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Social and structural barriers and facilitators to HIV healthcare and harm reduction services for people experiencing syndemics in Manitoba: study protocol

INTRODUCTION: In Manitoba, Canada, there has been an increase in the number of people newly diagnosed with HIV and those not returning for regular HIV care. The COVID-19 pandemic resulted in increased sex and gender disparities in disease risk and mortalities, decreased harm reduction services and r...

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Autores principales: Rueda, Zulma Vanessa, Haworth-Brockman, Margaret, Sobie, Cheryl, Villacis, Enrique, Larcombe, Linda, Maier, Katharina, Deering, Kathleen, Sanguins, Julianne, Templeton, Kimberly, MacKenzie, Lauren, Ireland, Laurie, Kasper, Ken, Payne, Michael, Bullard, Jared, Krusi, Andrea, Pick, Neora, Myran, Tara, Meyers, Adrienne, Keynan, Yoav
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401247/
https://www.ncbi.nlm.nih.gov/pubmed/37532474
http://dx.doi.org/10.1136/bmjopen-2022-067813
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author Rueda, Zulma Vanessa
Haworth-Brockman, Margaret
Sobie, Cheryl
Villacis, Enrique
Larcombe, Linda
Maier, Katharina
Deering, Kathleen
Sanguins, Julianne
Templeton, Kimberly
MacKenzie, Lauren
Ireland, Laurie
Kasper, Ken
Payne, Michael
Bullard, Jared
Krusi, Andrea
Pick, Neora
Myran, Tara
Meyers, Adrienne
Keynan, Yoav
author_facet Rueda, Zulma Vanessa
Haworth-Brockman, Margaret
Sobie, Cheryl
Villacis, Enrique
Larcombe, Linda
Maier, Katharina
Deering, Kathleen
Sanguins, Julianne
Templeton, Kimberly
MacKenzie, Lauren
Ireland, Laurie
Kasper, Ken
Payne, Michael
Bullard, Jared
Krusi, Andrea
Pick, Neora
Myran, Tara
Meyers, Adrienne
Keynan, Yoav
author_sort Rueda, Zulma Vanessa
collection PubMed
description INTRODUCTION: In Manitoba, Canada, there has been an increase in the number of people newly diagnosed with HIV and those not returning for regular HIV care. The COVID-19 pandemic resulted in increased sex and gender disparities in disease risk and mortalities, decreased harm reduction services and reduced access to healthcare. These health crises intersect with increased drug use and drug poisoning deaths, houselessness and other structural and social factors most acutely among historically underserved groups. We aim to explore the social and structural barriers and facilitators to HIV care and harm reduction services experienced by people living with HIV (PLHIV) in Manitoba. METHODS AND ANALYSIS: Our study draws on participatory action research design. Guiding the methodological design are the lived experiences of PLHIV. In-depth semi-structured face-to-face interviews and quantitative questionnaires will be conducted with two groups: (1) persons aged ≥18 years living or newly diagnosed with HIV and (2) service providers who work with PLHIV. Data collection will include sex, gender, sociodemographic information, income and housing, experiences with the criminal justice system, sexual practices, substance use practices and harm reduction access, experiences with violence and support, HIV care journey (since diagnosis until present), childhood trauma and a decision-making questionnaire. Data will be analysed intersectionally, employing grounded theory for thematic analysis, sex-based and gender-based analysis and social determinants of health and syndemic framework to understand the experiences of PLHIV in Manitoba. ETHICS AND DISSEMINATION: We received approval from the University of Manitoba Health Ethics Research Board (HS25572; H2022:218), First Nations Health and Social Secretariat of Manitoba, Nine Circles Community Health Centre, Shared Health Manitoba (SH2022:194) and 7th Street Health Access Centre. Findings will be disseminated using community-focused knowledge translation strategies identified by participants, peers, community members and organisations, and reported in conferences, peer-reviewed journals and a website (www.alltogether4ideas.org).
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spelling pubmed-104012472023-08-05 Social and structural barriers and facilitators to HIV healthcare and harm reduction services for people experiencing syndemics in Manitoba: study protocol Rueda, Zulma Vanessa Haworth-Brockman, Margaret Sobie, Cheryl Villacis, Enrique Larcombe, Linda Maier, Katharina Deering, Kathleen Sanguins, Julianne Templeton, Kimberly MacKenzie, Lauren Ireland, Laurie Kasper, Ken Payne, Michael Bullard, Jared Krusi, Andrea Pick, Neora Myran, Tara Meyers, Adrienne Keynan, Yoav BMJ Open HIV/AIDS INTRODUCTION: In Manitoba, Canada, there has been an increase in the number of people newly diagnosed with HIV and those not returning for regular HIV care. The COVID-19 pandemic resulted in increased sex and gender disparities in disease risk and mortalities, decreased harm reduction services and reduced access to healthcare. These health crises intersect with increased drug use and drug poisoning deaths, houselessness and other structural and social factors most acutely among historically underserved groups. We aim to explore the social and structural barriers and facilitators to HIV care and harm reduction services experienced by people living with HIV (PLHIV) in Manitoba. METHODS AND ANALYSIS: Our study draws on participatory action research design. Guiding the methodological design are the lived experiences of PLHIV. In-depth semi-structured face-to-face interviews and quantitative questionnaires will be conducted with two groups: (1) persons aged ≥18 years living or newly diagnosed with HIV and (2) service providers who work with PLHIV. Data collection will include sex, gender, sociodemographic information, income and housing, experiences with the criminal justice system, sexual practices, substance use practices and harm reduction access, experiences with violence and support, HIV care journey (since diagnosis until present), childhood trauma and a decision-making questionnaire. Data will be analysed intersectionally, employing grounded theory for thematic analysis, sex-based and gender-based analysis and social determinants of health and syndemic framework to understand the experiences of PLHIV in Manitoba. ETHICS AND DISSEMINATION: We received approval from the University of Manitoba Health Ethics Research Board (HS25572; H2022:218), First Nations Health and Social Secretariat of Manitoba, Nine Circles Community Health Centre, Shared Health Manitoba (SH2022:194) and 7th Street Health Access Centre. Findings will be disseminated using community-focused knowledge translation strategies identified by participants, peers, community members and organisations, and reported in conferences, peer-reviewed journals and a website (www.alltogether4ideas.org). BMJ Publishing Group 2023-08-02 /pmc/articles/PMC10401247/ /pubmed/37532474 http://dx.doi.org/10.1136/bmjopen-2022-067813 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle HIV/AIDS
Rueda, Zulma Vanessa
Haworth-Brockman, Margaret
Sobie, Cheryl
Villacis, Enrique
Larcombe, Linda
Maier, Katharina
Deering, Kathleen
Sanguins, Julianne
Templeton, Kimberly
MacKenzie, Lauren
Ireland, Laurie
Kasper, Ken
Payne, Michael
Bullard, Jared
Krusi, Andrea
Pick, Neora
Myran, Tara
Meyers, Adrienne
Keynan, Yoav
Social and structural barriers and facilitators to HIV healthcare and harm reduction services for people experiencing syndemics in Manitoba: study protocol
title Social and structural barriers and facilitators to HIV healthcare and harm reduction services for people experiencing syndemics in Manitoba: study protocol
title_full Social and structural barriers and facilitators to HIV healthcare and harm reduction services for people experiencing syndemics in Manitoba: study protocol
title_fullStr Social and structural barriers and facilitators to HIV healthcare and harm reduction services for people experiencing syndemics in Manitoba: study protocol
title_full_unstemmed Social and structural barriers and facilitators to HIV healthcare and harm reduction services for people experiencing syndemics in Manitoba: study protocol
title_short Social and structural barriers and facilitators to HIV healthcare and harm reduction services for people experiencing syndemics in Manitoba: study protocol
title_sort social and structural barriers and facilitators to hiv healthcare and harm reduction services for people experiencing syndemics in manitoba: study protocol
topic HIV/AIDS
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401247/
https://www.ncbi.nlm.nih.gov/pubmed/37532474
http://dx.doi.org/10.1136/bmjopen-2022-067813
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