Eviction prevalence, correlates and syndemic outcomes among women living with HIV in Metro Vancouver, Canada
department or school: Medicine, Faculty of
department or school: Population and Public Health (SPPH), School of
data provider: DSpace
degree campus: UBCV
creator: Lehmann, Beatrix
issued: 2024-12-05T21:54:02Z
issued: 2024
related degree: Master of Science - MSc
degree grantor: University of British Columbia
description: Background: Eviction, generally defined as when individuals are forced to leave their home, is a severe form of housing need. However, little research has explored eviction among women living with HIV who may face intersecting barriers to stable housing. Drawing on frameworks related to intersectional stigma and discrimination, life course theories, and syndemic theory, the objectives of this thesis were to understand the prevalence and social-structural correlates of eviction, and associations between eviction and HIV-related syndemic outcomes. Methods: This thesis utilized data (2015-2023) from a community-based open cohort study of cis and trans women (14+ years old) living with and/or accessing HIV care in Metro Vancouver. Social-structural correlates hypothesized to be associated with eviction reflected systemic marginalization and stigmatization. Syndemic outcomes included: gender-based violence, depression, food insecurity and criminalized stimulant and opioid use. All variables, unless otherwise specified, referred to the previous six months before each study visit. Bivariate and multivariable logistic regression with generalized estimating equations (GEEs) were used to examine relationships between explanatory variables and binary outcomes; bivariate and multivariate ordinal logistic regression with GEEs were used in models with ordered outcomes. Results: Among 361 participants, the study sample had disproportionately high representations of Indigenous women (53.5%, n=193) and women with marginalized and minoritized sexual (47.4%, n=171) and gender (15.5%, n=56) identities, relative to the Canadian population. In multivariable logistic regression analysis using GEEs, being removed from parents as a child (adjusted odds ratio[aOR]: 2.11, 95% confidence interval [95%CI][1.13-3.92]) and criminalized substance use (aOR daily versus none: 3.87, 95%CI[1.44-10.44]; less than daily versus none: 2.79, 95%CI[1.03-7.57]) were significantly associated with increased od…
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/89790
note: EVICTION PREVALENCE, CORRELATES AND SYNDEMIC OUTCOMES AMONG WOMEN LIVING WITH HIV IN METRO VANCOUVER, CANADA by Beatrix Lehmann B.A., McGill University, 2021 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE in THE FACULTY OF GRADUATE AND POSTDOCTORAL STUDIES (Population and Public Health) THE UNIVERSITY OF BRITISH COLUMBIA (Vancouver) December 2024 © Beatrix Lehmann, 2024 ii The following individuals certify that they have read, and recommend to the Faculty of Graduate and Postdoctoral Studies for acceptance, the thesis entitled: EVICTION PREVALENCE, CORRELATES AND SYNDEMIC OUTCOMES AMONG WOMEN LIVING WITH HIV IN METRO VANCOUVER, CANADA submitted by Beatrix Lehmann in partial fulfilment of the requirements for the degree of Master of Science in Population and Public Health Examining Committee: Dr. Kathleen Deering, Assistant Professor, Division of Social Medicine, Faculty of Medicine, UBC Co-supervisor Dr. Anne Gadermann, Associate Professor, Human Early Learning Partnership, UBC; Research Scientist, Centre for Advancing Health Outcomes, Providence Health Care Research Institute Co-supervisor Dr. Amanda Slaunwhite, Assistant Professor, School of Population and Public Health, UBC; Affiliate Investigator, BCCDC; Scientific Director, Correctional Health Services, BC Mental Health and Substance Use Services Additional Examiner Additional Supervisory Committee Members: Dr. Trevor Dummer, Professor, School of Population and Public Health, UBC Supervisory Committee Member iii ABSTRACT Background: Eviction, generally defined as when individuals are forced to leave their home, is a severe form of housing need. However, little research has explored eviction among women living with HIV who may face intersecting barriers to stable housing. Drawing on frameworks related to intersectional stigma and discrimination, life course theories, and syndemic theory, the objectives of this thesis were to understand the prevalence and social…
has type: Thesis/Dissertation
spatial: Downtown-Eastside (Vancouver, B.C.)
date issued: 2025-05
is shown at: 10.14288/1.0447414
language: eng
degree discipline: Population and Public Health
provider: Vancouver : University of British Columbia Library
publisher: University of British Columbia
rights: Attribution-NonCommercial-NoDerivatives 4.0 International
rights URI: http://creativecommons.org/licenses/by-nc-nd/4.0/
scholar level: Graduate
contributor: Deering, Kathleen N.
contributor: Gadermann, Anne
type: Text
identifier URI: http://hdl.handle.net/2429/89790