Factors and Priorities Influencing Satisfaction with Care among Women Living with HIV in Canada: A Fuzzy Cognitive Mapping Study

Engagement along the HIV care cascade in Canada is lower among women compared to men. We used Fuzzy Cognitive Mapping (FCM), a participatory research method, to identify factors influencing satisfaction with HIV care, their causal pathways, and relative importance from the perspective of women livin...

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Bibliographic Details
Published in:Journal of personalized medicine 2022-06, Vol.12 (7), p.1079
Main Authors: Skerritt, Lashanda, Kaida, Angela, Savoie, Édénia, Sánchez, Margarite, Sarmiento, Iván, O’Brien, Nadia, Burchell, Ann N., Bartlett, Gillian, Boucoiran, Isabelle, Kestler, Mary, Rouleau, Danielle, Loutfy, Mona, de Pokomandy, Alexandra
Format: Article
Language:English
Subjects:
Cognitive ability
Cognitive models
Community
Data collection
Gender
Health care
Health disparities
Health services
HIV
Human immunodeficiency virus
Knowledge
Literature reviews
Mapping
Mixed methods research
Participatory research
Patient satisfaction
Precision medicine
Reproductive health
Womens health
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Summary:Engagement along the HIV care cascade in Canada is lower among women compared to men. We used Fuzzy Cognitive Mapping (FCM), a participatory research method, to identify factors influencing satisfaction with HIV care, their causal pathways, and relative importance from the perspective of women living with HIV. Building from a map of factors derived from a mixed-studies review of the literature, 23 women living with HIV in Canada elaborated ten categories influencing their satisfaction with HIV care. The most central and influential category was “feeling safe and supported by clinics and healthcare providers”, followed by “accessible and coordinated services” and “healthcare provider expertise”. Participants identified factors that captured gendered social and health considerations not previously specified in the literature. These categories included “healthcare that considers women’s unique care needs and social contexts”, “gynecologic and pregnancy care”, and “family and partners included in care.” The findings contribute to our understanding of how gender shapes care needs and priorities among women living with HIV.
ISSN:2075-4426
2075-4426
DOI:10.3390/jpm12071079