Systemic inequities and sources of resilience: challenges faced by Indigenous women living with HIV during COVID-19 in the Canadian prairies
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View abstract on PubMed
Summary
This summary is machine-generated.Indigenous women living with HIV faced significant challenges during the COVID-19 pandemic, including housing and healthcare access barriers. Resilience was found in cultural practices and community support, highlighting the need for culturally safe care.
Area Of Science
- Indigenous Health
- Social Determinants of Health
- Epidemiology of HIV/AIDS
Background
- The COVID-19 pandemic disproportionately affected vulnerable populations, including Indigenous women living with HIV.
- Systemic inequities exacerbate health challenges for First Nations, Métis, and Inuit women living with HIV.
- Understanding resilience factors is crucial for developing effective support systems.
Purpose Of The Study
- To explore the challenges and resilience of First Nations, Métis, and Inuit women living with HIV in Manitoba and Saskatchewan during the COVID-19 pandemic.
- To identify barriers to care and sources of strength within this population.
- To inform the development of culturally safe and women-centered healthcare models.
Main Methods
- A decolonizing, community-based research approach guided by a Community Guiding Circle (CGC).
- Interviews with 45 Indigenous women living with HIV, recruited through community outreach, peer networks, and social media.
- Data collection and analysis using Indigenous storywork and inductive thematic analysis.
Main Results
- Significant barriers included housing instability, childcare issues, and limited healthcare access, intensified by systemic inequities.
- Indigenous cultural practices, ceremonies, community support, and family ties were vital resilience factors, though pandemic-disrupted.
- Participants experienced profound impacts from colonialism, patriarchy, and capitalism on their health and well-being.
Conclusions
- Culturally safe, women-centered care models integrating Indigenous knowledge are urgently needed.
- Health and social care practitioners must advocate for systemic change to address the unique needs of Indigenous women living with HIV.
- Tailored, culturally safe health and social care interventions are essential to support the resilience of Indigenous women living with HIV.
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