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
| العنوان: | 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 |
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| المؤلفون: | Mona Loutfy, Alexandra de Pokomandy, Mostafa Shokoohi, Angela Kaida, Greta R. Bauer, Mina Kazemi, Brenda Gagnier, Ashley Lacombe-Duncan |
| المصدر: | PLoS ONE, Vol 14, Iss 3, p e0213901 (2019) PLoS ONE |
| بيانات النشر: | Public Library of Science (PLoS), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | RNA viruses, Epidemiology, Social Determinants of Health, Health Status, HIV Infections, Surveys, Pathology and Laboratory Medicine, Geographical locations, Food Supply, Cohort Studies, 0302 clinical medicine, 5. Gender equality, Immunodeficiency Viruses, Surveys and Questionnaires, Medicine and Health Sciences, Prevalence, Medicine, Public and Occupational Health, 030212 general & internal medicine, Young adult, 10. No inequality, Self-rated health, Reproductive health, education.field_of_study, Multidisciplinary, 1. No poverty, HIV diagnosis and management, Middle Aged, Socioeconomic Aspects of Health, 3. Good health, Medical Microbiology, HIV epidemiology, Research Design, Viral Pathogens, Community health, Viruses, Female, Pathogens, 0305 other medical science, Behavioral and Social Aspects of Health, Prejudice, Cohort study, Research Article, Adult, Canada, Adolescent, Science, Population, Research and Analysis Methods, Microbiology, 03 medical and health sciences, Social support, Young Adult, Retroviruses, Humans, Social determinants of health, education, Microbial Pathogens, Aged, 030505 public health, Survey Research, business.industry, Lentivirus, Organisms, Biology and Life Sciences, HIV, Social Support, Health Surveys, Diagnostic medicine, Health Care, Socioeconomic Factors, North America, Women's Health, People and places, business, Demography |
| الوصف: | BackgroundWomen 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.MethodsPrevalences 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.ResultsCompared to general population women, a higher proportion of WLWH reported annual personal income ConclusionsSignificant socio-structural inequalities and lower self-rated health were found among WLWH compared to general population women. Such inequities support the integration of a social-determinants approach, social service delivery, and programming into HIV care, with additional resource allocation tailored to the particular needs of WLWH. |
| اللغة: | English |
| تدمد: | 1932-6203 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e3df82a77ed4520e88130408a4693dc8Test https://doaj.org/article/a9880d5ec53f456a8083d79b2b00573aTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e3df82a77ed4520e88130408a4693dc8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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