Violence and other social structural factors linked to incarceration for women living with HIV in Metro Vancouver: need for trauma-informed HIV care in prisons and post-Release

Erickson, Margaret; Pick, Neora; Ranville, Florence; Martin, Ruth Elwood; Braschel, Melissa; Kestler, Mary; Krüsi, Andrea; Shannon, Kate

doi:10.1080/09540121.2020.1717418

Cited by 17 publications

(18 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Problematically, there are no data on the number of Indigenous Two-Spirit people, trans women, and nonbinary people living with HIV (Anderson, 2014). Women living with HIV (WLWH) are disproportionately incarcerated, with 76% of participants in a study of 289 WLWH reporting incarceration at some point in their lives, and 17% have experienced incarceration within the past 6 months (Erickson et al, 2020). While the number of women charged with HIV nondisclosure in Canada is low, 42% of those charged identify as Indigenous (Hastings et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

Indigenous Women Voicing Experiences of HIV Stigma and Criminalization Through Art

Sanderson¹,

Ranville

Gurney³

et al. 2021

IJIH

Self Cite

View full text Add to dashboard Cite

Indigenous women living with HIV are disproportionately affected by the criminalization of HIV nondisclosure. The purpose of this paper is to better understand how the criminalization of HIV nondisclosure shapes the lived experiences of HIV-related stigma, disclosure, and health service among cis and transgender Indigenous women living with HIV (IWLWH). This study was developed based on a community roundtable on HIV criminalization with engagement of legal experts, HIV service organizations, and IWLWH on the unceded traditional territory of the Coast Salish Peoples, including the ter̓ritories of the xwməθkwəy̓ əm (Musqueam), Sḵwx̱ wú7mesh (Squamish), and Səlílwətaɬ (Tsleil-Waututh) Nations (Vancouver, British Columbia, Canada) in 2016 to 2018. Drawing on community-based participatory photovoice methodology, Indigenous Peer Researchers played a central role throughout this project, including planning, facilitation of photo-voice workshops, and analysis. This analysis includes 17 IWLWH. Through a peer-engaged analysis process, the photovoice images and narratives illustrated how the criminalization of HIV nondisclosure is intertwined with colonial violence to shape experiences of social isolation and exclusion, disclosure, access to safe health care, responsibility, fear, and resilience. The legal requirements of HIV nondisclosure are unattainable for many IWLWH who are not able to safely disclose their HIV status, negotiate condom use, and maintain a low viral load. In line with the Truth and Reconciliation Commission of Canada and National Inquiry into Missing and Murdered Indigenous Women and Girls, the justice system must be reoriented from punishment and oppression to healing and wellbeing for all Indigenous women living with HIV. Simultaneously, we call for culturally safe services that protect privacy and recognize strengths of IWLWH.

show abstract

Section: Introductionmentioning

confidence: 99%

Indigenous Women Voicing Experiences of HIV Stigma and Criminalization Through Art

Sanderson¹,

Ranville

Gurney³

et al. 2021

IJIH

Self Cite

View full text Add to dashboard Cite

show abstract

“…Further, in the general population, Black, heterosexual women have the highest STI/HIV rates compared to heterosexual women from other racial groups [ 60 ]. Previous work has demonstrated that structural racism plays a key role in producing worse sexual health outcomes and substance use behaviors as well as inequitable access to treatment access among Black individuals [ 37 , 61 , 62 , 63 , 64 , 65 ]. Here, we find that white and Black, heterosexual women with recent criminal legal involvement also have elevated risk for reporting an STI, but that their risk of reporting an STI is diminished once overall substance use is controlled for.…”

Section: Discussionmentioning

confidence: 99%

Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Criminal Legal Involvement

Harvey

Opara

Wang

2022

IJERPH

View full text Add to dashboard Cite

Limited research has focused on how substance use and sexual risk behaviors differ among individuals impacted by the criminal legal system based on social identities. Using the National Survey on Drug Use and Health, we estimated relative risk for reporting a sexually transmitted infection (STI) among intersectional social groups with criminal legal involvement using a modified Poisson regression. We then utilized multivariate logistic regression and marginal effects to measure associations between substance use behaviors and STIs and to estimate whether these varied among the intersectional social groups with elevated STI rates. Three groups had elevated risk of reporting an STI compared to white, heterosexual men: white, heterosexual women (1.53, 95% CI: 1.05–2.20); Black, heterosexual women (2.03, 95% CI: 1.18–3.49); and white, gay or bisexual men (5.65, 95% CI: 2.61–12.20). Considering the intersections of gender, race, and sexual orientation, elevated risks for STIs among white and Black heterosexual women were mitigated after adjusting for substance use alongside other confounders. Only those who identified as white, gay or bisexual, and male had increased STI risk after controlling for substance use. Interventions targeting Black and white heterosexual women’s sexual health following incarceration should focus on substance use and interventions targeting white, gay or bisexual men should focus on healthy sexual behaviors, HIV/STI screening, and care continuum efforts.

show abstract

“…Throughout the pandemic, there has been little consideration of the unique needs of incarcerated women and SGM ( Schnarrs et al , 2019 ; Erickson et al , 2020 ). Situations of poverty and victimization have left many immunocompromised ( DeGroot, 2001 ) making them more vulnerable to COVID-19 infections.…”

Section: Covid-19 and The Incarceration Sector: A Gendered Analysismentioning

confidence: 99%

Finding opportunity in the COVID-19 crisis: prioritizing gender in the design of social protection policies

Perri

Metheny

Matheson

et al. 2021

Health Promotion International

View full text Add to dashboard Cite

Summary The COVID-19 pandemic is highlighting the harm perpetuated by gender-blind programs for marginalized citizens, including sexual and gender minorities (SGMs) and cisgender women. Gender-blind programs are known to augment harms associated with violence and structural stigmatization by reinforcing rather than challenging unequal systems of power. The intersecting marginalization of these populations with systems of class, race, and settler-colonialism is exacerbating the impact that policies such as physical distancing, school closures, and a realignment of healthcare priorities are having on the wellbeing of these populations. The overarching reasons why women and SGM are marginalized are well known and stem from a hegemonic, patriarchal system that fails to fully integrate these groups into planning and decision making regarding public health programming—including the response to COVID-19. In this perspective, we aim to highlight how the exclusion of cisgender women and SGM, and failure to use a gender redistributive/transformative approach, has (i) hampered the recovery from the pandemic and (ii) further entrenched the existing power structures that lead to the marginalization of these groups. We also argue that COVID-19 represents a once-in-a-century opportunity to realign priorities regarding health promotion for cisgender women and SGM by using gender redistributive/transformative approaches to the recovery from the pandemic. We apply this framework, which aims to challenge the existing power structures and distribution of resources, to exemplars from programs in health, housing, employment, and incarceration to envision how a gender redistributive/transformative approach could harness the COVID-19 recovery to advance health equity for cisgender women and SGM.

show abstract

Violence and other social structural factors linked to incarceration for women living with HIV in Metro Vancouver: need for trauma-informed HIV care in prisons and post-Release

Cited by 17 publications

References 51 publications

Indigenous Women Voicing Experiences of HIV Stigma and Criminalization Through Art

Indigenous Women Voicing Experiences of HIV Stigma and Criminalization Through Art

Role of the Intersections of Gender, Race and Sexual Orientation in the Association between Substance Use Behaviors and Sexually Transmitted Infections in a National Sample of Adults with Recent Criminal Legal Involvement

Finding opportunity in the COVID-19 crisis: prioritizing gender in the design of social protection policies

Contact Info

Product

Resources

About