Stigma trajectories, disclosure, access to care, and peer-based supports among African, Caribbean, and Black im/migrant women living with HIV in Canada: findings from a cohort of women living with HIV in Metro Vancouver, Canada
Our findings indicate that im/migration trajectories of African, Caribbean, and Black women living with HIV are critically related to accessing HIV care and supports in Canada and compound HIV stigma and discrimination. HIV disclosure without consent complicates access to care and social/peer support, underscoring the need for privacy, confidentiality, and the importance of building trust in the context of clinical encounters. The results of this study emphasize the critical need for culturally sensitive trauma-informed care models rooted in peer-based approaches.
Authors
- Melissa Braschel
- Kathleen Deering (ORCID: https://orcid.org/0000-0001-6265-3013)
- Faaria Samnani
- Patience Magagula
- Andrea Krüsi (ORCID: https://orcid.org/0000-0002-2531-8192)
- Kate Shannon (ORCID: https://orcid.org/0000-0002-6764-5212)
- Desire King
Institutions
- University of British Columbia (CA)
- Simon Fraser University (CA)
- British Columbia Centre of Excellence for Women's Health (CA)
- Center for Health and Gender Equity (US)
Publication Details
- Journal
- BMC Public Health
- Published
- 2024-11-13
- DOI
- https://doi.org/10.1186/s12889-024-20439-3
- Citations
- 5
- Primary Topic
- HIV/AIDS Research and Interventions
- Type
- article
- Field-Weighted Citation Impact
- 1.95
Funders
- Michael Smith Health Research BC
- Canadian HIV Trials Network, Canadian Institutes of Health Research
- National Institutes of Health
- Canadian Institutes of Health Research
- National Institute of Mental Health