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Abstract #2306 - Women and Sex
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Session: 56.4: Women and Sex (Oral poster discussion) on Friday @ 12.30-13.30 in Poster room 2 Chaired by Brian Kelly, Wendee Wechsberg
Authors: Presenting Author: Prof Mylène Fernet - Université du Québec à Montréal, Canada
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Additional Authors:
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Aim: Health-care providers play a major role in providing good quality care and in preventing psychological distress among women living with HIV (WLHIV). WLHIV face distinct reproductive concerns regarding fertility and parenthood that may not be adequately addressed by care providers. The objectives of this study are to explore the impact of health-care services and satisfaction with care providers on psychological distress in mothers living with HIV (MLHIV).
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Method / Issue: One hundred MLHIV were recruited from community and clinical settings in the province of Quebec (Canada). Participants were aged 40.8 years old on average, were diagnosed with HIV for a mean time of 11.5 years and reported a median number of two dependent children or grandchildren (range 1-5). Variables included sociodemographic and control variables, psychological distress, resilience, number of HIV care providers, quality of communication and satisfaction with care providers, barriers to care and HIV stigma. Prevalence estimation of clinical psychological distress and univariate and multivariable logistic regression models were performed to predict clinical psychological distress.
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Results / Comments: Forty-five percent of the participants reported clinical psychological distress. In the multivariable regression, the following variables were significantly associated with psychological distress while controlling for sociodemographic variables: resilience, quality of communication with the care providers, resources, and HIV disclosure concerns.
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Discussion: The multivariate results support the key role of personal, structural, and medical resources in understanding psychological distress among MLHIV. The findings show the importance of paying special attention to mothers with dependent children, as they face unique challenges regarding their family’s needs. By inquiring about the overall quality of life of their patients, care providers would learn more about their needs and be better able to direct them to the relevant resources.
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