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Examining the Health Care Experiences of Women Living with Human Immunodeficiency Virus (HIV) and Perceived HIV-Related Stigma

      Abstract

      Introduction

      The increased incidence of human immunodeficiency virus (HIV) in women, particularly marginalized women, prompted research to examine women's health service experiences at a local outpatient clinic.

      Methods

      A qualitative case study using semistructured interviews examined facilitators and barriers to health care services. Seventeen women living with HIV who accessed care at an outpatient HIV clinic in central west Ontario were interviewed. Thematic analysis was used to code health care experiences perceived as HIV-related stigma.

      Results

      Women perceived HIV-related stigma when health care providers lacked basic HIV knowledge and failed to uphold the ethical principles of patient–provider relationships, resulting in women's disengagement from health care.

      Conclusions

      We propose a community-based participatory research framework to reform health care educational curriculum toward a culture of health care safety that is inclusive of people living with HIV.
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      Biography

      Allyson Ion, BSc, MSc, is currently a PhD Student in the School of Social Work at McMaster University. Allyson has contributed to numerous clinical and community-based HIV research initiatives regarding women, motherhood, health and social service utilization, and peer support since 2006.

      Biography

      Dawn Elston, BA, MA, is a Research Coordinator in the Department of Family Medicine at McMaster University. Dawn collaborated on several research projects in the area HIV and women's health between 2006 and 2012.