Social determinants of health and self-rated health status: A comparison between women with HIV and women without HIV from the general population in Canada

Women living with HIV (WLWH) continue to experience poorer outcomes across the HIV care cascade and overall health, an appreciable proportion of which may not be disease-related but due to socio-structural barriers that impact health. We compared socio-structural determinants of health and self-rate...

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Bibliographic Details
Published in:PloS one 2019-03, Vol.14 (3), p.e0213901-e0213901
Main Authors: Shokoohi, Mostafa, Bauer, Greta R, Kaida, Angela, Lacombe-Duncan, Ashley, Kazemi, Mina, Gagnier, Brenda, de Pokomandy, Alexandra, Loutfy, Mona
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Adolescent
Adult
Age composition
Aged
AIDS
Analysis
Antiretroviral agents
Biology and Life Sciences
Canada - epidemiology
Cohort analysis
Cohort Studies
Confidence intervals
Discrimination
Female
Food security
Food Supply
Gender equality
Health aspects
Health care
Health Status
Health surveys
HIV
HIV Infections - epidemiology
HIV patients
Human immunodeficiency virus
Humans
Income
Medical diagnosis
Medicine and Health Sciences
Middle Aged
People and places
Prejudice
Prevalence
Reproductive health
Research and Analysis Methods
Resource allocation
Sexually transmitted diseases
Social aspects
Social Determinants of Health
Social interactions
Social services
Social Support
Socioeconomic Factors
STD
Studies
Surveys
Surveys and Questionnaires
Women
Women's Health
Young Adult
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Summary:Women living with HIV (WLWH) continue to experience poorer outcomes across the HIV care cascade and overall health, an appreciable proportion of which may not be disease-related but due to socio-structural barriers that impact health. We compared socio-structural determinants of health and self-rated health between WLWH and expected general population values. Prevalences of socio-structural determinants and self-rated health were estimated from 1,422 WLWH aged 16+ in the 2013-2015 Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS). Prevalences were also estimated from 46,831 general population women (assumed HIV-negative) in the 2013-2014 Canadian Community Health Survey (CCHS), standardized to the age/ethnoracial group distribution of WLWH. Standardized prevalence differences (SPDs) and 95% confidence intervals (CI) were reported. Compared to general population women, a higher proportion of WLWH reported annual personal income
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0213901