178 lines
5.8 KiB
YAML
178 lines
5.8 KiB
YAML
abstract: 'Introduction In Manitoba, Canada, there has been an increase in the
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number of people newly diagnosed with HIV and those not returning for
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regular HIV care. The COVID-19 pandemic resulted in increased sex and
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gender disparities in disease risk and mortalities, decreased harm
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reduction services and reduced access to healthcare. These health crises
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intersect with increased drug use and drug poisoning deaths,
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houselessness and other structural and social factors most acutely among
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historically underserved groups. We aim to explore the social and
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structural barriers and facilitators to HIV care and harm reduction
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services experienced by people living with HIV (PLHIV) in Manitoba.
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Methods and analysis Our study draws on participatory action research
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design. Guiding the methodological design are the lived experiences of
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PLHIV. In-depth semi-structured face-to- face interviews and
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quantitative questionnaires will be conducted with two groups: (1)
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persons aged >= 18 years living or newly diagnosed with HIV and (2)
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service providers who work with PLHIV. Data collection will include sex,
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gender, sociodemographic information, income and housing, experiences
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with the criminal justice system, sexual practices, substance use
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practices and harm reduction access, experiences with violence and
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support, HIV care journey (since diagnosis until present), childhood
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trauma and a decision-making questionnaire. Data will be analysed
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intersectionally, employing grounded theory for thematic analysis,
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sex-based and gender-based analysis and social determinants of health
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and syndemic framework to understand the experiences of PLHIV in
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Manitoba.
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Ethics and dissemination We received approval from the University of
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Manitoba Health Ethics Research Board (HS25572; H2022:218), First
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Nations Health and Social Secretariat of Manitoba, Nine Circles
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Community Health Centre, Shared Health Manitoba (SH2022:194) and 7th
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Street Health Access Centre. Findings will be disseminated using
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community-focused knowledge translation strategies identified by
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participants, peers, community members and organisations, and reported
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in conferences, peer-reviewed journals and a website (www.
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alltogether4ideas.org).'
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affiliation: 'Rueda, ZV (Corresponding Author), Univ Manitoba, Max Rady Coll Med,
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Rady Fac Hlth Sci, Dept Med Microbiol \& Infect Dis, Winnipeg, MB, Canada.
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Rueda, Zulma Vanessa; Sobie, Cheryl; Villacis, Enrique; Bullard, Jared; Keynan,
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Yoav, Univ Manitoba, Max Rady Coll Med, Rady Fac Hlth Sci, Dept Med Microbiol \&
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Infect Dis, Winnipeg, MB, Canada.
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Haworth-Brockman, Margaret; Keynan, Yoav, Univ Manitoba, Natl Collaborating Ctr
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Infect Dis, Winnipeg, MB, Canada.
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Haworth-Brockman, Margaret; Sanguins, Julianne; Keynan, Yoav, Univ Manitoba, Rady
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Fac Hlth Sci, Dept Community Hlth Sci, Winnipeg, MB, Canada.
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Larcombe, Linda; MacKenzie, Lauren; Kasper, Ken; Keynan, Yoav, Univ Manitoba, Max
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Rady Coll Med, Rady Fac Hlth Sci, Dept Internal Med, Winnipeg, MB, Canada.
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Maier, Katharina, Univ Winnipeg, Criminal Justice, Winnipeg, MB, Canada.
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Deering, Kathleen; Krusi, Andrea, Univ British Columbia, Dept Med, Vancouver, BC,
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Canada.
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Deering, Kathleen; Krusi, Andrea, Univ British Columbia, Ctr Gender \& Sexual Hlth
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Equ, Vancouver, BC, Canada.
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Templeton, Kimberly; MacKenzie, Lauren; Ireland, Laurie; Kasper, Ken, Manitoba HIV
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Program, Winnipeg, MB, Canada.
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Templeton, Kimberly; Ireland, Laurie; Payne, Michael, Nine Circles Community Hlth
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Ctr, Winnipeg, MB, Canada.
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Bullard, Jared, Shared Hlth, Cadham Prov Lab, Winnipeg, MB, Canada.
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Pick, Neora, Univ British Columbia, Div Infect Dis, Vancouver, BC, Canada.
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Myran, Tara, Univ Winnipeg, Indigenous Dev, Winnipeg, MB, Canada.
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Meyers, Adrienne, Indigenous Serv Canada, Lab Integrat, Off Populat \& Publ Hlth,
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Winnipeg, MB, Canada.'
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author: Rueda, Zulma Vanessa and Haworth-Brockman, Margaret and Sobie, Cheryl and
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Villacis, Enrique and Larcombe, Linda and Maier, Katharina and Deering, Kathleen
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and Sanguins, Julianne and Templeton, Kimberly and MacKenzie, Lauren and Ireland,
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Laurie and Kasper, Ken and Payne, Michael and Bullard, Jared and Krusi, Andrea and
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Pick, Neora and Myran, Tara and Meyers, Adrienne and Keynan, Yoav
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author-email: zulma.rueda@umanitoba.ca
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author_list:
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- family: Rueda
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given: Zulma Vanessa
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- family: Haworth-Brockman
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given: Margaret
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- family: Sobie
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given: Cheryl
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- family: Villacis
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given: Enrique
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- family: Larcombe
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given: Linda
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- family: Maier
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given: Katharina
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- family: Deering
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given: Kathleen
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- family: Sanguins
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given: Julianne
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- family: Templeton
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given: Kimberly
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- family: MacKenzie
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given: Lauren
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- family: Ireland
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given: Laurie
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- family: Kasper
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given: Ken
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- family: Payne
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given: Michael
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- family: Bullard
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given: Jared
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- family: Krusi
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given: Andrea
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- family: Pick
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given: Neora
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- family: Myran
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given: Tara
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- family: Meyers
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given: Adrienne
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- family: Keynan
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given: Yoav
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da: '2023-09-28'
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doi: 10.1136/bmjopen-2022-067813
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files: []
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issn: 2044-6055
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journal: BMJ OPEN
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keywords: 'COVID-19; HIV \& AIDS; qualitative research; sexual and gender
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minorities; substance misuse; health services accessibility'
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keywords-plus: INTERVENTIONS; HIV/AIDS; TRAUMA
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language: English
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month: AUG
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number: '8'
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number-of-cited-references: '51'
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orcid-numbers: 'Rueda, Zulma Vanessa/0000-0001-6342-1812
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Villacis, Enrique/0000-0003-0033-9410'
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papis_id: 02c9c50cecf50bdee3b8f4722ff1b0f3
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ref: Rueda2023socialstructural
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times-cited: '0'
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title: 'Social and structural barriers and facilitators to HIV healthcare and harm
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reduction services for people experiencing syndemics in Manitoba: study protocol'
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type: article
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unique-id: WOS:001045474900018
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '13'
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web-of-science-categories: Medicine, General \& Internal
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year: '2023'
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