Women-specific HIV/AIDS services: identifying and defining the components of holistic service delivery for women living with HIV/AIDS
Identifieur interne : 000008 ( Canada/Analysis ); précédent : 000007; suivant : 000009Women-specific HIV/AIDS services: identifying and defining the components of holistic service delivery for women living with HIV/AIDS
Auteurs : Allison J. Carter [Canada] ; Sonya Bourgeois [Canada] ; Nadia O'Brien [Canada] ; Kira Abelsohn [Canada] ; Wangari Tharao [Canada] ; Saara Greene [Canada] ; Shari Margolese [Canada] ; Angela Kaida [Canada] ; Margarite Sanchez [Canada] ; Alexis K. Palmer [Canada] ; Angela Cescon [Canada] ; Alexandra De Pokomandy [Canada] ; Mona R. Loutfy [Canada]Source :
- Journal of the International AIDS Society [ 1758-2652 ] ; 2013.
Abstract
The increasing proportion of women living with HIV has evoked calls for tailored services that respond to women's specific needs. The objective of this investigation was to explore the concept of women-specific HIV/AIDS services to identify and define what key elements underlie this approach to care.
A comprehensive review was conducted using online databases (CSA Social Service Abstracts, OvidSP, Proquest, Psycinfo, PubMed, CINAHL), augmented with a search for grey literature. In total, 84 articles were retrieved and 30 were included for a full review. Of these 30, 15 were specific to HIV/AIDS, 11 for mental health and addictions and four stemmed from other disciplines.
The review demonstrated the absence of a consensual definition of women-specific HIV/AIDS services in the literature. We distilled this concept into its defining features and 12 additional dimensions (1) creating an atmosphere of safety, respect and acceptance; (2) facilitating communication and interaction among peers; (3) involving women in the planning, delivery and evaluation of services; (4) providing self-determination opportunities; (5) providing tailored programming for women; (6) facilitating meaningful access to care through the provision of social and supportive services; (7) facilitating access to women-specific and culturally sensitive information; (8) considering family as the unit of intervention; (9) providing multidisciplinary integration and coordination of a comprehensive array of services; (10) meeting women “where they are”; (11) providing gender-, culture- and HIV-sensitive training to health and social care providers; and (12) conducting gendered HIV/AIDS research.
This review highlights that the concept of women-specific HIV/AIDS services is a complex and multidimensional one that has been shaped by diverse theoretical perspectives. Further research is needed to better understand this emerging concept and ultimately assess the effectiveness of women-specific services on HIV-positive women's health outcomes.
Url:
DOI: 10.7448/IAS.16.1.17433
PubMed: 23336725
PubMed Central: 3545274
Affiliations:
- Canada
- Ontario, Québec
- Hamilton (Ontario), Montréal, Toronto
- Université McMaster, Université de Toronto
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PMC:3545274Le document en format XML
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Sanchez</name><affiliation wicri:level="1"><nlm:aff id="AF0007">ViVA, British Columbia, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>ViVA, British Columbia</wicri:regionArea><wicri:noRegion>British Columbia</wicri:noRegion></affiliation></author><author><name sortKey="Palmer, Alexis K" sort="Palmer, Alexis K" uniqKey="Palmer A" first="Alexis K" last="Palmer">Alexis K. Palmer</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Simon Fraser University, Faculty of Health Sciences, Burnaby, British Columbia, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Simon Fraser University, Faculty of Health Sciences, Burnaby, British Columbia</wicri:regionArea><wicri:noRegion>British Columbia</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia</wicri:regionArea><wicri:noRegion>British Columbia</wicri:noRegion></affiliation></author><author><name sortKey="Cescon, Angela" sort="Cescon, Angela" uniqKey="Cescon A" first="Angela" last="Cescon">Angela Cescon</name><affiliation wicri:level="1"><nlm:aff id="AF0002">British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia</wicri:regionArea><wicri:noRegion>British Columbia</wicri:noRegion></affiliation></author><author><name sortKey="De Pokomandy, Alexandra" sort="De Pokomandy, Alexandra" uniqKey="De Pokomandy A" first="Alexandra" last="De Pokomandy">Alexandra De Pokomandy</name><affiliation wicri:level="3"><nlm:aff id="AF0004">McGill University Health Centre, Montreal, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>McGill University Health Centre, Montreal</wicri:regionArea><placeName><settlement type="city">Montréal</settlement><region type="state">Québec</region></placeName></affiliation></author><author><name sortKey="Loutfy, Mona R" sort="Loutfy, Mona R" uniqKey="Loutfy M" first="Mona R" last="Loutfy">Mona R. Loutfy</name><affiliation wicri:level="4"><nlm:aff id="AF0003">Women's College Research Institute, Women's College Hospital, University of Toronto, Toronto, Ontario, Canada</nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Women's College Research Institute, Women's College Hospital, University of Toronto, Toronto, Ontario</wicri:regionArea><orgName type="university">Université de Toronto</orgName><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author></analytic><series><title level="j">Journal of the International AIDS Society</title><idno type="eISSN">1758-2652</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Introduction</title><p>The increasing proportion of women living with HIV has evoked calls for tailored services that respond to women's specific needs. The objective of this investigation was to explore the concept of women-specific HIV/AIDS services to identify and define what key elements underlie this approach to care.</p></sec><sec id="st2"><title>Methods</title><p>A comprehensive review was conducted using online databases (CSA Social Service Abstracts, OvidSP, Proquest, Psycinfo, PubMed, CINAHL), augmented with a search for grey literature. In total, 84 articles were retrieved and 30 were included for a full review. Of these 30, 15 were specific to HIV/AIDS, 11 for mental health and addictions and four stemmed from other disciplines.</p></sec><sec id="st3"><title>Results and discussion</title><p>The review demonstrated the absence of a consensual definition of women-specific HIV/AIDS services in the literature. We distilled this concept into its defining features and 12 additional dimensions (1) creating an atmosphere of safety, respect and acceptance; (2) facilitating communication and interaction among peers; (3) involving women in the planning, delivery and evaluation of services; (4) providing self-determination opportunities; (5) providing tailored programming for women; (6) facilitating meaningful access to care through the provision of social and supportive services; (7) facilitating access to women-specific and culturally sensitive information; (8) considering family as the unit of intervention; (9) providing multidisciplinary integration and coordination of a comprehensive array of services; (10) meeting women “where they are”; (11) providing gender-, culture- and HIV-sensitive training to health and social care providers; and (12) conducting gendered HIV/AIDS research.</p></sec><sec id="st4"><title>Conclusions</title><p>This review highlights that the concept of women-specific HIV/AIDS services is a complex and multidimensional one that has been shaped by diverse theoretical perspectives. Further research is needed to better understand this emerging concept and ultimately assess the effectiveness of women-specific services on HIV-positive women's health outcomes.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Lin, K" uniqKey="Lin K">K Lin</name></author><author><name sortKey="Mcelmurry, Bj" uniqKey="Mcelmurry B">BJ McElmurry</name></author><author><name sortKey="Christiansen, C" uniqKey="Christiansen C">C Christiansen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wang, L" uniqKey="Wang L">L Wang</name></author><author><name sortKey="Wang, N" uniqKey="Wang N">N Wang</name></author><author><name sortKey="Li, D" uniqKey="Li D">D Li</name></author><author><name sortKey="Jia, M" uniqKey="Jia M">M Jia</name></author><author><name sortKey="Gao, X" uniqKey="Gao X">X Gao</name></author><author><name sortKey="Qu, S" uniqKey="Qu S">S 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Grella</name></author><author><name sortKey="Polinsky, Ml" uniqKey="Polinsky M">ML Polinsky</name></author><author><name sortKey="Hser, Yi" uniqKey="Hser Y">YI Hser</name></author><author><name sortKey="Perry, Sm" uniqKey="Perry S">SM Perry</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Boyd Franklin, N" uniqKey="Boyd Franklin N">N Boyd-Franklin</name></author><author><name sortKey="Steiner, Gl" uniqKey="Steiner G">GL Steiner</name></author><author><name sortKey="Boland, M" uniqKey="Boland M">M Boland</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Shannon, K" uniqKey="Shannon K">K Shannon</name></author><author><name sortKey="Bright, V" uniqKey="Bright V">V Bright</name></author><author><name sortKey="Duddy, J" uniqKey="Duddy J">J Duddy</name></author><author><name sortKey="Tyndall, Mw" uniqKey="Tyndall M">MW 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sortKey="Reid, Jl" uniqKey="Reid J">JL Reid</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mason, R" uniqKey="Mason R">R Mason</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Judd, F" uniqKey="Judd F">F Judd</name></author><author><name sortKey="Armstrong, S" uniqKey="Armstrong S">S Armstrong</name></author><author><name sortKey="Kulkarni, J" uniqKey="Kulkarni J">J Kulkarni</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Long, Cg" uniqKey="Long C">CG Long</name></author><author><name sortKey="Fulton, B" uniqKey="Fulton B">B Fulton</name></author><author><name sortKey="Fitzgerald, Ka" uniqKey="Fitzgerald K">KA Fitzgerald</name></author><author><name sortKey="Hollin, Cr" uniqKey="Hollin C">CR Hollin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Katz, Da" uniqKey="Katz D">DA 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Spittal</name></author><author><name sortKey="Bruneau, J" uniqKey="Bruneau J">J Bruneau</name></author><author><name sortKey="Craib, K" uniqKey="Craib K">K Craib</name></author><author><name sortKey="Miller, C" uniqKey="Miller C">C Miller</name></author><author><name sortKey="Lamothe, F" uniqKey="Lamothe F">F Lamothe</name></author><author><name sortKey="Weber, A" uniqKey="Weber A">A Weber</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Quinn, Tc" uniqKey="Quinn T">TC Quinn</name></author><author><name sortKey="Overbaugh, J" uniqKey="Overbaugh J">J Overbaugh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kellington, S" uniqKey="Kellington S">S Kellington</name></author><author><name sortKey="Blackwind, T" uniqKey="Blackwind T">T Blackwind</name></author><author><name sortKey="Desroches, M" uniqKey="Desroches M">M Desroches</name></author><author><name sortKey="Jir, B" uniqKey="Jir B">B Jir</name></author><author><name sortKey="King, N" uniqKey="King N">N King</name></author><author><name sortKey="Kjar, G" uniqKey="Kjar G">G Kjar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="D Arminio, Monforte A" uniqKey="D Arminio M">Monforte A d'Arminio</name></author><author><name sortKey="Gonzalez, L" uniqKey="Gonzalez L">L González</name></author><author><name sortKey="Haberl, A" uniqKey="Haberl A">A Haberl</name></author><author><name sortKey="Sherr, L" uniqKey="Sherr L">L Sherr</name></author><author><name sortKey="Ssanyu Sseruma, W" uniqKey="Ssanyu Sseruma W">W Ssanyu-Sseruma</name></author><author><name sortKey="Walmsley, Sl" uniqKey="Walmsley S">SL Walmsley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stipzer, Dl" uniqKey="Stipzer D">DL Stipzer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Raphael, D" uniqKey="Raphael D">D Raphael</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Yamin, A" uniqKey="Yamin A">A Yamin</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li><li>Québec</li></region><settlement><li>Hamilton (Ontario)</li><li>Montréal</li><li>Toronto</li></settlement><orgName><li>Université McMaster</li><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><noRegion><name sortKey="Carter, Allison J" sort="Carter, Allison J" uniqKey="Carter A" first="Allison J" last="Carter">Allison J. Carter</name></noRegion><name sortKey="Abelsohn, Kira" sort="Abelsohn, Kira" uniqKey="Abelsohn K" first="Kira" last="Abelsohn">Kira Abelsohn</name><name sortKey="Bourgeois, Sonya" sort="Bourgeois, Sonya" uniqKey="Bourgeois S" first="Sonya" last="Bourgeois">Sonya Bourgeois</name><name sortKey="Carter, Allison J" sort="Carter, Allison J" uniqKey="Carter A" first="Allison J" last="Carter">Allison J. Carter</name><name sortKey="Cescon, Angela" sort="Cescon, Angela" uniqKey="Cescon A" first="Angela" last="Cescon">Angela Cescon</name><name sortKey="De Pokomandy, Alexandra" sort="De Pokomandy, Alexandra" uniqKey="De Pokomandy A" first="Alexandra" last="De Pokomandy">Alexandra De Pokomandy</name><name sortKey="Greene, Saara" sort="Greene, Saara" uniqKey="Greene S" first="Saara" last="Greene">Saara Greene</name><name sortKey="Kaida, Angela" sort="Kaida, Angela" uniqKey="Kaida A" first="Angela" last="Kaida">Angela Kaida</name><name sortKey="Loutfy, Mona R" sort="Loutfy, Mona R" uniqKey="Loutfy M" first="Mona R" last="Loutfy">Mona R. Loutfy</name><name sortKey="Margolese, Shari" sort="Margolese, Shari" uniqKey="Margolese S" first="Shari" last="Margolese">Shari Margolese</name><name sortKey="O Brien, Nadia" sort="O Brien, Nadia" uniqKey="O Brien N" first="Nadia" last="O'Brien">Nadia O'Brien</name><name sortKey="Palmer, Alexis K" sort="Palmer, Alexis K" uniqKey="Palmer A" first="Alexis K" last="Palmer">Alexis K. Palmer</name><name sortKey="Palmer, Alexis K" sort="Palmer, Alexis K" uniqKey="Palmer A" first="Alexis K" last="Palmer">Alexis K. Palmer</name><name sortKey="Sanchez, Margarite" sort="Sanchez, Margarite" uniqKey="Sanchez M" first="Margarite" last="Sanchez">Margarite Sanchez</name><name sortKey="Tharao, Wangari" sort="Tharao, Wangari" uniqKey="Tharao W" first="Wangari" last="Tharao">Wangari Tharao</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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