Pub Date : 2021-07-03DOI: 10.1080/15381501.2021.1962473
Daniel P. Baker, G. Ussher, K. Rimes
Abstract The aim of this study was to develop a virtual youth center, providing a safe and supportive online space for sexual minority young men to talk and learn about HIV, sexuality, relationships and sex – topics rarely addressed inclusively in mainstream education. Eleven male participants aged 15–19 years living in South England completed the full programme of three text-based chatroom sessions. Participants were guided through discussions to introduce new knowledge and build emotional resilience. Self-report measures were taken before and after the programme. Recruitment to the project was challenging owing, in large part, to appropriately rigorous safeguarding protocols. All those taking part either maintained or improved their level of HIV knowledge and felt more confident about their sexuality. Participants described the experience as “informative” and “enjoyable”. Further iterations of the model could seek to measure behavioral change and use more robust evaluation methods, such as a comparison group.
{"title":"Development of a text-based chatroom HIV prevention and confidence-building intervention for same-sex attracted young males in South England","authors":"Daniel P. Baker, G. Ussher, K. Rimes","doi":"10.1080/15381501.2021.1962473","DOIUrl":"https://doi.org/10.1080/15381501.2021.1962473","url":null,"abstract":"Abstract The aim of this study was to develop a virtual youth center, providing a safe and supportive online space for sexual minority young men to talk and learn about HIV, sexuality, relationships and sex – topics rarely addressed inclusively in mainstream education. Eleven male participants aged 15–19 years living in South England completed the full programme of three text-based chatroom sessions. Participants were guided through discussions to introduce new knowledge and build emotional resilience. Self-report measures were taken before and after the programme. Recruitment to the project was challenging owing, in large part, to appropriately rigorous safeguarding protocols. All those taking part either maintained or improved their level of HIV knowledge and felt more confident about their sexuality. Participants described the experience as “informative” and “enjoyable”. Further iterations of the model could seek to measure behavioral change and use more robust evaluation methods, such as a comparison group.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42363196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abstract The prevalence of the Human Immunodeficiency Virus (HIV) continues to increase every year and become a serious global problem. Antiretroviral (ARV) is a therapy for People Living with HIV/AIDS (PLWHA) that must be consumed for life to inhibit the HIV/AIDS virus and improve the quality of life. Therefore, adherence is the main focus in ARV therapy. Knowledge is one of the factors that support the level of adherence in ARV therapy. This research was a cross-sectional descriptive study by providing a questionnaire consisting of 85 PLWHA on February-March 2021 at Public Health Center Dinoyo Malang City. The instrument HIV Knowledge Questionnaire (HIV-KQ-18) and Adherence to Refills and Medication Scale (ARMS). The research showed significant relationship between the level of knowledge of HIV/AIDS in PLWHA patients with level of adherence to the use of ARV drugs at Public Health Center Dinoyo Malang City used Chi Square analysis (p value = .019).
{"title":"Relationship between knowledge level of HIV/AIDS patient with antiretroviral adherence in primary healthcare service in Malang City","authors":"Dimas Setyadi Putra, Rizka Novia Atmadani, Ika Ratna Hidayati","doi":"10.1080/15381501.2021.1961651","DOIUrl":"https://doi.org/10.1080/15381501.2021.1961651","url":null,"abstract":"Abstract The prevalence of the Human Immunodeficiency Virus (HIV) continues to increase every year and become a serious global problem. Antiretroviral (ARV) is a therapy for People Living with HIV/AIDS (PLWHA) that must be consumed for life to inhibit the HIV/AIDS virus and improve the quality of life. Therefore, adherence is the main focus in ARV therapy. Knowledge is one of the factors that support the level of adherence in ARV therapy. This research was a cross-sectional descriptive study by providing a questionnaire consisting of 85 PLWHA on February-March 2021 at Public Health Center Dinoyo Malang City. The instrument HIV Knowledge Questionnaire (HIV-KQ-18) and Adherence to Refills and Medication Scale (ARMS). The research showed significant relationship between the level of knowledge of HIV/AIDS in PLWHA patients with level of adherence to the use of ARV drugs at Public Health Center Dinoyo Malang City used Chi Square analysis (p value = .019).","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45959184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-03DOI: 10.1080/15381501.2021.1955800
Ifeanyichukwu Anthony Ogueji
Abstract Aim Currently, HIV and COVID-19 are among the global health threats, and being newly diagnosed with HIV during the COVID-19 pandemic may be distressing. Therefore, this study explored the early biopsychosocial reactions to a new HIV-positive diagnosis among people newly diagnosed with HIV during the COVID-19 pandemic. Methods Twenty-five PLWH participated in focus group discussions (FGDs). The FGDs were conducted in the same modalities with three groups for an average of two hours until data saturation occurred. Data were thematically analyzed after which there were three rigorous phases of analysis validation. Results Five themes were created—“Concerns about HIV care being disrupted by the COVID-19 pandemic,” “HIV-positive status was blamed on the COVID-19 pandemic,” “Expecting an HIV-positive diagnosis reduced negative reactions (e.g., psychological distress),” “Fear of stigmatization,” and “Suicidal ideation and body ache.” Conclusion The implications of findings for theory and practice are discussed.
{"title":"People newly diagnosed with HIV during the COVID-19 pandemic: A focus group study on the associated early biopsychosocial reactions","authors":"Ifeanyichukwu Anthony Ogueji","doi":"10.1080/15381501.2021.1955800","DOIUrl":"https://doi.org/10.1080/15381501.2021.1955800","url":null,"abstract":"Abstract Aim Currently, HIV and COVID-19 are among the global health threats, and being newly diagnosed with HIV during the COVID-19 pandemic may be distressing. Therefore, this study explored the early biopsychosocial reactions to a new HIV-positive diagnosis among people newly diagnosed with HIV during the COVID-19 pandemic. Methods Twenty-five PLWH participated in focus group discussions (FGDs). The FGDs were conducted in the same modalities with three groups for an average of two hours until data saturation occurred. Data were thematically analyzed after which there were three rigorous phases of analysis validation. Results Five themes were created—“Concerns about HIV care being disrupted by the COVID-19 pandemic,” “HIV-positive status was blamed on the COVID-19 pandemic,” “Expecting an HIV-positive diagnosis reduced negative reactions (e.g., psychological distress),” “Fear of stigmatization,” and “Suicidal ideation and body ache.” Conclusion The implications of findings for theory and practice are discussed.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59864308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-03DOI: 10.1080/15381501.2021.1963385
Robin Lennon-Dearing, Melissa Hirschi, Sarah-Eve Dill, Kayla Gore
Abstract Aggravated prostitution is the combination of one stigmatizing circumstance accompanying another: prostitution and living with HIV. This HIV criminal offense disproportionally impacts African Americans, women, transgender and gender non-conforming people, people experiencing homelessness, and people unable to meet their basic needs. Punishment for aggravated prostitution is unduly harsh and inconsistent with the harm caused. This article describes the findings from a qualitative descriptive study of fourteen individuals who share their experiences of what has happened as a result of being arrested for aggravated prostitution. Findings include (a) economic survival and discrimination are reasons given for sex work, (b) people with stigmatized intersectional social identities experience police profiling, discrimination, and harassment, (c) those arrested for aggravated prostitution are punished severely and permanently, and (d) these findings support policy action. Modernizing HIV criminal laws should be accompanied by the provision of community services and supports as an alternative to arresting people for aggravated prostitution.
{"title":"“We all deserve justice”: Perspectives on being arrested for aggravated prostitution","authors":"Robin Lennon-Dearing, Melissa Hirschi, Sarah-Eve Dill, Kayla Gore","doi":"10.1080/15381501.2021.1963385","DOIUrl":"https://doi.org/10.1080/15381501.2021.1963385","url":null,"abstract":"Abstract Aggravated prostitution is the combination of one stigmatizing circumstance accompanying another: prostitution and living with HIV. This HIV criminal offense disproportionally impacts African Americans, women, transgender and gender non-conforming people, people experiencing homelessness, and people unable to meet their basic needs. Punishment for aggravated prostitution is unduly harsh and inconsistent with the harm caused. This article describes the findings from a qualitative descriptive study of fourteen individuals who share their experiences of what has happened as a result of being arrested for aggravated prostitution. Findings include (a) economic survival and discrimination are reasons given for sex work, (b) people with stigmatized intersectional social identities experience police profiling, discrimination, and harassment, (c) those arrested for aggravated prostitution are punished severely and permanently, and (d) these findings support policy action. Modernizing HIV criminal laws should be accompanied by the provision of community services and supports as an alternative to arresting people for aggravated prostitution.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47112376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-03DOI: 10.1080/15381501.2021.1922115
Emmanuel Busayo Omotoso
Abstract Little is known about the barriers to HIV status disclosure among HIV-positive women residing in Nigerian rural settings. A qualitative interview study was carried out with 17 women with HIV at a primary care clinic in a Nigerian rural setting. Collected data were thematically analyzed. The results revealed barriers such as the fear of stigmatization which was associated with factors such as socio-cultural factors and residing in rural settings. Further, poor support from HIV-care providers and socioeconomic dynamics were identified as barriers. The implication of findings for theory and practice were discussed.
{"title":"Barriers to HIV status disclosure among HIV-positive women: Findings from a qualitative study at a primary care clinic in a Nigerian rural setting","authors":"Emmanuel Busayo Omotoso","doi":"10.1080/15381501.2021.1922115","DOIUrl":"https://doi.org/10.1080/15381501.2021.1922115","url":null,"abstract":"Abstract Little is known about the barriers to HIV status disclosure among HIV-positive women residing in Nigerian rural settings. A qualitative interview study was carried out with 17 women with HIV at a primary care clinic in a Nigerian rural setting. Collected data were thematically analyzed. The results revealed barriers such as the fear of stigmatization which was associated with factors such as socio-cultural factors and residing in rural settings. Further, poor support from HIV-care providers and socioeconomic dynamics were identified as barriers. The implication of findings for theory and practice were discussed.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1922115","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45717460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-03DOI: 10.1080/15381501.2021.1919276
Ifeanyichukwu Anthony Ogueji, Emmanuel Busayo Omotoso
Abstract Aim The uptake of the prevention of mother-to-child transmission of HIV (PMTCT) services is predictive of HIV transmission; however, many barriers limit pregnant women living with HIV from this uptake. This study, therefore, aimed to explore some barriers to PMTCT services uptake among pregnant women living with HIV. Methods A qualitative interview design was employed with pregnant women living with HIV, their husbands or relatives, and service providers in two Nigerian health facilities. Thirty-five participants were individually interviewed until data saturation occurred, and the data were thematically analyzed. Results Five barriers to PMTCT services uptake were found - “fear of stigmatization,” “poor support from family,” “conflict between attending to social role demands and PMTCT programs,” “financial and time cost to health facilities,” and “poor service provider-patient interaction.” Conclusion These data contribute to informing targeted interventions that strengthen the uptake of PMTCT services among HIV-positive pregnant women.
{"title":"Barriers to PMTCT services uptake among pregnant women living with HIV: A qualitative study","authors":"Ifeanyichukwu Anthony Ogueji, Emmanuel Busayo Omotoso","doi":"10.1080/15381501.2021.1919276","DOIUrl":"https://doi.org/10.1080/15381501.2021.1919276","url":null,"abstract":"Abstract Aim The uptake of the prevention of mother-to-child transmission of HIV (PMTCT) services is predictive of HIV transmission; however, many barriers limit pregnant women living with HIV from this uptake. This study, therefore, aimed to explore some barriers to PMTCT services uptake among pregnant women living with HIV. Methods A qualitative interview design was employed with pregnant women living with HIV, their husbands or relatives, and service providers in two Nigerian health facilities. Thirty-five participants were individually interviewed until data saturation occurred, and the data were thematically analyzed. Results Five barriers to PMTCT services uptake were found - “fear of stigmatization,” “poor support from family,” “conflict between attending to social role demands and PMTCT programs,” “financial and time cost to health facilities,” and “poor service provider-patient interaction.” Conclusion These data contribute to informing targeted interventions that strengthen the uptake of PMTCT services among HIV-positive pregnant women.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1919276","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45298208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-03DOI: 10.1080/15381501.2021.1930319
I. Obionu, Ikechukwu Eke-Okoro, C. Okeke, E. Aguwa, C. Onwasigwe
Abstract Introduction Disclosure of HIV status has been proven to be useful for prevention and care of PLWHIV. Methods A comparative cross sectional study among 300 PLWHIV who are peer support group users and non support group users. Results Voluntary disclosure rates to members of one’s social network in peer support and non-peer support group members was found to be 124 (82.7%) and 117 (78.0%) respectively. Voluntary disclosure to current sexual partners was higher in PLWHIV who were not members of peer support groups. For peer support group members, their main motivator for disclosure was to receive support while for those who were not members, it was to prevent spread of infection. The preferred method of disclosure to sexual partners in both groups was the passive notification method Conclusion The pattern of HIV status disclosure differed in participants in both groups. Therefore, when facilitating disclosure this should be taken into consideration.
{"title":"A comparative study of pattern of HIV status disclosure among people living with HIV in peer support and non-support groups in Enugu, Nigeria","authors":"I. Obionu, Ikechukwu Eke-Okoro, C. Okeke, E. Aguwa, C. Onwasigwe","doi":"10.1080/15381501.2021.1930319","DOIUrl":"https://doi.org/10.1080/15381501.2021.1930319","url":null,"abstract":"Abstract Introduction Disclosure of HIV status has been proven to be useful for prevention and care of PLWHIV. Methods A comparative cross sectional study among 300 PLWHIV who are peer support group users and non support group users. Results Voluntary disclosure rates to members of one’s social network in peer support and non-peer support group members was found to be 124 (82.7%) and 117 (78.0%) respectively. Voluntary disclosure to current sexual partners was higher in PLWHIV who were not members of peer support groups. For peer support group members, their main motivator for disclosure was to receive support while for those who were not members, it was to prevent spread of infection. The preferred method of disclosure to sexual partners in both groups was the passive notification method Conclusion The pattern of HIV status disclosure differed in participants in both groups. Therefore, when facilitating disclosure this should be taken into consideration.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1930319","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43159761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-03DOI: 10.1080/15381501.2021.1928578
M. Dako‑Gyeke, A. Boateng
Abstract This study explored key informants’ perspectives about adolescents living with human immunodeficiency virus (HIV). Twenty-one participants were purposively selected and data were collected through face-to-face in-depth interviews using a semi-structured interview guide. The interviews were audio-recorded, transcribed, and analyzed to identify emerging themes. The findings indicated that adolescents living with HIV had concerns about disclosing their HIV status. Key informants reported that adolescents living with HIV’s responses to awareness about their status included anger, blame and social isolation. Also, it was found that the adolescents had challenges with adhering to scheduled medical appointments and the antiretroviral therapy. Evidence showed that financial constraints adversely affected adolescents’ clinic attendance and medication compliance. Several psychosocial support services (counseling, financial assistance, provision of basic needs, and cordial relationships) were identified by key informants as being available for adolescents living with HIV. Based on the findings of the study, conclusions were drawn and implications discussed.
{"title":"The quandary of adolescent HIV: Perspectives of key informants in Accra, Ghana","authors":"M. Dako‑Gyeke, A. Boateng","doi":"10.1080/15381501.2021.1928578","DOIUrl":"https://doi.org/10.1080/15381501.2021.1928578","url":null,"abstract":"Abstract This study explored key informants’ perspectives about adolescents living with human immunodeficiency virus (HIV). Twenty-one participants were purposively selected and data were collected through face-to-face in-depth interviews using a semi-structured interview guide. The interviews were audio-recorded, transcribed, and analyzed to identify emerging themes. The findings indicated that adolescents living with HIV had concerns about disclosing their HIV status. Key informants reported that adolescents living with HIV’s responses to awareness about their status included anger, blame and social isolation. Also, it was found that the adolescents had challenges with adhering to scheduled medical appointments and the antiretroviral therapy. Evidence showed that financial constraints adversely affected adolescents’ clinic attendance and medication compliance. Several psychosocial support services (counseling, financial assistance, provision of basic needs, and cordial relationships) were identified by key informants as being available for adolescents living with HIV. Based on the findings of the study, conclusions were drawn and implications discussed.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1928578","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44604621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-03DOI: 10.1080/15381501.2021.1922116
F. Parks, S. Smallwood
Abstract Stigma by association, or “courtesy stigma,” is defined as public disapproval for associating with a perceived stigmatized group. Using an audience response system (ARS), rural HIV/AIDS healthcare providers (n = 69) were asked about experiences of courtesy stigma and self-care practices for safeguarding their well-being. Qualitative responses were coded and themes identified. Forty-nine percent of respondents reported experiencing courtesy stigma (for example, others assuming they were HIV-positive because of their work). While respondents rated their quality of self-care as either “good” (43.5%) or “excellent” (14.5%), opportunities to increase providers’ capacity to practice quality self-care is strongly encouraged.
{"title":"Courtesy stigma and self-care practices among rural HIV/AIDS healthcare providers","authors":"F. Parks, S. Smallwood","doi":"10.1080/15381501.2021.1922116","DOIUrl":"https://doi.org/10.1080/15381501.2021.1922116","url":null,"abstract":"Abstract Stigma by association, or “courtesy stigma,” is defined as public disapproval for associating with a perceived stigmatized group. Using an audience response system (ARS), rural HIV/AIDS healthcare providers (n = 69) were asked about experiences of courtesy stigma and self-care practices for safeguarding their well-being. Qualitative responses were coded and themes identified. Forty-nine percent of respondents reported experiencing courtesy stigma (for example, others assuming they were HIV-positive because of their work). While respondents rated their quality of self-care as either “good” (43.5%) or “excellent” (14.5%), opportunities to increase providers’ capacity to practice quality self-care is strongly encouraged.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1922116","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42834694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-02DOI: 10.1080/15381501.2021.1908923
Irenius Konkor, P. Mkandawire, I. Luginaah, W. Husbands, F. Omorodion, J. Wong, J. Etowa
Abstract While there is a growing body of literature on Black people’s access to HIV services in Canada, the question of how this access varies across Canada’s urban jurisdictions has hitherto never arisen in research and policy. This paper assesses HIV healthcare needs among heterosexual Black men in four Ontario cities of Windsor, London, Toronto and Ottawa. Multivariate results show that heterosexual Black men in Windsor (OR = 3.2; p < .01), London (OR = 2.5; p < .05), and Toronto (OR = 2.2; p < .05) were significantly more likely to experience difficulties getting HIV healthcare compared with those living in the nation’s capital—Ottawa. Also, experiences of discrimination (OR = 1.08; p < .001), not having a family doctor (OR = 1.7; p < .01) and difficulty with the English language (OR = 2.4; p < .01) predicted higher odds of difficulty accessing HIV health needs. These findings suggest that contextually sensitive policies within Canadian cities are needed to help marginalized populations meet their healthcare needs.
{"title":"Access to healthcare services among heterosexual Black men in Ontario, Canada","authors":"Irenius Konkor, P. Mkandawire, I. Luginaah, W. Husbands, F. Omorodion, J. Wong, J. Etowa","doi":"10.1080/15381501.2021.1908923","DOIUrl":"https://doi.org/10.1080/15381501.2021.1908923","url":null,"abstract":"Abstract While there is a growing body of literature on Black people’s access to HIV services in Canada, the question of how this access varies across Canada’s urban jurisdictions has hitherto never arisen in research and policy. This paper assesses HIV healthcare needs among heterosexual Black men in four Ontario cities of Windsor, London, Toronto and Ottawa. Multivariate results show that heterosexual Black men in Windsor (OR = 3.2; p < .01), London (OR = 2.5; p < .05), and Toronto (OR = 2.2; p < .05) were significantly more likely to experience difficulties getting HIV healthcare compared with those living in the nation’s capital—Ottawa. Also, experiences of discrimination (OR = 1.08; p < .001), not having a family doctor (OR = 1.7; p < .01) and difficulty with the English language (OR = 2.4; p < .01) predicted higher odds of difficulty accessing HIV health needs. These findings suggest that contextually sensitive policies within Canadian cities are needed to help marginalized populations meet their healthcare needs.","PeriodicalId":44452,"journal":{"name":"Journal of HIV-AIDS & Social Services","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2021-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/15381501.2021.1908923","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44254994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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