Awareness and Understanding of HIV Non-disclosure Case Law and the Role of Healthcare Providers in Discussions About the Criminalization of HIV Non-disclosure Among Women Living with HIV in Canada

Health Research

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https://doi.org/10.1007/s10461-019-02463-2
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Keywords

Canada, CHIWOS, Community based research, Criminalization of HIV non-disclosure, HIV, Women

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Research output: Contribution to Journal/Magazine › Journal article › peer-review

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Awareness and Understanding of HIV Non-disclosure Case Law and the Role of Healthcare Providers in Discussions About the Criminalization of HIV Non-disclosure Among Women Living with HIV in Canada. / the CHIWOS Research Team.
In: AIDS and Behavior, Vol. 24, No. 1, 31.01.2020, p. 95-113.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Bibtex

@article{79d90ba71b5f40d7adb2e4c423de3235,

title = "Awareness and Understanding of HIV Non-disclosure Case Law and the Role of Healthcare Providers in Discussions About the Criminalization of HIV Non-disclosure Among Women Living with HIV in Canada",

abstract = "In 2012, the Supreme Court of Canada ruled that people with HIV are legally obligated to disclose their serostatus before sex with a “realistic possibility” of HIV transmission, suggesting a legal obligation to disclose unless they use condoms and have a low HIV viral load (< 1500 copies/mL). We measured prevalence and correlates of ruling awareness among 1230 women with HIV enrolled in a community-based cohort study (2015–2017). While 899 (73%) participants had ruling awareness, only 37% were both aware of and understood ruling components. Among 899 aware participants, 34% had never discussed disclosure and the law with healthcare providers, despite only 5% being unwilling to do this. Detectable/unknown HIV viral load, lack of awareness of prevention benefits of antiretroviral therapy, education ≤ high-school and high HIV-related stigma were negatively associated with ruling awareness. Discussions around disclosure and the law in community and healthcare settings are warranted to support women with HIV.",

keywords = "Canada, CHIWOS, Community based research, Criminalization of HIV non-disclosure, HIV, Women",

author = "{the CHIWOS Research Team} and Sophie Patterson and Valerie Nicholson and Milloy, {M. J.} and Gina Ogilvie and Hogg, {Robert S.} and Allison Carter and Tian Li and Erin Ding and Paul Sereda and Saara Greene and {de Pokomandy}, Alexandra and Mona Loutfy and Angela Kaida",

year = "2020",

month = jan,

day = "31",

doi = "10.1007/s10461-019-02463-2",

language = "English",

volume = "24",

pages = "95--113",

journal = "AIDS and Behavior",

issn = "1090-7165",

publisher = "Springer New York",

number = "1",

}

RIS

TY - JOUR

T1 - Awareness and Understanding of HIV Non-disclosure Case Law and the Role of Healthcare Providers in Discussions About the Criminalization of HIV Non-disclosure Among Women Living with HIV in Canada

AU - the CHIWOS Research Team

AU - Patterson, Sophie

AU - Nicholson, Valerie

AU - Milloy, M. J.

AU - Ogilvie, Gina

AU - Hogg, Robert S.

AU - Carter, Allison

AU - Li, Tian

AU - Ding, Erin

AU - Sereda, Paul

AU - Greene, Saara

AU - de Pokomandy, Alexandra

AU - Loutfy, Mona

AU - Kaida, Angela

PY - 2020/1/31

Y1 - 2020/1/31

N2 - In 2012, the Supreme Court of Canada ruled that people with HIV are legally obligated to disclose their serostatus before sex with a “realistic possibility” of HIV transmission, suggesting a legal obligation to disclose unless they use condoms and have a low HIV viral load (< 1500 copies/mL). We measured prevalence and correlates of ruling awareness among 1230 women with HIV enrolled in a community-based cohort study (2015–2017). While 899 (73%) participants had ruling awareness, only 37% were both aware of and understood ruling components. Among 899 aware participants, 34% had never discussed disclosure and the law with healthcare providers, despite only 5% being unwilling to do this. Detectable/unknown HIV viral load, lack of awareness of prevention benefits of antiretroviral therapy, education ≤ high-school and high HIV-related stigma were negatively associated with ruling awareness. Discussions around disclosure and the law in community and healthcare settings are warranted to support women with HIV.

AB - In 2012, the Supreme Court of Canada ruled that people with HIV are legally obligated to disclose their serostatus before sex with a “realistic possibility” of HIV transmission, suggesting a legal obligation to disclose unless they use condoms and have a low HIV viral load (< 1500 copies/mL). We measured prevalence and correlates of ruling awareness among 1230 women with HIV enrolled in a community-based cohort study (2015–2017). While 899 (73%) participants had ruling awareness, only 37% were both aware of and understood ruling components. Among 899 aware participants, 34% had never discussed disclosure and the law with healthcare providers, despite only 5% being unwilling to do this. Detectable/unknown HIV viral load, lack of awareness of prevention benefits of antiretroviral therapy, education ≤ high-school and high HIV-related stigma were negatively associated with ruling awareness. Discussions around disclosure and the law in community and healthcare settings are warranted to support women with HIV.

KW - Canada

KW - CHIWOS

KW - Community based research

KW - Criminalization of HIV non-disclosure

KW - HIV

KW - Women

U2 - 10.1007/s10461-019-02463-2

DO - 10.1007/s10461-019-02463-2

M3 - Journal article

C2 - 30900043

AN - SCOPUS:85063225306

VL - 24

SP - 95

EP - 113

JO - AIDS and Behavior

JF - AIDS and Behavior

SN - 1090-7165

IS - 1

ER -

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