DOI: 10.1177/23259582261447934 ISSN: 2325-9582

Patients’ Positive Experiences and the Role of Agency and Respect in Supporting HIV Treatment and Care Outcomes Among Women Living With HIV: Implications for Trauma- and Violence-Informed HIV Care and Practice From a Longitudinal Cohort Study

Kathleen N. Deering, Desire King, Colleen Thompson, Haoxuan Zhou, Kate Shannon
Show PDF Cite

Objective

We examined the association between 18 covariates measuring women's self-reported positive experiences with their main HIV care provider/clinics, drawing on the Substance Abuse and Mental Health Services Administration “trauma-informed care” framework, and multiple HIV treatment/care outcomes.

Methods

Data (2014-2021) were drawn from a longitudinal community-based cohort with women living with HIV in Metro Vancouver (the Sexual Health and HIV/AIDS: Longitudinal Women's Needs Assessment) and analyzed using multivariable logistic regression with generalized estimating equations.

Results

Multivariable analysis suggested that principles of “ safety and respect” (eg, feeling safe discussing sexual and/or reproductive health, confidentiality) and “ strength-based collaboration” (eg, agency in scheduling, actively participating in one's own care) were significantly associated with higher odds of optimal HIV treatment/care outcomes.

Conclusions

Our study provides evidence for the benefit of incorporating and scaling up education, training and health systems policies that support women's positive experiences with their main HIV care provider/clinics in a trauma- and violence-informed framework.

More from our Archive