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Life With HIV in a Canadian Suburban Community

A Qualitative Inquiry of Health Care and Social Services Access

Manis, Derek MHSc*; Gamble, Brenda PhD

Journal of the Association of Nurses in AIDS Care: September-October 2019 - Volume 30 - Issue 5 - p 584–592
doi: 10.1097/JNC.0000000000000053
Research Article

HIV has been examined in urban and rural contexts, but the suburban gradient has not been sufficiently described, despite the fact that many Canadians live in suburbia. Using qualitative description, we investigated how people living with HIV in a suburban community in Ontario, Canada, accessed health care and social services. Posters at the regional AIDS Service Organization and snowball sampling were used to recruit and interview 13 adult participants with various experiences and perspectives. A content analysis identified three meta-themes in the interviews: (a) transportation cost and time: barriers to access, (b) isolation, and (c) defective primary care: unmet and deflected needs. The findings have implications for the (a) development of community-based groups, (b) the role of transportation in health care and social services utilization, (c) community-based, interprofessional health and social care services, and (d) aging with HIV.

Derek Manis, MHSc, is a PhD Student, Centre for Health Economics and Policy Analysis and Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Canada. Brenda Gamble, PhD, is the Associate Dean, Undergraduate and Accredited Health Programs and Associate Professor, Faculty of Health Sciences, University of Ontario Institute of Technology, Oshawa, Canada.

Corresponding author: Derek Manis, e-mail:

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

© 2019 Association of Nurses in AIDS Care
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