Help-Seeking to Cope With Experiences of Violence Among Women Living With HIV in Canada

Gormley, Rebecca; Nicholson, Valerie; Parry, Rebeccah; Lee, Melanie; Webster, Kath; Sánchez, Margarite; Cardinal, Claudette; Li, Jenny; Wang, Lu; Balleny, Rosa; Pokomandy, Alexandra de; Loutfy, Mona; Kaida, Angela

doi:10.1177/10778012211019047

Cited by 5 publications

(4 citation statements)

References 69 publications

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“…Our study in southwestern Uganda found that the most utilized CoSaV among the MWLHIV experiencing IPV were law enforcement by the Police (25.5%), mediation by the local government leaders in particular the local councilors (20.3%), health services (18.2%) and counseling (16.3%). Our study finding that health services is among the most frequently utilized CoSaV among the MWLHIV experiencing IPV concurs with a study conducted among WLHIV in Canada by Gormley et al (2022) which also found health services as the most frequently utilized support system for IPV [36]. Conversely, the 16.3% level of utilization of counseling services for IPV found among the MWLHIV in our study in southwestern Uganda is about half of the 40.2% level of utilization of counseling services found in a previous study conducted among the WLHIV in southwestern Uganda by Arishaba et al (2022) [38].…”

Section: Discussionsupporting

confidence: 92%

“…This 58.5% level of utilization of the CoSaV found among MWLHIV from southwestern Uganda is almost double the 33% level of help-seeking for IPV reported among the general population of married women during the 2016 Uganda demographic health survey (UDHS) [ 10 , 11 ]. Similarly, the 58.5% level of support-seeking for IPV found among MWLHIV in southwestern Uganda in currently is also higher than the 42% level of help-seeking for IPV found among WLHIV in Canada by Gormley et al (2022)- [ 36 ]. The higher level of utilization of CoSaV among the MWLHIV in southwestern Uganda in this study was associated to awareness about the CoSaV (x 2 91.228, df 1, p< 0.0001) and also to the perceived accessibility of the CoSaV (x 2 313.931, df 1, p< 0.0001).…”

Section: Discussionmentioning

confidence: 83%

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Predictors for the utilization of community support systems against intimate partner violence among married women living with HIV in southwestern Uganda—A cross sectional study

Muteesasira,

Akampumuza,

Abaho

et al. 2024

PLoS ONE

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Background Intimate partner violence (IPV) disproportionately affects married women living with HIV (MWLHIV), resulting in undesirable human rights, socio-economic, mental, maternal, and child health consequences. Community Support systems against Violence (CoSaV) are widely available and promising public and voluntary resources for the prevention and mitigation of IPV but are poorly investigated. We set out to identify the predictors for the utilization of the CoSaV among the MWLHIV. Methods This was a quantitative cross-sectional study conducted among 424 consecutively sampled MWLHIV attending the Antiretroviral Therapy (ART) clinic at Kabale Regional Referral Hospital in southwestern Uganda in April 2021. Using an interviewer-administered questionnaire, data were collected on the participant’s socio-demographic characteristics, exposure to IPV, awareness about the CoSaV, perceptions about the quality, accessibility and challenges in accessing the CoSaV and the utilization. Modified Poisson regression model was used to identify the predictors for the utilization of CoSaV using the Statistical Package for Social Sciences (SPSS) version 23.0. Results The mean age of the 424 participants in the study was 39.5 ± 10.2 years. More than half of the participants 51.9% (220/424) reported exposure to any IPV. Utilization of any CoSaV was found to be above average at 58.3% among the participants. The formal support (police, local government leaders, health workers and counselors) were more frequently utilized compared to the informal support (family, relatives and friends). Utilization of any CoSaV was higher among the women who were aware of the CoSaV and also those who were exposed to violence. Accessibility was identified as an independent predictor for utilization of any CoSaV. Conclusions Intimate partner violence (IPV) was prevalent among MWLHIV in southwestern Uganda. However, the utilization of any CoSaV was suboptimal. The formal CoSaV were more frequently utilized than the informal support systems. Accessibility was an independent predictor for utilization of any CoSaV. There is need to improve access in order to increase the utilization of the CoSaV and contribute to the attainment of sustainable development goal 5.2.1 and end violence against women.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 83%

Predictors for the utilization of community support systems against intimate partner violence among married women living with HIV in southwestern Uganda—A cross sectional study

Muteesasira,

Akampumuza,

Abaho

et al. 2024

PLoS ONE

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“…27 GBV is a known risk factor for HIV transmission 28 and the post-diagnosis rate of GBV experienced by women living with HIV is high. 29 Data from the CHIWOS survey revealed that 80% of women living with HIV have experienced controlling behaviours, sexual, physical, and/or verbal violence in adulthood 30 and 47% of the entire sample reported symptoms consistent with post-traumatic stress disorder (PTSD). 31 Forced sex was the third most dominant mode of HIV acquisition among women enrolled in CHIWOS.…”

Section: Methodsmentioning

confidence: 99%

“…Among women who reported seeking help, 70% sought help from their health care providers and 53% from non-HIV community organizations. 30 Given GBV prevalence experienced by women living with HIV in Canada and opportunity for health care and other care providers to support women living with HIV who are experiencing violence, prioritizing trauma and violence aware care/practice as a webinar topic was essential.…”

Section: Methodsmentioning

confidence: 99%

Key recommendations for developing a national action plan to advance the sexual and reproductive health and rights of women living with HIV in Canada

Kaida

Cameron²,

Conway³

et al. 2022

Womens Health (Lond Engl)

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Action on the World Health Organization Consolidated guideline on sexual and reproductive health and rights of women living with HIV requires evidence-based, equity-oriented, and regionally specific strategies centred on priorities of women living with HIV. Through community–academic partnership, we identified recommendations for developing a national action plan focused on enabling environments that shape sexual and reproductive health and rights by, with, and for women living with HIV in Canada. Between 2017 and 2019, leading Canadian women’s HIV community, research, and clinical organizations partnered with the World Health Organization to convene a webinar series to describe the World Health Organization Consolidated guideline, define sexual and reproductive health and rights priorities in Canada, disseminate Canadian research and best practices in sexual and reproductive health and rights, and demonstrate the importance of community–academic partnerships and meaningful engagement of women living with HIV. Four webinar topics were pursued: (1) Trauma and Violence-Aware Care/Practice; (2) Supporting Safer HIV Disclosure; (3) Reproductive Health, Rights, and Justice; and (4) Resilience, Self-efficacy, and Peer Support. Subsequent in-person (2018) and online (2018–2021) consultation with > 130 key stakeholders further clarified priorities. Consultations yielded five cross-cutting key recommendations: 1. Meaningfully engage women living with HIV across research, policy, and practice aimed at advancing sexual and reproductive health and rights by, with, and for all women. 2. Centre Indigenous women’s priorities, voices, and perspectives. 3. Use language that is actively de-stigmatizing, inclusive, and reflective of women’s strengths and experiences. 4. Strengthen Knowledge Translation efforts to support access to and uptake of contemporary sexual and reproductive health and rights information for all stakeholders. 5. Catalyse reciprocal relationships between evidence and action such that action is guided by research evidence, and research is guided by what is needed for effective action. Topic-specific sexual and reproductive health and rights recommendations were also identified. Guided by community engagement, recommendations for a national action plan on sexual and reproductive health and rights encourage Canada to enact global leadership by creating enabling environments for the health and healthcare of women living with HIV. Implementation is being pursued through consultations with provincial and national government representatives and policy-makers.

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Intervention Approaches to Address Intimate Partner Violence and HIV: a Scoping Review of Recent Research

Alexander,

Mpundu,

Duroseau

et al. 2023

Curr HIV/AIDS Rep

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Help-Seeking to Cope With Experiences of Violence Among Women Living With HIV in Canada

Cited by 5 publications

References 69 publications

Predictors for the utilization of community support systems against intimate partner violence among married women living with HIV in southwestern Uganda—A cross sectional study

Predictors for the utilization of community support systems against intimate partner violence among married women living with HIV in southwestern Uganda—A cross sectional study

Key recommendations for developing a national action plan to advance the sexual and reproductive health and rights of women living with HIV in Canada

Intervention Approaches to Address Intimate Partner Violence and HIV: a Scoping Review of Recent Research

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