title: Barriers to health-care and psychological distress among mothers living with HIV in Quebec (Canada).
abstract: Health-care providers play a major role in providing good quality care and in preventing psychological distress among mothers living with HIV (MLHIV). The objectives of this study are to explore the impact of health-care services and satisfaction with care providers on psychological distress in MLHIV. One hundred MLHIV were recruited from community and clinical settings in the province of Quebec (Canada). Prevalence estimation of clinical psychological distress and univariate and multivariable logistic regression models were performed to predict clinical psychological distress. 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. The multivariate results support the key role of personal, structural, and medical resources in understanding psychological distress among MLHIV. Interventions that can support the psychological health of MLHIV are discussed.
authors.affiliation: a Department of Sexology , Université du Québec à Montréal , Montreal , QC , Canada.
authors.forename: Martin
authors.initials: M
authors.lastname: Blais
authors.forename: Mylène
authors.initials: M
authors.lastname: Fernet
authors.forename: Karène
authors.initials: K
authors.lastname: Proulx-Boucher
authors.forename: Bertrand
authors.initials: B
authors.lastname: Lebouché
authors.forename: Carl
authors.initials: C
authors.lastname: Rodrigue
authors.forename: Normand
authors.initials: N
authors.lastname: Lapointe
authors.forename: Joanne
authors.initials: J
authors.lastname: Otis
authors.forename: Johanne
authors.initials: J
authors.lastname: Samson
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology*; D003863:Depression / Q000453:epidemiology*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000523:psychology*; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D009035:Mothers / Q000523:psychology; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D015995:Prevalence; D011787:Quality of Health Care; D011788:Quality of Life; D011792:Quebec / Q000453:epidemiology; D057545:Social Stigma; D012944:Social Support; D013315:Stress, Psychological / Q000453:epidemiology*
keywords: barriers to care; mothers living with HIV; psychological distress; resilience; stigma