Final published version
Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
}
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 -