Challenges and resiliency: Social determinants of health, COVID-19, and the disproportionate impact on immigrants and refugees with HIV
Abstract
The human immunodeficiency virus (HIV) pandemic is a global public health and social justice issue, where HIV continues to disproportionately affect marginalized populations. This study investigated and captured the experiences of immigrants and refugees living with HIV (IRLHIV) using the social determinants of health framework. This study examined the intersecting factors affecting the health and well-being of IRLHIV
in Alberta, Canada, prior to and during the COVID-19 pandemic. Concurrent mixed methods were used. Employing an online survey (n = 124) and photovoice methodology (n = 13), the findings underscored the amplification of pre-existing inequities during the COVID-19 pandemic, intensifying the discrimination and stigma faced by IRLHIV due to both their health status and immigration background.
Notes
Integration timeline: not defined
Key recommendations:
1) Urgently develop targeted, evidence-based interventions to address the social determinants of health that lead to poor outcomes for IRLHIV
2) Co-create responsive and culturally safe services for and by IRLHIV
Location: Alberta, not otherwise specified
Community organizations: n/a
Future research / gaps identified:
Conduct further participatory action research on the health disparities for IRLHIV
Key findings:
5 themes were identified from the survey and photovoice data:
1) Intersecting experiences of racism and discrimination for IRLHIV
2) Challenges accessing nutrition
3) Challenges accessing healthcare
4) Challenges finding affordable housing
5) Precarious employment situations
Key populations: newcomers with HIV who now live in Alberta
Open access: Yes