TY - JOUR PY - 2023// TI - HIV disclosure without consent linked to increased violence against women living with HIV in a Canadian setting JO - AIDS care A1 - Barreto, Daniella A1 - Deering, Kathleen A1 - Krüsi, Andrea A1 - Ranville, Flo A1 - Safford, Heidi A1 - Pooyak, Sherri A1 - Braschel, Melissa A1 - Kestler, Mary A1 - Ogilvie, Gina A1 - Shoveller, Jeannie A1 - Shannon, Kate SP - ePub EP - ePub VL - ePub IS - ePub N2 - Our study examined the association between HIV disclosure without consent and verbal and/or physical violence due to HIV status among women living with HIV (WLWH). This study draws on baseline data of a sample (N = 316) from SHAWNA, a longitudinal community-based open cohort with WLWH in Metro Vancouver, Canada (2010-2019). Bivariate and multivariable logistic regression was used to investigate factors associated with physical and/or verbal violence due to HIV status. Adjusted odds ratios (AOR) and 95% confidence intervals [95%CIs] are reported. In total, 46.5% experienced non-consensual disclosure of HIV status without consent and 34.2% experienced physical and/or verbal violence related to HIV status in their lifetime. In multivariable analysis, HIV disclosure without consent was associated with increased odds of experiencing HIV-related physical and/or verbal violence (AOR: 7.46[4.21-13.21]). Lifetime exposure to homelessness was also associated with increased odds of physical and/or verbal violence due to HIV status (AOR: 2.15[1.03-4.49]). This research underscores the reality of HIV stigmatization and criminalization and suggests a critical need to remove HIV disclosure from the reach of criminal law and ensure women's rights to confidentiality. Governments and organizations must work to identify and address the drivers of various levels of stigma and gender-based violence and invest in inclusive, trauma-informed, culturally safe support and care programs and policies designed in collaboration with WLWH.
Language: en
LA - en SN - 0954-0121 UR - http://dx.doi.org/10.1080/09540121.2023.2209304 ID - ref1 ER -