brotto (University of British Columbia), Ann Burchell (St, Michael?s Hospital), Claudette Cardinal (Simon Fraser University), Allison Carter (Kirby Institute), Lynne Cioppa (Women?s College Research Institute), Tracey Conway (Women?s College Research Institute), Jos? C?t? (Centre Hospitalier de l?Universit? de Montr?al), Jasmine Cotnam (Canadian Aboriginal AIDS Network), Cori d?Ambrumenil (AIDS Vancouver Island), Janice Dayle, (McGill University Health Centre), Erin Ding (British Columbia Centre for Excellence in HIV/AIDS), Dani?le Dubuc, (McGill University Health Centre), Janice Duddy (Pacific AIDS Network), Myl?ne Fernet (Universit? du Qu?bec ? Montr?al), Annette Fraleigh (Women?s College Research Institute), Peggy Frank (Simon Fraser University), Brenda Gagnier (Women?s College Research Institute), Marilou Gagnon (University of Victoria), Jacqueline Gahagan (Dalhousie University), Claudine Gasingirwa (Women?s College Research Institute), Nada Gataric (British Columbia Centre for Excellence in HIV/AIDS), Rebecca Gormley (British Columbia Centre for Excellence in HIV/AIDS), Saara Greene (McMaster University), Danielle Groleau (McGill University), Charlotte Guerlott? (COCQ-SIDA), Trevor Hart (Ryerson University), Catherine Hankins (McGill University), Roula Hawa (Women?s College Research Institute), Emily Heer (Alberta Health Services), Robert S. Hogg (British Columbia Centre for Excellence in HIV/AIDS and Simon Fraser University), Terry Howard (Glasshouse Consultants), Shazia Islam (Women?s College Research Institute), Joseph Jean-Gilles (GAP-VIES), Hermione Jefferis (AIDS Vancouver Island), Evin Jones (Pacific AIDS Network), Charu Kaushic (McMaster University), Mina Kazemi (Women?s College Research Institute), Mary Kestler (Oak Tree Clinic, BC Women?s Hospital and Health Centre), Maxime Kiboyogo (McGill University Health Centre), Marina Klein (McGill University Health Centre), Nadine Kronfli (McGill University Health Center), Gladys Kwaramba (Women?s College Research Institute), Gary Lacasse (Canadian AIDS Society), Ashley Lacombe-Duncan (University of Michigan), Melanie Lee (Simon Fraser University), Rebecca Lee (CIHR Canadian HIV Trials Network), Jenny Li (British Columbia Centre for Excellence in HIV/AIDS), Viviane Lima (British Columbia Centre for Excellence in HIV/AIDS), Elisa Lloyd-Smith (Vancouver General Hospital), Carmen Logie (University of Toronto), Evelyn Maan (Oak Tree Clinic), Val?rie Martel-Lafreni?re (Centre Hospitalier de l?Universit? de Montr?al), Carrie Martin (Canadian Aboriginal AIDS Network), Renee Masching (Canadian Aboriginal AIDS Network), Lyne Massie (Universit? du Qu?bec ? Montr?al), Melissa Medjuck (formerly of the Positive Women?s Network), Brigitte M?nard, (McGill University Health Centre), Cari L. Miller (formerly of Simon Fraser University), Judy Mitchell (Positive Living North), Gerardo Mondragon (British Columbia Centre for Excellence), Deborah Money (Women?s Health Research Institute and Faculty of Medicine at UBC), Ken Monteith (COCQ-SIDA), Marvelous Muchenje (Women?s Health in Women?s Hands CHC), Florida Mukandamutsa (CASM), Mary Ndung'u (African Partnership Against AIDS), Valerie Nicholson (Simon Fraser University), Kelly O?Brien (University of Toronto), Nadia O'Brien (McGill University Health Centre and McGill University), Gina Ogilvie (University of British Columbia, Women?s Health Research Institute), Susanna Ogunnaike-Cooke (Public Health Agency of Canada), Joanne Otis (Universit? du Qu?bec ? Montr?al), Rebeccah Parry (Simon Fraser University), Sophie Patterson (Simon Fraser University), Angela Paul (Positive Living North), Doris Peltier (Canadian Aboriginal AIDS Network), Neora Pick (Oak Tree Clinic, BC Women?s Hospital and Health Centre), Alie Pierre (McGill University Health Centre), Jeff Powis (Michael Garron Hospital), Kar?ne Proulx-Boucher (McGill University Health Centre), Corinna Quan (Windsor Regional Hospital), Jesleen Rana (Women?s Health in Women?s Hands CHC), Eric Roth (University of Victoria), Danielle Rouleau (Centre Hospitalier de l?Universit? de Montr?al), Genevi?ve Rouleau (Centre Hospitalier de l?Universit? de Montr?al), Sergio Rueda (Centre for Addiction and Metal Health), Kate Salters (Simon Fraser University, British Columbia Centre for Excellence in HIV/AIDS), Margarite Sanchez (ViVA, Southern Gulf Islands AIDS Society, Simon Fraser University), Roger Sandre (Haven Clinic), Jacquie Sas (CIHR Canadian HIV Trials Network), ?d?nia Savoie (McGill University Health Centre), Paul Sereda (British Columbia Centre for Excellence in HIV/AIDS), Stephanie Smith (Women?s College Research Institute), Marcie Summers (formerly of the Positive Women?s Network), Wangari Tharao (Women?s Health in Women?s Hands CHC), Christina Tom (Simon Fraser University), C?cile Tremblay (Centre Hospitalier de l?Universit? de Montr?al), Jason Trigg (British Columbia Centre for Excellence in HIV/AIDS), Sylvie Trottier (Centre Hospitalier Universitaire de Qu?bec), Angela Underhill (Women?s College Research Institute), Anne Wagner (Ryerson University), Sharon Walmsley (University Health Network), Clara Wang (British Columbia Centre for Excellence), Kath Webster (Simon Fraser University), Wendy Wobeser (Queen?s University), Denise Wozniak (Positive Living Society of British Columbia), Mark Yudin (St. Michael?s Hospital), Wendy Zhang (British Columbia Centre for Excellence in HIV/AIDS), Julia Zhu (British Columbia Centre for Excellence in HIV/AIDS). All other CHIWOS Research Team Members who wish to remain anonymous.
Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/4/1
Y1 - 2020/4/1
N2 - 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.
AB - 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.
KW - Adherence
KW - CHIWOS
KW - HIV
KW - Incarceration
KW - Post-incarceration
KW - Social determinants of health
KW - Women
UR - https://www.scopus.com/pages/publications/85072213110
U2 - 10.1007/s10461-019-02666-7
DO - 10.1007/s10461-019-02666-7
M3 - Article
C2 - 31486006
SN - 1090-7165
VL - 24
SP - 1212
EP - 1225
JO - AIDS and behavior
JF - AIDS and behavior
IS - 4
ER -
SDG 3 Good Health and Well-being
SDG 16 Peace, Justice and Strong Institutions